JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (4): 26-29.doi: 10.6040/j.issn.1673-3770.0.2014.027

Previous Articles     Next Articles

Characteristics of vestibular evoked myogenic potentials in patients at early stage of Meniere’s disease

SU Yi1,2, ZHANG Ge-hua1, ZENG Xiang-li1   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, Guangdong, China;
    2. Department of Otolaryngology, Guangzhou Nansha Central Hospital, Guangzhou 511457, Guangdong, China
  • Received:2014-01-16 Online:2014-08-16 Published:2014-08-16

PDF (PC)

564

Abstract: Objective To establish the normal values of vestibular evoked myogenic potentials (VEMPs) in the patients at early stage of Meniere's Disease(MD), including the latency, interaural latency, rate of amplitude and interaural amplitude difference (IAD) ratio. Methods 39 cases of healthy adults with normal hearing were chosen as the controls, while 37 patients with unilateral Ménière's disease at early stage were enrolled into the MD group. The characteristics of VEMPs in MD group were analyzed. Results In MD group, the rate of abnormal VEMPs was 81.08%, in which VEMPs was not present on affected side in 11 cases and on both sides in 4 cases. The characteristics of the VEMPs consisted of prolonged latency of p13 or n23, prolonged IAL difference, and augmented or depressed amplitude. Conclusion The prolonged IAL difference and altered amplitudes of VEMPs are prominent in the early stage of Meniere's Disease.

Key words: Vestibular evoked myogenic potentials, Latency, Interaural latency difference, Mé, re’s disease, niè, Interaural amplitude difference ratio

CLC Number: 

  • R764.34
[1] 黄选兆, 汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社, 2004:967-973.
[2] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉科学分会.梅尼埃病的诊断依据和疗效评估(2006年, 贵阳)[J].中华耳鼻咽喉头颈外科杂志, 2007, 42(3):163.
[3] Schuknecht H F, Igarashi M. Pathophysiology of Meniere's disease. In: Pfaltz CR, editor. Controversial aspects of Meniere's disease[M]. New York: Georg Thieme, 1986: 46-54.
[4] Francisco Antoli-Candela. The histopathology of Meniere's disease[M]. Stockholm: Almqvist & Wiksell Periodical Co., 1976:5-42.
[5] Semaan M T, Alagramam K N, Megerian C A. The basic science of Meniere's disease and endolymphatic hydrops[J]. Curr Opin Otolaryngol Head Neck Surg, 2005, 13(5):301-317.
[6] Le C H, Truong A Q, Diaz R C. Novel techniques for the diagnosis of Ménière's disease[J]. Curr Opin Otolaryngol Head Neck Surg, 2013, 21(5):492-496.
[7] Osei-Lah V, Ceranic B, Luxon L M. Clinical value of tone burst vestibular evoked myogenic potentials at threshold in acute and stable Ménière's disease[J]. J Laryngol Otol, 2008, 122(5):452-457.
[8] Ohki M, Matsuzaki M, Sugasawa K, et al. Vestibular evoked myogenic potentials in ipsilateral delayed endolymphatic hydrops[J]. ORL J Otorhinolaryngol Relat Spec, 2002, 64(6):424-428.
[9] Young Y H, Huang T W, Cheng P W. Vestibular evoked myogenic potentials in delayed hydrops[J]. Laryngoscope, 2002, 112(9):1623-1626.
[10] Murofushi T, Shimizu K, Takegoshi H, et al. Diagnostic value of prolonged latencies in the vestibular evoked myogenic potential[J]. Arch Otolaryngol Head Neck Surg, 2001, 127(9):1069-1072.
[11] 吴子明, 张素珍, 冀飞, 等.前庭诱发的肌源性电位耳间潜伏期差异及意义[J].临床耳鼻咽喉科杂志, 2005, 19(10):433-435.
[12] Young Y H, Wu C C, Wu C H. Augmentation of vestibular evoked myogenic potentials: an indication for distended saccular hydrops[J]. Laryngoscope, 2002, 112(3):509-512.
[13] Young Y H, Huang T W, Cheng P W. Assessing the stage of Meniere's disease using vestibular evoked myogenic potentials[J]. Arch Otolaryngol Head Neck Surg, 2003, 129(8):815-818.
[14] Murofushi T, Shimizu K, Takegoshi H, et al. Diagnostic value of prolonged latencies in the vestibular evoked myogenic potential[J]. Arch Otolaryngol Head Neck Surg, 2001, 127(9):1069-1072.
[15] 吴子明, 张素珍, 周娜, 等.几项耳功能检查在梅尼埃病诊断中的意义[J].临床耳鼻咽喉科杂志, 2006, 20(10):433-435.
[16] Egami N, Ushio M, Yamasoba T, et al. The diagnostic value of vestibular evoked myogenic potentials in patients with Meniere's disease[J]. J Vestib Res, 2013, 23(4):249-257.
[1] LI Ping, ZHANG Rong, CHEN Xi, LIN Shao-lian. Clinical application of VEMP combined with PTA in LVAS′ patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(1): 37-40.
[2] ZHAO Xiao-yan, WANG Jian-ming, HUANG An . Vestibular evoked myogenic potentials in vertigo patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(1): 43-45 .
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd