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vestibular evoked myogenic potentials

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https://www.readbyqxmd.com/read/29030130/behavioural-and-objective-vestibular-assessment-in-persons-with-osteoporosis-and-osteopenia-a-preliminary-investigation
#1
Aditi Gargeshwari, Raghav Hira Jha, Niraj Kumar Singh, Prawin Kumar
INTRODUCTION: Calcium is vital for the functioning of the inner ear hair cells as well as for the neurotransmitter release that triggers the generation of a nerve impulse. A reduction in calcium level could therefore impair the peripheric vestibular functioning. However, the outcome of balance assessment has rarely been explored in cases with osteopenia and osteoporosis, the medical conditions associated with reduction in calcium levels. OBJECTIVE: The present study aimed to investigate the impact of osteopenia and osteoporosis on the outcomes of behavioural and objective vestibular assessment tests...
September 21, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28990655/round-window-plugging-in-the-treatment-of-superior-semicircular-canal-dehiscence
#2
Eric F Succar, Periakaruppan V Manickam, Sara Wing, Jeffrey Walter, Joseph S Greene, William J Azeredo
OBJECTIVES/HYPOTHESIS: Objectives were to describe the use of round window plugging for superior semicircular canal dehiscence syndrome and review further recommendations regarding the procedure based on our experience and to compare results with recent literature on round window plugging. STUDY DESIGN: Retrospective case series. METHODS: Fourteen patients underwent round window plugging for superior semicircular canal dehiscence at our institution from 2012 to 2015...
October 9, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28980781/-inferior-vestibular-neuritis
#3
Stephen Jacques Alzuphar, Raphaël Maire
Inferior vestibular neuritis is a rare form of acute peripheral vestibular loss that only implies the lesion of the inferior vestibular nerve. The diagnosis is based on the observation of a spontaneous downbeating nystagmus, pathological head impulse test for the posterior semicircular canal and abnormal cervical vestibular-evoked myogenic potentials. Bithermal caloric testing and head impulse test for horizontal and anterior canals are normal, as well as the ocular vestibular-evoked myogenic potentials. The differential diagnosis of inferior vestibular neuritis includes the various central lesions that produce vertical down beating nystagmus (posterior fossa) and a cerebral magnetic resonance imaging is mandatory...
October 4, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28980586/-the-importance-of-vestibular-evoked-myogenic-potentials-for-the-assessment-of-the-otolith-function-in-the-patients-presenting-with-benign-paroxysmal-positional-vertigo
#4
N L Kunel'skaya, E V Baybakova, A L Guseva, M A Chugunova, E A Manaenkova
The objective of the present study was to evaluate the otolith function in the patients presenting with idiopathic benign paroxysmal positional vertigo (pBPPV) attributable to the occlusion of the posterior semicircular canal (PSCC) of the inner ear with the use of vestibular evoked myogenic potentials (VEMP). Cervical (cVEMP) and ocular VEMP (oVEMP) were measured in 34 patients with idiopathic pBPPV before and 7 days after the treatment by means of reposition maneuvers. The results of the repeated Dix-Hallpike test performed 7 days after the repositioning maneuver were negative in 27 patients and positive in 7 patients...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28948300/-preoperative-determination-of-nerve-of-origin-in-patients-with-vestibular-schwannoma-german-version
#5
T Rahne, S Plößl, S K Plontke, C Strauss
BACKGROUND: Vestibular schwannoma (VS) is a benign tumor that develops in the internal auditory canal and the cerebellopontine angle, potentially diminishing hearing or balance. Most VS tumors arise from one of two vestibular branches: the superior or inferior vestibular nerve. Determining the specific nerve of origin could improve patient management in terms of preoperative counseling, treatment selection, and surgical decision-making and planning. The aim of this study was to introduce a novel scoring system that was designed to determine the nerve of origin...
