International guidelines for the clinical application of cervical vestibular evoked myogenic potentials: An expert consensus report

Papathanasiou, Eleftherios S.; Murofushi, Toshihisa; Akin, Faith W.; Colebatch, James G.

doi:10.1016/j.clinph.2013.11.042

Cited by 181 publications

(156 citation statements)

References 80 publications

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“…Many variables have been described to influence the outcome (patient position, electrode placement, frequency and intensity of the stimulus, etc.). Although general guidelines have been published [152], improvements are needed before VEMPs can be considered a reliable test. Since no standardized method is used, it is difficult to compare outcomes between studies.…”

Section: Challenges In Establishing a Diagnosis Of Bvhmentioning

confidence: 99%

Bilateral Vestibular Hypofunction: Challenges in Establishing the Diagnosis in Adults

Berg

Tilburg

Kingma

2015

ORL

106

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Bilateral vestibular hypofunction (BVH) probably represents a heterogeneous disorder with different types of clinical pictures, with and without vertigo. In spite of increasingly sophisticated electrophysiological testing, still many challenges are met when establishing a diagnosis of BVH. Here, we review the main challenges, which are a reflection of its often difficult clinical presentation and the lack of diagnostic standards regarding the implementation and interpretation of vestibular tests. These challenges show that there is an urgent need for standardization. The resulting decisions should be used for the development of uniform diagnostic criteria for BVH, which are, at present, not yet available.

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Section: Challenges In Establishing a Diagnosis Of Bvhmentioning

confidence: 99%

Bilateral Vestibular Hypofunction: Challenges in Establishing the Diagnosis in Adults

Berg

Tilburg

Kingma

2015

ORL

106

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“…(14,15) During the experiment, participants sat in a comfortable chair. Patients were instructed to slightly move their head away from the back of the chair and push it against the elastic band around the forehead in order to activate the sternocleidomastoid muscle.…”

Section: Vestibular Evoked Myogenic Potentialsmentioning

confidence: 99%

Brainstem dysfunction protects against syncope in multiple sclerosis

Habek

Skorić

Crnošija

et al. 2015

Journal of the Neurological Sciences

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“…The raw peak-to-peak amplitude was calculated as the sum of the p13 and n23 amplitudes in cVEMPs and the n1 and p1 amplitudes in oVEMPs. The asymmetry ratio (AR) between a subject's ears was calculated as follows: AR = (right response − left response)/(right response + left response) × 100 [Papathanasiou et al, 2014]. When the absolute value of the AR (%) was >33.3%, the VEMP was defined as abnormal [Papathanasiou et al, 2014].…”

Section: Vestibular Examinationsmentioning

confidence: 99%

Evaluation of Vestibular Functions in Patients with Vogt-Koyanagi-Harada Disease

Fujiwara

Morita²,

Hoshino³

et al. 2017

Audiol Neurotol

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Vogt-Koyanagi-Harada (VKH) disease is an idiopathic, multisystem autoimmune disorder characterized by bilateral, diffuse granulomatous uveitis associated with neurological, audiovestibular, and dermatological manifestations. The purpose of this study is to investigate vestibular functions in patients with VKH disease. A total of 43 patients with VKH disease in Hokkaido University Hospital were enrolled in this study. Subjective symptoms such as dizziness or vertigo and the results of various vestibular examinations including nystagmus testing, caloric testing, and vestibular-evoked myogenic potential (VEMP) testing were investigated. Eight of 42 patients (19.0%) complained of subjective vestibular symptoms. On the other hand, 12 of 28 patients (42.9%) showed nystagmus, and 7 of 15 patients (46.7%) showed unilateral or bilateral weakness in the caloric test. VEMP testing was performed for 16 patients. Seven (43.8%) and 8 (50.0%) patients were evaluated as abnormal in cervical VEMP and ocular VEMP testing, respectively. The rate of detection of nystagmus was significantly higher than that of subjective symptoms. As vestibular dysfunction in patients with VKH disease cannot be detected through history taking alone, nystagmus testing, caloric testing, and VEMP testing should be performed to evaluate vestibular functions associated with VKH disease. It is considered that abnormal VEMP findings are associated with otolith organ dysfunction.

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International guidelines for the clinical application of cervical vestibular evoked myogenic potentials: An expert consensus report

Cited by 181 publications

References 80 publications

Bilateral Vestibular Hypofunction: Challenges in Establishing the Diagnosis in Adults

Bilateral Vestibular Hypofunction: Challenges in Establishing the Diagnosis in Adults

Brainstem dysfunction protects against syncope in multiple sclerosis

Evaluation of Vestibular Functions in Patients with Vogt-Koyanagi-Harada Disease

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