Tone Burst Masseter Vestibular Evoked Myogenic Potentials: Normative Values and Test–Retest Reliability

Vignesh, Sangu Srinivasan; Singh, Niraj Kumar; Krishna, Rajalakshmi

doi:10.1055/s-0041-1728718

Cited by 19 publications

(32 citation statements)

References 31 publications

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“…Further, no significant differences were found in peak latencies, EMGscaled and unscaled peak to peak amplitudes, and IAAR across ears and genders for both mVEMP and cVEMP responses. This finding aligns with previous studies which have also indicated the absence of ear and gender influences in mVEMPs (Vignesh et al 22 ; Basoz et al 27 ) and cVEMPs (Akin et al 5 ). The study revealed a relatively higher degree of variability in EMG unscaled peak-to-peak amplitude.…”

Section: Discussionsupporting

confidence: 93%

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Exploring the Relationship Between Masseter and Cervical Vestibular Evoked Myogenic Potentials in Young Adults with Normal Hearing

Vispute,

Neupane

2023

J Am Acad Audiol

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Background: Cervical vestibular evoked myogenic potentials (cVEMPs) and masseter vestibular evoked myogenic potentials (mVEMPs) are considered to have a common saccular origin. While a few studies have examined both VEMPs in individuals with brainstem disorders as part of a test battery, the relation between these two potentials has rarely been the subject of discussion. Purpose: The present study explored the relation between mVEMPs and cVEMPs using EMG-scaled parameters in normal-hearing young adults. Research Design: Within-subject study design Study Sample: Twenty young adults between 18 to 39 years of age (11 males, 9 females) participated in the study. Data Collection and Analysis: cVEMP and mVEMP were performed on all the participants at 95dBnHL with 500Hz tone burst stimuli. Various VEMP parameters were evaluated including P13 and N23 peak latencies, the amplitude of the P13-N23 complex, and the Interaural Amplitude Asymmetry Ratio (IAAR) in EMG-scaled and unscaled conditions. Results: All participants exhibited a 100% response rate for cVEMP and mVEMP responses. There were no significant ears and gender effect for both cVEMP and mVEMP. No correlation was found between cVEMP and mVEMP. There was no significant difference found between P1 and N1 latency values of cVEMP and mVEMP; however, a significant variation was observed for peak to peak amplitude both in EMG scaled and unscaled conditions between cVEMP and mVEMP. Conclusions: Minimal to no association between any parameters of cVEMPs and mVEMPs suggests no significant relationship between these two VEMPs.

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Section: Discussionsupporting

confidence: 93%

“…In the study, 100% of the participants had 500 Hz tone burst-evoked mVEMP and cVEMP response parameters. Similar findings have been reported previously for mVEMPs (Vignesh et al 22 ; Vinayagar et al 23 ; Neupane et al 24 )…”

Section: Discussionsupporting

confidence: 92%

Exploring the Relationship Between Masseter and Cervical Vestibular Evoked Myogenic Potentials in Young Adults with Normal Hearing

Vispute,

Neupane

2023

J Am Acad Audiol

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“…In our study, while absolute latency values in the control group were not significantly different in bilateral stimulation compared to unilateral stimulation (p=0.05), they were found to be significantly higher in the experimental group (p<0.001). Vignesh et al (2021), when looking at the latency values of the total ears in the individuals, the p1 latency was found to be 12.88, while our study was found to be 13.02.…”

Section: Accepted Manuscriptcontrasting

confidence: 56%

“…In the same study, while N1 lattans were 21.18, our study was 18.88 15 . It is thought that this difference may be due to Vignesh's use of tone burst stimulus and our use of click stimulus.…”

