Practice guideline: Cervical and ocular vestibular evoked myogenic potential testing

Fife, Terry D.; Colebatch, James G.; Kerber, Kevin A.; Brantberg, Krister; Strupp, Michael; Lee, Hyung; Walker, Mark F.; Ashman, Eric; Fletcher, Jeffrey J.; Callaghan, Brian C.; Gloss, David

doi:10.1212/wnl.0000000000004690

Cited by 106 publications

(54 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additionally, VEMP responses are frequently absent in older adults, and the significance of this is not fully understood [90]. A recent position paper from the American Academy of Neurology stated that the clinical utility of VEMPs at present is best characterized for the diagnosis of superior canal dehiscence syndrome and other inner ear third window conditions [24]. As such, the PVP Classification Committee decided to exclude otolith impairment from the PVP diagnostic criteria.…”

Section: Laboratory Testingmentioning

confidence: 99%

“…Age-related conditions often involve simultaneous impairment of multiple organ systems, as well as a reduced ability to compensate for physiologic losses[23,24]. In this context, PVP likely occurs simultaneously with other sensory and functional losses (specifically visual, proprioceptive, lower extremity strength, cortical, extrapyramidal, cerebellar),[25][26][27][28][29][30][31][32] which…”

mentioning

confidence: 99%

See 1 more Smart Citation

Presbyvestibulopathy: Diagnostic criteria Consensus document of the classification committee of the Bárány Society

Agrawal

Berg

Wuyts

et al. 2019

VES

Self Cite

150

117

View full text Add to dashboard Cite

This paper describes the diagnostic criteria for presbyvestibulopathy (PVP) by the Classification Committee of the Bárány Society. PVP is defined as a chronic vestibular syndrome characterized by unsteadiness, gait disturbance, and/or recurrent falls in the presence of mild bilateral vestibular deficits, with findings on laboratory tests that are between normal values and thresholds established for bilateral vestibulopathy. The diagnosis of PVP is based on the patient history, bedside examination and laboratory evaluation. The diagnosis of PVP requires bilaterally reduced function of the vestibulo-ocular reflex (VOR). This can be diagnosed for the high frequency range of the VOR with the video-HIT (vHIT); for the middle frequency range with rotary chair testing; and for the low frequency range with caloric testing. For the diagnosis of PVP, the horizontal angular VOR gain on both sides should be < 0.8 and > 0.6, and/or the sum of the maximal peak velocities of the slow phase caloric-induced nystagmus for stimulation with warm and cold water on each side should be < 25 • /s and > 6 • /s, and/or the horizontal angular VOR gain should be > 0.1 and < 0.3 upon sinusoidal stimulation on a rotatory chair. PVP typically occurs along with other age-related deficits of vision, proprioception, and/or cortical, cerebellar and extrapyramidal function which also contribute and might even be required for the manifestation of the symptoms of unsteadiness, gait disturbance, and falls. These criteria simply consider the presence of these symptoms, along with documented impairment of vestibular function, in older adults.

show abstract

Section: Laboratory Testingmentioning

confidence: 99%

mentioning

confidence: 99%

Presbyvestibulopathy: Diagnostic criteria Consensus document of the classification committee of the Bárány Society

Agrawal

Berg

Wuyts

et al. 2019

VES

Self Cite

150

117

View full text Add to dashboard Cite

show abstract

“…Cervical vestibular-evoked myogenic potentials (cVEMPs) are short-latency responses from the saccule that are observed after stimulation of the inner ear (at 500-Hz repetitive tone bursts) [67,68]. The sound stimulus delivered to the external auditory canal results in stimulation of the sensory cells of the saccular macula.…”

Section: Diagnostic Proceduresmentioning

confidence: 99%

“…Szyjne miogenne przedsionkowe potencjały wywołane (cVEMP, cervical vestibular-evoked myogenic potentials) to krótkolatencyjne odpowiedzi z woreczka, jakie występują po stymulacji ucha wewnętrznego powtarzalnymi trzaskami o częstotliwości 500 Hz [67,68]. Bodziec dźwiękowy podawany do przewodu słuchowego zewnętrznego powoduje pobudzenie komórek zmysłowych plamki woreczka.…”

Section: Introductionunclassified

Can Hashimoto's thyroiditis cause vertigo? [Czy choroba Hashimoto może być przyczyną zawrotów głowy?]