September 25, 2017: HNO
https://www.readbyqxmd.com/read/28928714/abnormal-cervical-vestibular-evoked-myogenic-potentials-predict-evolution-of-isolated-recurrent-vertigo-into-meniere-s-disease
#6
Sun-Uk Lee, Hyo-Jung Kim, Jeong-Yoon Choi, Ja-Won Koo, Ji-Soo Kim
INTRODUCTION: Vestibular-evoked myogenic potentials (VEMPs) can be abnormal in patients with idiopathic recurrent spontaneous vertigo. We aimed to determine whether abnormal cervical vestibular-evoked myogenic potentials (cVEMPs) can predict evolution of isolated recurrent vertigo into Meniere's disease (MD). METHODS: We had followed up 146 patients with isolated recurrent vertigo and an evaluation of cVEMPs for 0-142 months [median = 6, interquartile range (IQR) = 0-29] at the Dizziness Clinic of Seoul National University Bundang Hospital from June 2003 to May 2014...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28906242/safe-use-of-acoustic-vestibular-evoked-myogenic-potential-stimuli-protocol-and-patient-specific-considerations
#7
Cory D F Portnuff, Samantha Kleindienst, Jamie M Bogle
BACKGROUND: Vestibular-evoked myogenic potentials (VEMPs) are commonly used clinical assessments for patients with complaints of dizziness. However, relatively high air-conducted stimuli are required to elicit the VEMP, and ultimately may compromise safe noise exposure limits. Recently, research has reported the potential for noise-induced hearing loss (NIHL) from VEMP stimulus exposure through studies of reduced otoacoustic emission levels after VEMP testing, as well as a recent case study showing permanent sensorineural hearing loss associated with VEMP exposure...
September 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28878303/typewriter-tinnitus-revisited-the-typical-symptoms-and-the-initial-response-to-carbamazepine-are-the-most-reliable-diagnostic-clues
#8
Woongsang Sunwoo, Yung Jin Jeon, Yun Jung Bae, Jeong Hun Jang, Ja-Won Koo, Jae-Jin Song
Although neurovascular compression of the cochlear nerve (NVC-C) presenting as typewriter tinnitus is a discrete disease category, verified diagnostic criteria are lacking. We sought to refine the diagnostic criteria for NVC-C by reference to a relatively large case series. The medical records of 22 NVC-C patients were retrospectively reviewed. Psychoacoustic characteristics, the results of diagnostic work-up (including audiovestibular neurophysiological tests and radiological evaluations), and the initial treatment response to carbamazepine were investigated...
September 6, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28861037/the-clinical-utility-of-vestibular-evoked-myogenic-potentials-in-the-diagnosis-of-m%C3%A3-ni%C3%A3-re-s-disease
#9
REVIEW
Maxime Maheu, Jenny Marylin Alvarado-Umanzor, Audrey Delcenserie, François Champoux
Ménière's disease (MD) is a condition that has been proposed over 150 years ago, which involves audiological and vestibular manifestations, such as aural fullness, tinnitus, vertigo, and fluctuating hearing thresholds. Over the past few years, many researchers have assessed different techniques to help diagnose this pathology. Vestibular-evoked myogenic potential (VEMP) is an electrophysiological method assessing the saccule (cVEMP) and the utricule (oVEMP). Its clinical utility in the diagnosis of multiple pathologies, such as superior canal dehiscence, has made this tool a common method used in otologic clinics...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28861034/playing-music-may-improve-the-gait-pattern-in-patients-with-bilateral-caloric-areflexia-wearing-a-cochlear-implant-results-from-a-pilot-study
#10
Ann Hallemans, Griet Mertens, Paul Van de Heyning, Vincent Van Rompaey
HYPOTHESIS: Auditory information through an active cochlear implant (CI) influences gait parameters in adults with bilateral caloric areflexia and profound sensorineural hearing loss. BACKGROUND: Patients with bilateral caloric areflexia suffer from imbalance, resulting in an increased risk of falling. In case of simultaneous deafness, the lack of auditory feedback results in less awareness of the auditory scene. This combination might produce significant challenges while walking and navigating...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28832351/characterizing-the-age-and-stimulus-frequency-interaction-for-ocular-vestibular-evoked-myogenic-potentials
#11
Niraj Kumar Singh, Husna Firdose
OBJECTIVES: The normal process of aging is mostly associated with global decline in almost all sensory aspects of the human body. While aging affects the 500-Hz tone burst-evoked ocular vestibular-evoked myogenic potentials (oVEMPs) by reducing the amplitudes and prolonging the latencies, its interaction with oVEMP responses at other frequencies has not been studied. Therefore, the present study aimed at investigating the impact of advancing age on the frequency tuning of oVEMP. DESIGN: Using a cross-sectional research design, oVEMPs were recorded for tone burst frequencies of 250, 500, 750, 1000, 1500, and 2000 Hz from 270 healthy individuals divided into six age groups (10-20, 20-30, 30-40, 40-50, 50-60, and >60 years)...
August 19, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/28816686/vestibular-response-to-electrical-stimulation-of-the-otolith-organs-implications-in-the-development-of-a-vestibular-implant-for-the-improvement-of-the-sensation-of-gravitoinertial-accelerations
#12
Angel Ramos de Miguel, Juan Carlos Falcon Gonzalez, Angel Ramos Macias
OBJECTIVE: Electrical stimulation of the utricular and saccular portions of the vestibular nerve improves stability in patients suffering from vestibular dysfunction. The main objective of this study was to evaluate a new technique, vestibular response telemetry (VRT), for measuring the electrically evoked vestibular compound action potential (saccular and utricular) after stimulating the otolith organ (saccular and utricular) in adults. This study used evidence that the otolith organ can be electrically stimulated in order to develop a new vestibular implant design to improve the sensation of gravitoinertial acceleration...
August 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28811849/meniere-s-disease-and-vestibular-migraine-updates-and-review-of-the-literature
#13
REVIEW
Paul Tabet, Issam Saliba
The diagnosis of Meniere's disease (MD) and vestibular migraine (VM) is primarily based on clinical criteria and their differentiation is often difficult. Currently, there are no known definitive diagnostic tests that can reliably distinguish the two conditions. Patients with MD and patients with VM are treated differently, therefore improving the diagnosis of these two pathologies should avoid errors in management. A systematic review was conducted according to PRISMA guidelines. Medline-Ovid and Embase databases were used to conduct a thorough search of English-language publications dating from 1948 to March 2016...
September 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28796086/sensitivity-and-specificity-of-clinical-and-laboratory-otolith-function-tests
#14
Lokesh Kumar, Alok Thakar, Bhaskar Thakur, Kapil Sikka
OBJECTIVE: To evaluate clinic based and laboratory tests of otolith function for their sensitivity and specificity in demarcating unilateral compensated complete vestibular deficit from normal. STUDY DESIGN: Prospective cross-sectional study. SETTING: Tertiary care hospital vestibular physiology laboratory. SUBJECTS: Control group-30 healthy adults, 20-45 years age; Case group-15 subjects post vestibular shwannoma excision or post-labyrinthectomy with compensated unilateral complete audio-vestibular loss...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28794847/neuro-otological-and-peripheral-nerve-involvement-in-fabry-disease
#15
Sergio Carmona, Romina Weinschelbaum, Ana Pardal, Cintia Marchesoni, Paz Zuberbuhler, Patricia Acosta, Guillermo Cáceres, Isaac Kisinovsky, Luciana Bayón, Ricardo Reisin
Fabry disease (FD) is an X-linked lysosomal storage disease, with multisystemic glycosphingolipids deposits. Neuro-otological involvement leading to hearing loss and vestibular dysfunctions has been described, but there is limited information about the frequency, site of lesion, or the relationship with peripheral neuropathy. The aim was to evaluate the presence of auditory and vestibular symptoms, and assess neurophysiological involvement of the VIII cranial nerve, correlating these findings with clinical and neurophysiological features of peripheral neuropathy...
