Background: The video head impulse test (vHIT) assesses the vestibulo-occular reflex (VOR) by using a video-assisted examination of the impulsive maneuver. We studied the results vHIT in vestibular neuritis patients . Subjects and methods: A case control study was conducted in Audio-vestibular unit, Department of ENT, Zagazig University Hospitals. 24 patients with vestibular neuritis were included. vHIT was done. Results: We calculated gain, gain asymmetry in the study group and compare the results with control group. Conclusion: vHIT is the only test that assesses all sixsemicircular canals independently and with a physiologicalstimulus, similar to how the patient uses the vestibular ocular reflex system in daily life