Miśkiewicz-Orczyk

Lisowska

Kajdaniuk

et al. 2020

Endokrynologia Polska

View full text Add to dashboard Cite

Vertigo and balance disorders are common symptoms reported by approximately 15-20% of the adult population worldwide. For many years thyroid diseases have been suspected as the cause of vertigo by ENT physicians. Almost every patient hospitalised due to severe vertigo is investigated for thyroid disease as a suspected cause of acute vestibulopathy. The issue presented in this paper is related to a difficult and poorly understood relationship between autoimmune thyroid disease and peripheral vertigo. (Endokrynol Pol 2020; 71 (1): 76-81) Artykuł jest tłumaczeniem pracy: Katarzyna A. Miśkiewicz-Orczyk, Grażyna Lisowska, Dariusz Kajdaniuk, Mateusz Wojtulek. Can Hashimoto's thyroiditis cause vertigo? Endokrynol Pol 2020; 71 (1): 76-81. Należy cytować wersję pierwotną. Piśmiennictwo dostępne w wersji pierwotnej na stronach 79-81. Endokrynologia Polska Volume/Tom 71; Number/Numer 1/2020

show abstract

“…Recently, a renewed interest emerged for vestibular evoked myogenic potentials (VEMPs), utilized for testing short-latency myogenic responses evoked by sound stimulation of vestibular system [ 8 ]. Specifically, cervical vestibular evoked myogenic potentials (cVEMPs) represent the sternocleidomastoid (SCM) muscle response to sound activation of saccule and signal transmission via the vestibulospinal tract.…”

Section: Introductionmentioning

confidence: 99%

Pisa Syndrome in Parkinson’s Disease: Evidence for Bilateral Vestibulospinal Dysfunction

Lazzaro

Schirinzi

Giambrone

et al. 2018

Parkinson's Disease

View full text Add to dashboard Cite

Introduction Pisa syndrome (PS) is a postural complication of Parkinson's disease (PD). Yet, its pathophysiology remains unclear, although a multifactorial component is probable. Cervical vestibular evoked myogenic potentials (cVEMPs) explore vestibulospinal pathway, but they have not been measured yet in PD patients with PS (PDPS) to assess a potential vestibular impairment. Materials and Methods We enrolled 15 PD patients, 15 PDPS patients, and 30 healthy controls (HCs). They underwent neurological examination and were examined with Unified Parkinson's Disease Rating Scale II-III (UPDRSII-III), audiovestibular workup, and cVEMP recordings. Data were analysed with Chi-square, one-way ANOVA, multinomial regression, nonparametric, and Spearman's tests. Results cVEMPs were significantly impaired in both PD and PDPS compared with HCs. PDPS exhibited more severe cVEMP abnormalities with prevalent bilateral loss of potentials, compared with the PD group, in which a prevalent unilateral loss was instead observed. No clinical-neurophysiological correlations emerged. Conclusions Differently from HC, cVEMPs are altered in PD. Severity of cVEMPs alterations increases from PD without PS to PDPS, suggesting an involvement of vestibulospinal pathway in the pathophysiology of PS. Our results provide evidence for a significant impairment of cVEMPs in PDPS patients and encourage further studies to test validity of cVEMPs as diagnostic and prognostic biomarkers of PD progression.

show abstract

Practice guideline: Cervical and ocular vestibular evoked myogenic potential testing

Cited by 106 publications

References 39 publications

Presbyvestibulopathy: Diagnostic criteria Consensus document of the classification committee of the Bárány Society

Presbyvestibulopathy: Diagnostic criteria Consensus document of the classification committee of the Bárány Society

Can Hashimoto's thyroiditis cause vertigo? [Czy choroba Hashimoto może być przyczyną zawrotów głowy?]

Pisa Syndrome in Parkinson’s Disease: Evidence for Bilateral Vestibulospinal Dysfunction

Contact Info

Product

Resources

About