Skip to main content Accessibility help

Performing and analysing tone-induced cervical and ocular vestibular-evoked myogenic potentials in traumatic and non-traumatic vestibular pathology

  • A I Mallinson (a1) and N S Longridge (a1)



This paper discusses our technique of carrying out cervical and ocular vestibular-evoked myogenic potential testing in a single position. The described technique allows for a symmetrical, natural flexion of the neck muscles, which is helpful as many of our patients have suffered traumatic deceleration injures.


Patients with suspected vestibular pathology referred by specialists were sequentially assessed in a tertiary referral neuro-otology unit within a teaching hospital using our technique and our previously established normative database. All patients underwent standardised vestibular assessment in addition to cervical and ocular vestibular-evoked myogenic potential assessment. Our normative data are in keeping with that reported by other centres.


Many of the patients had abnormal vestibular-evoked myogenic potentials, which is in line with a history suggesting otolithic disease.


Both cervical and ocular vestibular-evoked myogenic potentials offer several parameters for detecting abnormalities. The technique reported enables us to assess patients in an accurate fashion whether or not they have suffered traumatic neck injuries.


Corresponding author

Author for correspondence: Dr A I Mallinson, Neuro-otology Unit, 4th Floor, Diamond Centre, 2775 Laurel Street, Vancouver V5Z 3K3, Canada E-mail: Fax: +1 604 875 4526


Hide All

Dr A I Mallinson takes responsibility for the integrity of the content of the paper

Presented at the XXIXth Meeting of the Barany Society, 5–8 June 2016, Seoul, Korea.



Hide All
1Longridge, NS, Mallinson, AI, Pothier, DD. Development and understanding of caloric responses; an overview of the first hundred years. J Otolaryngol ENT Res 2015;3:00056
2Longridge, NS, Mallinson, AI, Pothier, DD. Do otoliths modulate caloric response? What do VEMPs and CDP measure? What do these tests tell us? J Otolaryngol ENT Res 2015;3:00061
3Jongkees, LB, Philipszoon, AJ. Electronystagmography. Acta Otolaryngol Suppl 1964;189(suppl 189):1+
4Lipp, M, Longridge, NS. Computerized dynamic posturography: its place in the evaluation of the patient with dizziness and imbalance. J Otolaryngol 1994;23:177–83
5Nguyen, K, Welgampola, M, Carey, J. Test-retest reliability and age-related characteristics of the ocular and cervical vestibular evoked myogenic potential tests. Otol Neurotol 2010;31:793802
6Curthoys, I. The interpretation of clinical tests of peripheral vestibular function. Laryngoscope 2012;122:1342–52
7Rosengren, SM, Todd, NP, Colebatch, JG. Vestibular-evoked extraocular potentials produced by stimulation with bone-conducted sound. Clin Neurophysiol 2005;116:1938–48
8Mallinson, AI, Longridge, NS, Pace-Asciak, P, Ngo, R. Measuring caloric response – comparison of four different analysis techniques. J Vestib Res 2010;20:419–26
9Katz, J, Medwetsky, L, Burkard, R, Hood, LJ, eds. Introduction and basic tests and procedures. In: Handbook of Clinical Audiology, 6th edn. Baltimore: Lippincott Williams and Wilkins, 2009;1116
10Vanspauwen, R, Wuyts, FL, Van de Heyning, PH. Vestibular evoked myogenic potentials: test-retest reliability and normative values obtained with a feedback method for the sternocleidomastoid muscle contraction. J Vestib Res 2009;19:127–35
11Mallinson, AI, Kuijpers, A, Longridge, NS. Optimum number of sweeps in clinical OVEMP recording; how many sweeps are necessary? J Int Adv Otol 2018;14:72–6
12Xie, S-J, Xu, Y, Bi, HZ, Jia, HB, Zheng, YJ, Zhang, YG. Ocular vestibular-evoked myogenic potentials in healthy pilots and student pilots. Aviat Space Environ Med 2011;82:729–33
13Deepak, DT, Bhat, JS, Kumar, K. Effect of frequency on ocular vestibular evoked myogenic potential. Indian Journal of Otology 2013;19:100–3
14Sinha, SK, Shankar, K, Govindaswamy, R. cVEMP, oVEMP and caloric test results in individuals with Meniere's disease. Int J Speech Lang Pathol Audiol 2015;3:93102
15Singh, NK, Barman, A. Characterizing the effects of frequency on parameters of short tone-bursts induced ocular vestibular evoked myogenic potentials. J Indian Speech Language Hearing Assoc 2014;28:19
16Nguyen, KD, Welgampola, MS, Carey, JP. Test-retest reliability and age-related characteristics of the ocular and cervical vestibular evoked myogenic potential tests. Otol Neurotol 2010;31:793802
17Piker, EG, Jacobson, GP, McCaslin, S, Hood, LJ. Normal characteristics of the ocular vestibular evoked myogenic potential. J Am Acad Audiol 2011;22:222–30
18Chou, CH, Wang, SJ, Young, YH. Feasibility of the simultaneous ocular and cervical vestibular-evoked myogenic potentials in unilateral vestibular hypofunction. Clin Neurophysiol 2009;120:1699–705
19Beyea, JA, Zeitouni, AG. Vestibular evoked myogenic potential latencies in Meniere disease and vestibular schwannoma. Otolaryngol Head Neck Surg 2010;39:253–8
20Longridge, NS, Mallinson, AI. Tone-induced cervical and ocular vestibular-evoked myogenic potentials: comparing abnormalities in traumatic and non-traumatic vestibular disease. J Laryngol Otol 2018;132:906–10
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed