Abstract
Objectives: To investigate the incidence of VEMP abnormalities in patients suffering from BPPV.
Methods: 30 consecutive patients referred to our vertigo clinic were selected as per the inclusion and exclusion criteria and evaluated as per the standard vertigo protocol. VEMP was performed on patients with BPPV and results compared to other parameters by detailed statistical analysis.
Results: We observed that VEMP was not a helpful tool in diagnosing BPPV. There was no correlation between VEMP changes and BPPV, but VEMP is an additional tool to the currently available tests for peripheral vertigo.
Conclusions: According to our study VEMP was not a useful test in diagnosing BPPV.
Keywords: Vestibular Evoked Myogenic Potentials, Benign Paroxysmal Positional Vertigo, sternocleidom-astoid muscle, Rhomberg’s test, Dix’ Hallpike’s test
References
- Bickford RG, Jacobson JL, Cody DT. Nature of Average Evoked Potentials to Sound and Other Stimuli in Man. Ann N Y Acad Sci. 1964; 112:204-23.
- Murofushi T, Iwasaki S, Ushio M. Recovery of vestibular evoked myogenic potentials after a vertigo attack due to vestibular neuritis. Acta Otolaryngol 2006; 126:364Y7.
- Parnes LS, McClure JA. Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 1992; 102:988Y92.
- Akkuzu G, Akkuzu B, Ozluoglu LN. Vestibular evoked myogenic potentials in benign paroxysmal positional vertigo and Meniere’s disease. Eur Arch Otorhinolaryngol 2006; 263:510Y7.
- Gacek RR. Pathology of benign paroxysmal positional vertigo revisited. Ann Otol Rhinol Laryngol 2003; 112:574Y82.
- Lee KJ, Kim MS, Jin Son E et al. The usefulness of rectified VEMP: Clin Exp Otorhinolaryngol. 2008; 1: 143-147
- Halmagyi GM, Colebatch JG. Vestibular evoked myogenic potentials in the sternomastoid muscle are not of lateral canal origin. Acta Otolaryngol Suppl.1995; 520:1–3.
- Isaradisaikul S, Navacharoen N, Hanprasertpong C, Kangsanarak J. Cervical Vestibular-Evoked Myogenic Potentials: Norms and Protocols. Int J Otorhinolaryngol. 2012; 2012:913515.
- Wuyts FL, Furman J, Vanspauwen R, Van De Heyning P. Vestibular function testing. Curr Opin Neurol. 2007; 20:19–24.
- Isaradisaikul S, Navacharoen N, Strong DA, Thongyai K, Jenkins HA. Vestibular evoked myogenic potentials. Thai J Otolaryngol, Head and Neck Surgery. 2007; 8:14–20.
- Zhou G, Cox LC. Vestibular evoked myogenic potentials: history and overview. Am J Audiol. 2004; 13:135–43.
- Murofushi T, Matsuzaki M, Wu CH. Short tone burst-evoked myogenic potentials on the sternocleidomastoid muscle: are these potentials also of vestibular origin? Arch Otolaryngol Head Neck Surg. 1999;125:660-64.
- Basta D, Todt I, Ernst A. Normative data for P1/N1-latencies of vestibular evoked myogenic potentials induced by air- or bone-conducted tone bursts. Clin Neurophysiol. 2005; 116:2216-19.
- Colebatch JG, Halmagyi GM, Skuse NF. Myogenic potentials generated by a click evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry. 1994; 57:190- 97.
- Gacek RR. Pathology of benign paroxysmal positional vertigo revisited. Ann Otol Rhinol Laryngol. 2003; 112:574-82.
- Schuknecht HF. Cupulolithiasis. Arch Otolaryngol. 1969; 90:765-78
- Hall SF, Ruby RR, McClure JA. The mechanics of benign paroxysmal vertigo. J Otolaryngol. 1979; 8:151-58.
- Epley JM. Benign paroxysmal vertigo (canalithiasis): diagnosis and non-surgical treatment in Dizziness and Balance Disorders, I. K. Arenber, Ed., pp. 545–559,Kugler, Amsterdam, The Netherlands, 1993.
- Epley JM. The Canalith Repositioning Procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol- Head and Neck Surgery.1992;107(3):399–404.
- Humphriss RL, Baguley DM, Sparkes V, Peerman SE, Moffat DA. Contraindications to the Dix-Hallpikemanoeuvre: a multidisciplinary review. Int J Audiol. 2003; 42:166-73.
- Akkuzu G, Akkuzu B, Ozluoglu LN, Vestibular evoked myogenic potentials in benign paroxysmal positional vertigo and Meniere’s disease, Eur Arch Otorhinolaryngol 2006; 263: 510–517.
- Hong S, Park D, Cha C. Vestibular evoked myogenic potentials in patients with benign paroxysmal positional vertigo involving each semicircular canal. Am J Otolaryngol.2008 29: 184-187.
- Murofushi T1, Shimizu K, Takegoshi H, Cheng PW. Diagnostic value of prolonged latencies in the vestibular evoked myogenic potential. Arch Otolaryngol Head Neck Surg. 2001; 127:1069-72.
- Welgampola MS, Colebatch JG, Characteristics and clinical applications of vestibular-evoked myogenic potentials. Neurology 2005; 64:1682-88.
Corresponding Author
Dr Anish Bava Salim
Associate Professor, Kannur Medical College, Kannur, Kerala
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.