Section: Accepted Manuscriptmentioning

confidence: 49%

Masseter vestibular evoked myogenic potential result of possible meniere's patients

basoz,

Konukseven,

Yabacı

2023

J Am Acad Audiol

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BACKGROUND: The Masseter Vestibular-Evoked Myogenic Potential (mVEMP) test evaluates the vestibulo-masseteric reflex neural pathway between the sound-stimulated saccule hair cells and the motor neurons of the trigeminal nerve. PURPOSE: This study aims to investigate the contribution of mVEMP to the conclusive diagnosis of recurrent vestibulopathy patients that were diagnosed with Possible Ménière's disease. METHODS: The study includes 20 healthy individuals aged 18-40 years and 20 patients that were diagnosed with possible Ménière's disease according to the American Academy of Otorhinolaryngology and Head and Neck Surgery (AAO-HNS, 1995) Guidelines for the Definition of Ménière's Disease. In addition to the AAO-HNS, 1995 criteria, the presence of aural signs on the affected side was questioned according to the Meniere's criteria updated in 2015. mVEMP records were obtained by using surface electrodes placed on masseter muscles. Latency and amplitude values and asymmetry ratios of mVEMP waves were used for statistical analysis. RESULTS: Asymmetry ratios were 15.9±9.7% for the control group, and 60.61±45.52 for the experimental group, this difference was statistically significant (p<0.05). The absolute latency and amplitude results were not statistically different between groups (p>0.05). CONCLUSION: As Murofishi (2001) stated in the literature, cervical VEMP/ocular VEMP latencies were not affected in peripheral pathologies, and in our study, no difference was observed between the groups in mVEMP latencies. The findings of our study showed that asymmetry ratio and absence of waves should be used in the clinical evaluation of Possible Meniere's disease. We conclude that mVEMP can be used to determine the lateralization of vestibular disorders and to support the presence of a vestibular pathology. mVEMP can contribute to the vestibular test battery.

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“…Vanspauwen et al compared the ICC for N1 and P1 between the standard electrode montage and a modified belly tendon montage derived from Sandhu et al, revealing higher ICC for the clinical standard (35,36). Even with newly adapted electrode montages or oVEMP stimuli, values of ICC for the clinical standard remained on the level of previous studies while the two newly introduced electrode montages N and L showed higher levels of reliability (15,36,54). Vanspauwen explains the rather low values of ICC for latencies in the context of the ICC's calculation method and the small size of the dataset.…”

Section: Reliability Of Ovemp Measurements Compared Withmentioning

confidence: 96%

Measurement of Ocular Vestibular Evoked Myogenic Potentials: Nasion Reference Montage as an Alternative to the Clinical Standard Montage

Scherer,

Beule,

Lütkenhöner

et al. 2024

Otol Neurotol

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Objective To compare two novel electrode montages for ocular, vestibular evoked myogenic potential using single-nasion reference electrodes with the clinical standard montage. Study Design Randomized crossover experiment. Setting Tertiary referral center. Participants Sixty healthy participants. Intervention Normal hearing and vestibular function were confirmed with an extensive test-battery. All ocular, vestibular evoked myogenic potential settings were measured with air-conducted tone bursts at 100-dB normal hearing level and a frequency of 500 Hz. Three electrode montages were measured in randomized order: the clinical standard montage (“S”), the nasion reference montage (“N”), and the nasion reference montage with a more lateral active electrode (“L”). Upgaze was standardized to 35 degrees. Main Outcome Measures Detection rate, latency of N1 and P1, peak-to-peak amplitude of N1 and P1, signal-to-noise ratio (SNR), asymmetry ratio (AR), concordance of expert assessment, and reliability. Results All electrode montages showed detection rates greater than 90%. Latencies for “L” were shorter than for “S” and “N.” Amplitudes and SNR for “S” and “N” were higher than for “L,” whereas the values for “S” and “N” did not differ significantly. For AR, no significant differences between the montages were assessed. Concordance of experts ranged from 78% for “L” and 89.8% for “N.” All montages provided excellent day-to-day reliability (intraclass correlation coefficient ≥0.9) for amplitudes and SNR. Conclusions Montage N could be a useful alternative to the clinical standard montage: although results are roughly equivalent, montage N requires one less electrode to do so.

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Tone Burst Masseter Vestibular Evoked Myogenic Potentials: Normative Values and Test–Retest Reliability

Cited by 19 publications

References 31 publications

Exploring the Relationship Between Masseter and Cervical Vestibular Evoked Myogenic Potentials in Young Adults with Normal Hearing

Exploring the Relationship Between Masseter and Cervical Vestibular Evoked Myogenic Potentials in Young Adults with Normal Hearing

Masseter vestibular evoked myogenic potential result of possible meniere's patients

Measurement of Ocular Vestibular Evoked Myogenic Potentials: Nasion Reference Montage as an Alternative to the Clinical Standard Montage

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