Vestibular evoked myogenic potentials (VEMPs) evoked by air- and bone-conducted stimuli in vestibular neuritis

نویسندگان

  • Sendhil Govender
  • Danielle L. Dennis
  • James G. Colebatch
چکیده

OBJECTIVE To compare and characterise abnormalities for short latency vestibular evoked myogenic potentials (VEMPs) elicited by air- (AC) and two differing types of bone-conducted (BC) stimuli during vestibular neuritis (VN). METHODS AC (500Hz short tone bursts) and two BC stimuli (500Hz at the forehead and impulses at the mastoids) were used to evoke cervical and ocular potentials (cVEMPs and oVEMPs) in VN patients (n=22) and healthy subjects. RESULTS More abnormalities were observed for the oVEMP than the cVEMP when using either AC 500Hz or BC 500Hz. The AC stimulus showed slightly more abnormalities than the BC 500Hz stimulus. In contrast, BC impulses produced frequent abnormalities for both oVEMPs and cVEMPs. The findings were modelled, based upon presumed selective lesions of the superior nerve. CONCLUSIONS AC 500Hz stimulation was slightly better than BC 500Hz in demonstrating abnormalities in patients with VN. BC impulses behave as expected for a predominantly utricular stimulus. The relative contributions of saccular and utricular fibres differ for stimulus type and target reflex. SIGNIFICANCE AC 500Hz is as effective as BC 500Hz for investigating VN. BC impulses act most strongly on utricular afferents.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cervical and ocular vestibular evoked myogenic potentials in multiple sclerosis participants

  Background: Multiple sclerosis (MS) is a chronic neurological disease that affects brain and spinal cord. The infratentorial region contains the cerebellum and brainstem. Vestibular evoked myogenic potentials (VEMPs) are short-latency myogenic responses. Cervical vestibular evoked myogenic potential (cVEMP) is a manifestation of vestibulocolic reflex and ocular vestibular evoked myogenic pote...

متن کامل

Characteristics and clinical applications of vestibular-evoked myogenic potentials.

A recent technique of assessing vestibular function, the vestibular-evoked myogenic potential (VEMP), is an otolith-mediated, short-latency reflex recorded from averaged sternocleidomastoid electromyography in response to intense auditory clicks delivered via headphones. Since their first description 10 years ago, VEMPs are now being used by investigators worldwide, and characteristic changes o...

متن کامل

Vestibular Evoked Myogenic Potential Produced by Bone-Conducted Stimuli: A Study on its Basics and Clinical Applications in Patients With Conductive and Sensorineural Hearing Loss and a Group With Vestibular Schawannoma

Introduction: Vestibular evoked myogenic potential (VEMP) has recently been broadly studied in vestibular disorders. As it is evoked by loud sound stimulation, even mild conductive hearing loss may affect VEMP results. Bone-conducted (BC) stimulus is an alternative stimulation for evoking this response. This study aims to assess the characteristics of BC-VEMP in different groups of patients.   ...

متن کامل

The effect of preterm birth on vestibular evoked myogenic poten-tials in children

  Background :Preterm birth is a significant global health problem with serious short- and long-term consequences. This study examined the long term effects of preterm birth on vestibular evoked myogenic potentials (VEMPs) among preschool-aged children.   Methods : Thirty-one children with preterm and 20 children with term birth histories aged 5.5 to 6.5 years were studied. Each child underwent...

متن کامل

Cervical and Ocular Vestibular Evoked Myogenic Potentials (VEMPs) in Vestibular Hypersensitivity

Vestibular Evoked Myogenic Potentials (VEMPs) have recently become a popular component of the audiovestibular test battery of many neurology, otolaryngology, and audiology laboratories and clinics. Traditional VEMPs, resulting from the vestibulo-collic reflex, are evoked by intense acoustic stimuli presented via air or bone conduction and recorded from the activated ipsilateral neck musculature...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Clinical Neurophysiology

دوره 126  شماره 

صفحات  -

تاریخ انتشار 2015