Assessment of the Clinical Utility of Cervical and Ocular Vestibular Evoked Myogenic Potential Testing in Elderly Patients

Piker, Erin G.; Baloh, Robert W.; Witsell, David L.; Garrison, Doug; Lee, Walter T.

doi:10.1097/mao.0000000000000793

Cited by 27 publications

(29 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…VEMPs play key roles not only for assessment of vestibular [see, for review, Ref. ( 40 )], neurological diseases [see, for review, Venhovens et al ( 41 )] and elderly patients [see review of Piker et al ( 42 )].…”

Section: Methodsmentioning

confidence: 99%

An Attempt of Early Detection of Poor Outcome after Whiplash

et al. 2016

View full text Add to dashboard Cite

The main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following the accident. Therefore, identifying early prognostic factors of WAD development is important as WAD have widespread clinical and economic consequences. In order to tackle that question, our study was specifically aimed at combining several methods of investigation in the same WAD patients at the acute stage and 6 months later. Our longitudinal, open, prospective, multi-center study included 38 whiplash patients, and 13 healthy volunteers matched for age, gender, and socio-economic status with the whiplash group. Whiplash patients were evaluated 15-21 days after road accident, and 6 months later. At each appointment, patients underwent a neuropsychological evaluation, a full clinical neurological examination, neurophysiological and postural tests, oto-neurological tests, cervical spine cord magnetic resonance imaging (MRI) with tractography (DTI). At 6 months, whiplash patients were categorized into two subgroups based on the results of the Diagnostic and Statistical Manual of Mental Disorders as having either favorable or unfavorable progression [an unfavorable classification corresponding to the presence of post-concussion symptom (PCS)] and we searched retrospectively for early prognostic factors of WAD predicting the passage to chronicity. We found that patients displaying high level of catastrophizing at the acute stage and/or post-traumatic stress disorder associated with either abnormalities in head or trunk kinematics, abnormal test of the otolithic function and at the Equitest or a combination of these syndromes, turned to

show abstract

Section: Methodsmentioning

confidence: 99%

An Attempt of Early Detection of Poor Outcome after Whiplash

et al. 2016

View full text Add to dashboard Cite

show abstract

“…3) (Park et al, 2010, Rosengren et al, 2011, Rodriguez et al, 2019). The consequence of this is that AC oVEMPs are more often absent than cVEMPs and are particularly sensitive to the effects of age (Piker et al, 2011, Piker et al, 2013, Piker et al, 2015, Rosengren et al, 2011, Singh and Firdose, 2018). This has a significant impact on the clinical utility of the AC oVEMP to detect vestibular loss, as responses can be absent in substantial numbers of healthy older adults.…”

Section: Which Stimulus To Use? Ac Versus Bcmentioning

confidence: 99%

Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications

Rosengren

Colebatch

Young

et al. 2019

Clinical Neurophysiology Practice

215

208

View full text Add to dashboard Cite

show abstract

“…In these cases, the glycerol cVEMP test is required (4). Bilateral absence of cVEMP in the elderly could be due to aging (31). …”

Section: Discussionmentioning

confidence: 99%

Is Alteration of Tuning Property in Cervical Vestibular-Evoked Myogenic Potential Specific for Ménière’s Disease?

et al. 2017

View full text Add to dashboard Cite

ObjectiveThe aim of this study is to show sensitivity and specificity of cervical vestibular-evoked myogenic potential (cVEMP) tuning property test to Ménière’s disease (MD) in comparison with healthy controls (HC) and patients with other vestibular diseases.SubjectsTotally 92 subjects (50 women and 42 men, 20–77 years of age) were enrolled in this study. Subjects were composed of 38 definite unilateral MD patients, 11 unilateral benign paroxysmal positional vertigo patients, 14 vestibular migraine patients, 19 unilateral vestibular neuritis patients, and 10 HC.MethodsThe subjects underwent cVEMP testing to 500 and 1,000 Hz short tone bursts (125 dBSPL). The corrected amplitudes of the first biphasic responses (p13–n23) (cVEMP) were measured. Then, a tuning property index (the 500–1,000 Hz cVEMP slope) was calculated.ResultsThe area of under the ROC curve (AUC) was 0.75 in comparison with other vestibular disease patients, while AUC was 0.77 in comparison with other vestibular disease patients plus HC. The best cutoff point of the 500–1,000 Hz cVEMP slope was −19.9. Sensitivity of the tuning property test to MD was 0.74, while specificity was 0.76 to other vestibular disease patients.ConclusionThe tuning property test of cVEMP is useful as a screening test of MD.

show abstract

Assessment of the Clinical Utility of Cervical and Ocular Vestibular Evoked Myogenic Potential Testing in Elderly Patients

Cited by 27 publications

References 28 publications

An Attempt of Early Detection of Poor Outcome after Whiplash

An Attempt of Early Detection of Poor Outcome after Whiplash

Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications

Is Alteration of Tuning Property in Cervical Vestibular-Evoked Myogenic Potential Specific for Ménière’s Disease?

Contact Info

Product

Resources

About