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Role of cervical vestibular evoked myogenic potential response in identifying vestibular dysfunction

Published online by Cambridge University Press:  08 August 2013

S Isaradisaikul ,
N Navacharoen ,
C Hanprasertpong  and
J Kangsanarak
S Isaradisaikul*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Thailand
N Navacharoen
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Thailand
C Hanprasertpong
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Thailand
J Kangsanarak
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Thailand
*
Address for correspondence: Dr Suwicha Isaradisaikul, Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, 110 Intawaroros Rd, Sriphum, Mueang, Chiang Mai 50200, Thailand Fax: +66 53 945564 E-mail: sisaradi@mail.med.cmu.ac.th
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Abstract

Objectives:

To analyse cervical vestibular evoked myogenic potential response parameters in normal volunteers and vertiginous patients.

Subjects and methods:

A prospective study of 50 normal subjects and 50 patients with vertigo was conducted at Chiang Mai University Hospital, Thailand. Cervical vestibular evoked myogenic potential responses were measured using air-conducted, 500-Hz, tone-burst stimuli with subjects in a sitting position with their head turned toward the contralateral shoulder.

Results:

The mean ± standard deviation age and male:female ratio in the normal (44.0 ± 9.3 years; 12:38) and vertigo groups (44.7 ± 9.8 years; 17:33) were not significantly different. The prevalence of absent responses in the normal (14 per cent) and vertigo ears (46 per cent) differed significantly (p < 0.0001). Other cervical vestibular evoked myogenic potential parameters (i.e. response threshold, P1 and N1 latency, P1–N1 interlatency and interamplitude, inter-ear difference in P1 threshold, and asymmetry ratio) showed no inter-group differences.

Conclusion:

The absence of a cervical vestibular evoked myogenic potential response is useful in the identification of vestibular dysfunction. However, patients should undergo a comprehensive battery of other vestibular tests to supplement their cervical vestibular evoked myogenic potential response findings.

Keywords

Vestibular Evoked Myogenic PotentialsVestibular Function TestsVertigoDiagnosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 9 , September 2013 , pp. 848 - 853
Copyright
Copyright © JLO (1984) Limited 2013 

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Footnotes

Presented at the American Academy of Otolaryngology – Head and Neck Surgery Foundation 115th Annual Meeting and Oto Expo, 11–14 September 2011, San Francisco, California, USA

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