Vestibular evoked myogenic potential findings in multiple sclerosis.
نویسندگان
چکیده
INTRODUCTION Multiple sclerosis is an inflammatory disease involving the occurrence of demyelinating, chronic neurodegenerative lesions in the central nervous system. We studied vestibular evoked myogenic potentials (VEMPs) in this pathology, to allow us to evaluate the saccule, inferior vestibular nerve and vestibular-spinal pathway non-invasively. METHODS There were 23 patients diagnosed with multiple sclerosis who underwent VEMP recordings, comparing our results with a control group consisting of 35 healthy subjects. We registered p13 and n23 wave latencies, interaural amplitude difference and asymmetry ratio between both ears. Subjects also underwent an otoscopy and audiometric examination. RESULTS The prolongation of p13 and n23 wave latencies was the most notable characteristic, with a mean p13 wave latency of 19.53 milliseconds and a mean latency of 30.06 milliseconds for n23. In contrast, the asymmetry index showed no significant differences with our control group. CONCLUSIONS In case of multiple sclerosis, the prolongation of the p13 and n23 VEMP wave latencies is a feature that has been attributed to slowing of conduction by demyelination of the vestibular-spinal pathway. In this regard, alteration of the response or lack thereof in these potentials has a locator value of injury to the lower brainstem.
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Cervical and ocular vestibular evoked myogenic potentials in multiple sclerosis participants
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BACKGROUND As a parameter for the evaluation of the vestibular evoked myogenic potential (VEMP), amplitude has been used clinically. However, the significance of latency has not been considered. OBJECTIVE To clarify the diagnostic value of latencies of the VEMP. DESIGN We reviewed records of the VEMP of patients with various diseases and compared them with records of healthy volunteers. S...
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ورودعنوان ژورنال:
- Acta otorrinolaringologica espanola
دوره 64 5 شماره
صفحات -
تاریخ انتشار 2009