Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-25T06:52:10.175Z Has data issue: false hasContentIssue false
  • English
  • Français

Tone-induced cervical and ocular vestibular-evoked myogenic potentials: comparing abnormalities in traumatic and non-traumatic vestibular disease

Published online by Cambridge University Press:  08 October 2018

N S Longridge  and
A I Mallinson
N S Longridge
Affiliation:
Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and Neuro-otology Unit, Vancouver General Hospital, Canada
A I Mallinson*
Affiliation:
Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and Neuro-otology Unit, Vancouver General Hospital, Canada
*
Author for correspondence: Dr A I Mallinson, Neuro-otology Unit, 4th Floor, Diamond Centre, 2775 Laurel Street, Vancouver V5Z 3K3, Canada. E-mail: art@mallinson.ca Fax: +1 604 875 4526
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Otolithic function is poorly understood, but vestibular-evoked myogenic potential testing has allowed the documentation of pathology in patients who complain of imbalance.

Methods

Seventy-four patients with traumatic and non-traumatic vestibular disease were sequentially assessed at a tertiary referral neuro-otology unit in a teaching hospital. A detailed history of all patients was taken and standard vestibular assessment was conducted using the technique described in the companion paper. The results of both groups of patients were analysed and the rate of abnormalities was assessed.

Results

There was a high rate of abnormalities, including bilateral pathology, in a significant number of patients. Many patients in both groups inexplicably failed to recover.

Conclusion

Vestibular-evoked myogenic potentials are helpful in documenting pathology, including bilateral pathology, which is outlined in the literature as being exceedingly difficult to compensate for.

Keywords

Whiplash InjuriesVestibular DiseasesVestibular Evoked Myogenic PotentialsOtolithsDeceleration
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 10 , October 2018 , pp. 906 - 910
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A I Mallinson takes responsibility for the integrity of the content of the paper

Presented at the XXIXth Meeting of the Barany Society, 5–8 June 2016, Seoul, Korea.

References

1Mallinson, AI, Longridge, NS. Specific vocalized complaints in whiplash and minor head injury patients. Am J Otol 1998;19:809–13Google Scholar
2Calo, L, Liberati, L, Fiorita, A, Logroscino, G, Vetrugno, G, Scarano, A et al. Vestibular evoked myogenic potentials in evaluation of whiplash syndrome disability. Hearing Balance Commun 2014;12:121–5Google Scholar
3Basta, D, Todt, I, Scherer, H, Clarke, A, Ernst, A. Postural control in otolith disorders. Hum Move Sci 2005;24:268–79Google Scholar
4Mallinson, AI, Longridge, NS, Peacock, C. Dizziness, imbalance and whiplash. J Musculoskeletal Pain 1996;4:105–12Google Scholar
5Lee, JD, Park, MK, Lee, BD, Park, JY, Lee, TK, Sung, KB. Otolith function in patients with head trauma. Eur Arch Otorhinolaryngol 2011;268:1427–30Google Scholar
6Hoffer, ME, Schubert, MC, Balaban, CD. Early diagnosis and treatment of traumatic vestibulopathy and postconcussive dizziness. Neurol Clin 2015;33:661–8Google Scholar
7Ernst, A, Basta, D, Seidl, RO, Todt, I, Scherer, R, Clarke, A. Management of posttraumatic vertigo. Otolaryngol Head Neck Surg 2005;132:554–8Google Scholar
8Kleffelgaard, I, Roe, C, Soberg, H, Bergland, A. Associations among self-reported balance problems, post-concussion symptoms and performance-based tests: a longitudinal follow-up study. Disabil Rehabil 2012;34:788–94Google Scholar
9Lovell, M, Collins, M, Bradley, J. Return to play following sports-related concussion. Clin Sports Med 2004;23:421–41Google Scholar
10Alsalaheen, BA, Mucha, A, Morris, LO, Whitney, SL, Furman, JM, Camiolo-Reddy, CE et al. Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther 2010;4:87–93Google Scholar
11Lacour, M, Roll, JP, Appaix, M. Modifications and development of spinal reflexes in the alert baboon (Papio papio) following a unilateral vestibular neurotomy. Brain Res 1976;113:255–69Google Scholar
12Xerri, C, Lacour, M. Compensation of the deficits in posture and kinetics following unilateral vestibular neurectomy in cats. Acta Otolaryngol 1980;90:414–20Google Scholar
13Lacour, M, Bernard-Demanze, L. Interaction between vestibular compensation mechanisms and vestibular rehabilitation therapy: 10 recommendations for optimal functional recovery. Front Neurol 2014;5:285Google Scholar
14Mallinson, AI, Longridge, NS. Performing and analysing tone-induced cervical and ocular vestibular-evoked myogenic potentials in traumatic and non-traumatic vestibular pathology. J Laryngol Otol 2018;132:896–900Google Scholar
15Vanspauwen, R, Wuyts, FL, Van de Heyning, PH. Vestibular evoked myogenic potentials: test-retest reliability and normative values obtained with a feedback method for the sternocleidomastoid muscle contraction. J Vestib Res 2009;19:127–35Google Scholar
16Beyea, JA, Zeitouni, AG. Vestibular evoked myogenic potential latencies in Meniere disease and vestibular schwannoma. Otolaryngol Head Neck Surg 2010;39:253–8Google Scholar
17Janky, K, Nguyen, K, Welgampola, M, Zuniga, M, Carey, J. Air-conducted oVEMPs provide the best separation between intact and superior canal dehiscent labyrinths. Otol Neurotol 2013;34:127–34Google Scholar
18Zemek, R, Barrowman, N, Freedman, SB, Gravel, J, Gagnon, I, McGahern, C et al. ; Pediatric Emergency Research Canada (PERC) Concussion Team. Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED. JAMA 2016;315:1014–25Google Scholar
19Curthoys, IS, Halmagyi, GM. Vestibular compensation. In: Büttner, U, ed. Vestibular Dysfunction and its Therapy. Basel: Karger, 1999;82–110Google Scholar
20Curthoys, IS, Halmagyi, GM. Multisensory interaction and vestibular compensation. In: Bronstein, A, ed. Oxford Textbook of Vertigo and Imbalance. Oxford: Oxford University Press, 2013;63–8Google Scholar