Correlation between Vestibular Evoked Myogenic Potentials and Disease Progression in Ménière’s Disease

Autor: Sh Japaridze, Levent Naci Ozluoglu, Eka Kharkheli, Isilay Oz, Zuriko Kevanishvili
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Eye Movements
Vestibular evoked myogenic potential
0211 other engineering and technologies
02 engineering and technology
Audiology
Severity of Illness Index
01 natural sciences
Correlation
Young Adult
010104 statistics & probability
Hearing
medicine
Humans
Videonystagmography
0101 mathematics
Child
Muscle
Skeletal
Meniere Disease
Cervical Vestibular Evoked Myogenic Potentials
021103 operations research
medicine.diagnostic_test
Electromyography
business.industry
Disease progression
Reproducibility of Results
Caloric theory
Ocular Vestibular Evoked Myogenic Potentials
Middle Aged
medicine.disease
Vestibular Evoked Myogenic Potentials
Otorhinolaryngology
Disease Progression
Audiometry
Pure-Tone
Female
Vestibule
Labyrinth
business
Meniere's disease
Zdroj: ORL. 81:193-201
ISSN: 1423-0275
0301-1569
Popis: Objective: To assess the relationship between ocular (oVEMPs) and cervical (cVEMPs) vestibular evoked myogenic potentials and audiometrically determined clinical stage in Ménière’s disease (MD). Methods: Thirty-four unilateral MD patients and 30 healthy volunteers were included in the study. Pure-tone hearing levels, oVEMPs, cVEMPs, and videonystagmography results were analyzed and compared between the groups. Results: Both oVEMPs and cVEMPs were highly reproducible in the control group. At the early stages of MD, cVEMPs were particularly disturbed, while at the advanced stages both oVEMPs and cVEMPs were altered pathologically. In the study group, oVEMP and cVEMP amplitudes and interaural amplitude difference (IAD) statistically differed from those in the control sample. oVEMPs were absent in 7.7% of stage III and in 44.5% of stage IV MD patients, while cVEMPs were absent in 15.4% of stage III and in 54.5% of stage IV MD patients, respectively. In stage III and IV MD patients in whom oVEMPs and cVEMPs were obtained, IADs were increased. Caloric asymmetry was found in 64.7% of MD patients. Caloric weakness was more prominent in cases with advanced MD. Conclusion: VEMPs can be used for objective validation of the stage of MD.
Databáze: OpenAIRE
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