July 18, 2017: Audiology Research
https://www.readbyqxmd.com/read/28777976/otoliths-accelerometer-and-seismometer-implications-in-vestibular-evoked-myogenic-potential-vemp
#16
Wally Grant, Ian Curthoys
Vestibular otolithic organs are recognized as transducers of head acceleration and they function as such up to their corner frequency or undamped natural frequency. It is well recognized that these organs respond to frequencies above their corner frequency up to the 2-3 kHz range (Curthoys et al., 2016). A mechanics model for the transduction of these organs is developed that predicts the response below the undamped natural frequency as an accelerometer and above that frequency as a seismometer. The model is converted to a transfer function using hair cell bundle deflection...
July 27, 2017: Hearing Research
https://www.readbyqxmd.com/read/28762044/effect-of-practicing-yoga-on-cervical-vestibular-evoked-myogenic-potential
#17
Tejaswini Shambhu, Shubhaganga Dhrruva Kumar, Prashanth Prabhu
The present study attempted to determine the effect of practicing yoga on functioning of sacculo-collic pathway using cervical vestibular evoked myogenic potential (cVEMP). cVEMP was recorded from 40 participants (20 who practice yoga regularly and 20 who do not practice yoga regularly). The differences in amplitude of P1, N1, P1-N1 complex, asymmetry ratio and latencies of P1 and N1 of cVEMP were compared between both the groups. The results of the study showed that there was a significant increase (p < 0...
July 31, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28749204/revision-of-a-furosemide-loading-vestibular-evoked-myogenic-potential-protocol-for-detecting-endolymphatic-hydrops
#18
Toru Seo, Ko Shiraishi, Takaaki Kobayashi, Kitano Mutsukazu, Takeshi Fujita, Kazuya Saito, Katsumi Doi
OBJECTIVE: The presence of endolymphatic hydrops can be suggested by improving the amplitude of vestibular-evoked myogenic potential (VEMP) after furosemide administration (furosemide loading VEMP [FVEMP]). The authors aimed to determine a stimulation frequency and judgment criteria to ascertain whether a revised FVEMP protocol can be applied to clinical settings. METHODS: The study included 25 individuals with unilateral Meniere's disease (MD) and 11 normal healthy volunteers...
July 27, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28746415/the-potential-dysfunction-of-otolith-organs-in-patients-after-mumps-infection
#19
Yu-Juan Zhou, Jing Yu, Yong-Zhen Wu, Liang Tian, Zhao Han, Jing Wang, Fang-Lu Chi
OBJECTIVE: To investigate the relationship between mumps and the extent of hearing impairment and otolith organ damage. METHODS: A total of 27 patients with unilateral hearing impairment following mumps were enrolled. The degrees of hearing loss and otolith organ damage were confirmed by audiometric and vestibular evoked myogenic potential [VEMP] tests. All the results were compared and analyzed using Stata 13.0 software for Windows. RESULTS: The VEMP thresholds of the affected ears were significantly higher than those of the unaffected ears in both tests (cervical VEMP [cVEMP] test and ocular VEMP [oVEMP] test; p = 0...
2017: PloS One
https://www.readbyqxmd.com/read/28744995/idiopathic-sudden-sensorineural-hearing-loss-and-m%C3%A3-ni%C3%A3-re-syndrome-the-role-of-cerebral-venous-drainage
#20
Marco Matteo Ciccone, Pietro Scicchitano, Michele Gesualdo, Francesca Cortese, Annapaola Zito, Fabio Manca, Barbara Boninfante, Pasquale Recchia, Domenico Leogrande, Domenico Viola, Marialessia Damiani, Valeria Gambacorta, Antonio Piccolo, Vincenzo De Ceglie, Nicola Quaranta
AIM: to evaluate the influence of cerebral venous drainage on the pathogenesis of idiopathic sudden sensorineural hearing loss (ISSHL) and Ménière syndrome (MD). METHODS: we enrolled 59 consecutive patients (32 males, mean age 53.05+15.37 years): 40 ISSHL and 19 MD. All underwent physical examination, biochemical evaluation (glycemic and lipid profile, viral serology, C reactive protein, etc), audiometric (tonal, vocal, vestibular evoked myogenic potentials and auditory brainstem response test) and impedentiometric examination...
July 26, 2017: Clinical Otolaryngology
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