Vestibular-evoked myogenic potentials in vestibular migraine

Baier, Bernhard; Stieber, N.; Dieterich, Marianne

doi:10.1007/s00415-009-5132-4

Cited by 109 publications

(81 citation statements)

References 45 publications

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“…Interestingly, in this population studied, the EcochG showed evidence of HE in a larger number of patients (10 of 16), than RM LEIM, suggesting that MRI may be less sensitive when compared to EcochG. In the study by Baier et al [8], myogenic potential evoked by the vestibule by sound induction (VEMP's) was performed in 63 patients, of whom 37 were women (mean age 42 years) and 26 men (mean age 50 years ), With definite MV diagnosis (26 patients) and probable MV (37 patients). They were classified according to the Neuhauser diagnostic criteria, with the intention of determining if the saccular function is altered or not by the disease.…”

Section: Resultsmentioning

confidence: 65%

Headache and Sadness: Two Independent Symptoms or Different Spectros of the Same Disease

Rezende¹

2017

JOENTR

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Migraines, dizziness and vertigo are common in the general population, not uncommon, to be interrelated. The interrelation between migraine and vertigo, however, is complex, since they can coexist in the same individual at random, since they are common conditions in the population and, in addition, several syndromes in which vertigo and migraine are present are demonstrated. Vestibular Migraine (MV) is a recently described entity with a broad approach and difficult diagnosis. MV was defined as a nosological entity by IHS only in 2013, in its last consensus of neurological disorders. It is defined by the presence of episodes of headache classified as migraine concomitant to vertiginous symptoms of moderate to severe intensity lasting from 5 minutes to 72 hours. The most accepted diagnostic criteria were proposed by Neuhaser et al. [1], which classify MV as definite or probable. It is well known that it may overlap with other entities, which makes it difficult to diagnose and indicate adequate therapy. Thus, in our study, a literature review was carried out using articles from the last 15 years, which sought to evaluate whether exams such as magnetic resonance imaging of the inner ear, myogenic potential evoked by the vestibule by sound induction (VEMP's) and videonystagmography, may help in Differentiation and also the effectiveness of prophylactic treatment, from the change of the habits of life to the use of drugs indicated for this entity.

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Section: Resultsmentioning

confidence: 65%

Headache and Sadness: Two Independent Symptoms or Different Spectros of the Same Disease

Rezende¹

2017

JOENTR

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“…Baier et al have reported 68 % reduced VEMP amplitude in 63 patients with vestibular migraine compared to controls. No difference was seen in the latencies and there was no correlation between VEMP amplitudes, tilts of subjective visual vertical (SVV) and caloric testing [21]. Hong et al have compared VEMP results in 30 patients with migrainous vertigo and 31 healthy volunteers and have found abnormal wave formation in the patient group.…”

Section: Discussionmentioning

confidence: 99%

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

Yetışer

Gok

Kutukcu

et al. 2014

Indian J Otolaryngol Head Neck Surg

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The objective is to analyze the vestibular system by vestibular evoked myogenic potential (VEMP) in 30 female patients with migraine and balance problem in a controlled study. Thirty female patients with migraine and vestibular problems were enrolled in the study (2009)(2010)(2011)(2012). Fifteen age-matched healthy subjects were selected as the controls. Air conduction cervical VEMP was used. Tone-burst sound stimuli of 95 dB nHL with rarefaction polarity, 5 Hz stimulus repetition rate, 1 ms rise/fall time and 2 ms plateau time were delivered at 500 Hz. 200 sweeps were averaged. Myogenic responses were amplified and band-pass filtered (800-10 Hz). The latency and the amplitude of p1 and n1 waves and interpeak amplitude and latency differences were measured. Results were given as mean and SDs. Interaural p1 and n1 amplitude greater than 30 % asymmetry was accepted as abnormal. VEMP results were compared with controls. The One-way ANOVA test was used. Statistical significance was set at P \ 0.05. VEMP responses were elicited in all controls and the patients. Comparative analysis of p1 amplitude between the patients and the controls was statistically significant (P = 0.010). P1n1 interaural amplitude difference was greater than 30 % in 4 patients (13.4 %). No statistically significant difference was found when comparing latency of all wave forms between the patients and healthy controls (P [ 0.05). VEMP is an useful tool to test the vestibular system in patients with migraine and balance problem at the very early period. Clinicians should always consider migraine in patients with vertigo.

