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

Published online by Cambridge University Press:  09 October 2018

A I Mallinson  and
N S Longridge
A I Mallinson*
Affiliation:
Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and Neuro-otology Unit, Vancouver General Hospital, Canada
N S Longridge
Affiliation:
Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and Neuro-otology Unit, Vancouver General Hospital, Canada
*
Author for correspondence: Dr A I Mallinson, Neuro-otology Unit, 4th Floor, Diamond Centre, 2775 Laurel Street, Vancouver V5Z 3K3, Canada E-mail: art@mallinson.ca Fax: +1 604 875 4526
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Abstract

Objective

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.

Methods

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.

Results

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

Conclusion

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.

Keywords

Whiplash InjuriesVestibular DiseasesVestibular Evoked Myogenic PotentialsOtolithsDecelerationCervical Vestibular-Evoked Myogenic PotentialsOcular Vestibular-Evoked Myogenic Potentials
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 10 , October 2018 , pp. 896 - 900
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

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.

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