Negative Video Head Impulse Test in Acute Vestibular Syndrome Does Not Exclude Vestibular Neuritis: Insights and Challenges in Diagnosis

Video Head Impulse Test (v-HIT) is a valuable tool for diagnosing acute and chronic vestibular disorders but may yield false negatives in acute vestibular neuritis. Clinical judgment remains paramount; integrating patient history, physical findings, and ancillary tests ensures accurate diagnosis, especially when v-HIT results conflict with the clinical picture and other diagnostic tools.