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“…This test is primarily used in otological disorders such as superior canal dehiscence syndrome, vestibular nerve disorders, acoustic tumor, benign paroximal positional vertigo, central vestibular disorders, Ménière's disease and hearing impairment (4)(5)(6)(7)(8)(11)(12)(13). In addition to those there have been a small number of studies with VEMP on neurological diseases affecting the brain stem such as multiple sclerosis, cerebrovascular diseases (brain stem involvement) and migraine (9,10,(14)(15)(16)(17)(18)(19)(20). In a VEMP study conducted on 20 basilar migraine patients by Lih-Jen et al, evoked potentials could not be recorded in 7 patients, two patients showed delayed responses bilaterally and one patient showed no response on one side and delayed response on the other.…”

Section: Discussionmentioning

confidence: 99%

“…Based on this finding, the researchers argued that inner ear structures including saccula may be affected in vestibular migraine in addition to brain stem pathology, and that this can lead to symptoms such as vertigo (16).…”

Section: Discussionmentioning

confidence: 99%

“…While VEMPs are often used in otological disorders, there are studies in the literature on their use in cerebrovascular disorders affecting brainstem and neurological disorders such as multiple sclerosis (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Studies looking at VEMP in migraine patients have recently started gaining interest and are few in numbers (16)(17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Cervical Vestibular Evoked Myogenic Potentials in Patients with Migraine.

Tecellioğlu¹,

Kaplan²,

Kamışlı³

et al. 2013

tnd

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Objective: Recent studies have indicated that the brain stem may contribute in the pathogenesis of migraine through different mechanisms. In addition to being used mainly in otologic diseases, vestibular evoked myogenic potentials (VEMP) testing is also used in neurological diseases affecting the brain stem such as stroke and multipl sclerosis in the literature. Studies involving VEMP testing in patients with migraine are novel and few in number. The purpose of this study was to evaluate whether VEMP values in patients with migraine provide additional information regarding the pathogenesis. Methods: This study included 52 patients with migraine and 52 control subjects. In both patients and controls, VEMP examination was performed using click stimuli, and all responses were recorded for both portions of the sternocleidomastoid muscle. Latency, amplitude and threshold values of the P1-N1 wave were compared between the two groups. Results: The amplitude of the left p1 was 4.47±3.52 μv in patients and 6.15±4.79 μv in the controls, and the difference was statistically significant. On the left, the average difference in the P1-N1 amplitude was 9.04±6.13 μv in patients and 12.03±7.79 μv in the controls; this difference was also statistically significant. Conclusion:The available studies on the pathophysiology of migraine show that the brain stem is particularly affected at the upper part. However, VEMP testing is mainly used for the assessment of the neuronal pathway starting from the saccula-macula and finishing at the sternocleidomastoid muscle in the lower brain stem. In this study, the only significant differences in amplitude were found in left-P1 and P1-N1. The results of our study show that in patients with migraine, neuroanatomical structures in the lower brain stem can be asymmetrically affected. (Turkish Journal of Neurology 2013; 19:134-138) Key Words: Migraine, cervical vestibular evoked myogenic potentials, pathogenesis, brain stem Özet Amaç: Tarihsel olarak yeni çalışmalar, migren patogenezinde beyin sapının farklı mekanizmalarla rolü olabileceğine dikkat çekmektedir. Vestibüler Uyarılmış Miyojenik Potansiyeller (VEMP) başlıca otolojik hastalıklarda kullanılmış olmakla birlikte özellikle inme ve multipl skleroz gibi beyin sapını etkileyen nörolojik hastalıklarda da yapılmış çalışmalar literatürde mevcuttur. Migrenli hastalarda VEMP'le ilgili çalışmalar oldukça yeni tarihli ve az sayıdadır. Bu çalışmada migrenli hastalarda VEMP incelemesi yapılarak VEMP değerlerinin bu hastalarda patogenezle ilgili ek bir bilgi sağlayıp sağlamayacağının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 52 migren hastası ve 52 kontrol alındı. Migrenli hastalarda ve kontrollerin hepsinde klik uyarı ile yapılan VEMP incelemesinde her iki sternokleidomastoid kasından yanıtlar kaydedildi. P1-N1 dalgasının latans, amplitüd ve eşik değerleri ayrıca taraflar arasındaki farklar kaydedildi. Bulgular: Migrenli hastalarda sol P1 amplitüdü 4,47±3,52 μv, kontrol grubunda ise 6,15±4,79 μv idi ve aradaki fark istatistiksel ola...

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Vestibular-evoked myogenic potentials in vestibular migraine

Cited by 109 publications

References 45 publications

Headache and Sadness: Two Independent Symptoms or Different Spectros of the Same Disease

Headache and Sadness: Two Independent Symptoms or Different Spectros of the Same Disease

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

Evaluation of Cervical Vestibular Evoked Myogenic Potentials in Patients with Migraine.

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