Application of Cervical Vestibular-Evoked Myogenic Potentials in Adults with Moderate to Profound Sensorineural Hearing Loss: A Preliminary Study

Autor: Francesco Ciodaro, Francesco Freni, Giuseppe Alberti, Marco Forelli, Francesco Gazia, Rocco Bruno, Enrique Perello Sherdell, Bruno Galletti, Francesco Galletti
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Archives of Otorhinolaryngology, Vol 24, Iss 01, Pp e5-e10 (2020)
Druh dokumentu: article
ISSN: 1809-9777
1809-4864
0039-1697
DOI: 10.1055/s-0039-1697988
Popis: Introduction The cochlea and the vestibular receptors are closely related in terms of anatomy and phylogeny. Patients with moderate to profound sensorineural hearing loss (MPSHL) should have their vestibular organ functions tested. Objective To evaluate the incidence of vestibular abnormalities in patients with MPSHL and to study the correlation between the etiology of hearing loss (HL) and a possible damage to the labyrinth. Methods A case-control retrospective study was performed. In the case group, 20 adults with MPSHL of known etiology were included. The control group was composed of 15 adults with normal hearing. The case group was divided into 4 subgroups based on the etiology (bacterial meningitis, virus, vascular disease, congenital). Cervical vestibular-evoked myogenic potentials (cVEMPs) were used to rate the saccular function and lower vestibular nerve. Results The study was performed in 70 ears, and it highlighted the presence of early biphasic P1-N1 complex in 29 (71.5%) out of 40 ears in the study group, and in all of the 30 ears in the control group (p = 0.001). Regarding the presence or absence of cVEMPs among the four subgroups of patients with MPSHL, the data were statistically significant (p
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