The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease
Autor: | Jenny Marylin Alvarado-Umanzor, François Champoux, Audrey Delcenserie, Maxime Maheu |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Vestibular evoked myogenic potential Mini Review Ménière disease Audiology lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Vertigo medicine otorhinolaryngologic diseases 030223 otorhinolaryngology occular vestibular-evoked myogenic potential Cervical Vestibular Evoked Myogenic Potentials lcsh:Neurology. Diseases of the nervous system Vestibular system Superior canal dehiscence cervical vestibular-evoked myogenic potentials biology business.industry vestibular-evoked myogenic potential medicine.disease biology.organism_classification 3. Good health medicine.anatomical_structure Neurology endolymphatic hydrops Saccule Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Tinnitus Meniere's disease Neuroscience |
Zdroj: | Frontiers in Neurology Frontiers in Neurology, Vol 8 (2017) |
ISSN: | 1664-2295 |
DOI: | 10.3389/fneur.2017.00415 |
Popis: | 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. The main objective of the present review is to determine the current state of knowledge of the VEMP in the identification of MD, such as the type of stimuli, the frequency tuning, and the interaural asymmetry ratio of the cVEMP and the oVEMP. Results show that the type of stimulation, the frequency sensitivity shift and the interaural asymmetry ratio (IAR) could be useful tool to diagnose and describe the evolution of MD. It is, however, important to emphasize that further studies are needed to confirm the utility of VEMP in the identification of MD in its early stage, using either bone-conduction vibration or air-conduction stimulation, which is of clinical importance when it comes to early intervention. |
Databáze: | OpenAIRE |
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