Background:The vestibular evoked myogenic potentials test can be applied when diagnosing vestibular disease. This method is used for neurophysiological assessment of the otolithic apparatus of the vestibular system. Materials and methods: Monitoring changes in the VEMP test of patients diagnosed with vestibular neuritis in the age range from 19 to 60 years. For the cVEMP test, sound stimulation through the headphones or via the bones through vibrations is used to read the status of macula sacculае, the lower vestibular nerve and the vestibulosaccular paths. The oVEMP test records the status of macula utriculаe and the upper branch of the vestibular nerve of the contralateral side. Aim: Monitoring changes in VEMP tests of patients with vestibular neuritis and assessment of obtained results. Results: During the first examination, the VEMP test of patients diagnosed with vestibular neuritis registered deviations. After the third month, improvement was noted in the subjective complaints and the results of the VEMP test. Changes were seen predominantly in oVEMP. Conclusions:The VEMP test can be applied to diagnose peripheral vestibular pathology. The VEMP test is an additional method for diagnosing vestibular neuritis.
Background: Vestibular evoked myogenic potential (VEMP) testing is used in the diagnosis of vestibular disorders. It is an objective method for testing the the otolith organs of the vestibular system. VEMP test is an additional method for diagnosing vestibular neuritis (VN). The combination of cervical VEMP (cVEMP) and ocular VEMP (oVEMP) testing has an advantage in long-term monitoring of patients with VN. The VEMP test is well-studied for adults but studies involving children are insufficient. The aim of this study was to analysis and evaluation of the results from VEMP testing of children diagnosed with vestibular dysfunction. Analysis and evaluation of the results from VEMP testing of children diagnosed with vestibular dysfunction. Methods: History, examination of ENT organs, tone threshold audiometry, tympanometry, otoneurological examination, VEMP test. Results: Children with vestibular dysfunction who were examined showed changes predominantly in the oVEMP test. The upper branch of the vestibular nerve is affected. Conclusions:The VEMP test is an additional method for diagnosing patients with vestibular dysfunction. It is safe when used for children.
Introduction: Congenital аural аtresia (CAA) can occur as an isolated congenital malformation or as part of a monogenic and chromosomal syndromes. CAA can be associated with several syndromes. An 18q deletion is frequently seen in CAA. The subject of the study are three individuals from one family (mother, son and daughter). Methods:After taking a detailed history, an examination of ENT organs, tone audiometry testing, auditory brain stem responses, brain CT, external auditory canal and middle ear were performed. Results: The conducted tone audiometry testing and auditory brain stem response found bilateral sound conduction hearing loss. Conclusion: Bilateral atresia is treated surgically. Surgical treatment is difficult and not always successful, it is preferable to perform it at age 4-5.
Sudden sensorineural hearing loss is an emergency condition in otolaryngology. In most cases it manifests as a unilateral reduction in hearing. In addition to hearing loss in one ear, patients often have symptoms such as vertigo and/or tinnitus. The follow-up of patients with sudden sensorineural hearing loss should include not only testing of the hearing system but also diagnosis of the vestibular apparatus. VEMP is an objective method for assessment of the vestibular function through the reaction of the reflex muscle in response to high-intensity acoustic stimulation. Materials and methods: The subject of study are 12 patients with sudden hearing loss where 5 of the followed patients also complaining of vertigo and instability. After taking a history, the following are performed: examination of ENT organs, pure-tone audiometry, OAE, tympanometry with acoustic reflex, otoneurological examination, VEMP tests, CT (MRI). Results: Patients with severe sudden hearing loss have deviations in their VEMP tests. The hearing recovery percentage is lower with abnormal VEMP than in those with normal VEMP. Conclusion: Patients with deviations in VEMP tests can have vestibular disorders in addition to lesions in the organ of Corti, including stria vascularis and the tectorial membrane. There is an association between pathological VEMP and the level of hearing reduction. Abnormal VEMP can be used to predict subsequent incomplete hearing recovery.
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