Caloric Test Versus Rotational Sinusoidal Harmonic Acceleration and Step-Velocity Tests in Patients With and Without Suspected Peripheral Vestibulopathy

Abstract

Calculation of CW was the most promising single marker for identifying peripheral from nonperipheral vestibulopathic patients. Individual RC parameters showed limited predictive value to differentiate peripheral from nonperipheral vestibular dysfunction. However, the combination of subtests yielded an AUC-ROC only slightly less than caloric testing. The combination of caloric and RC testing revealed the strongest predictive capabilities for identifying peripheral vestibular injury. Furthermore, the combination of an abbreviated form of RC testing with caloric testing yielded nearly identical results as full caloric and rotational testing.