The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease
Ménière’s disease (MD) is a condition that has been proposed over 150 years ago, which involves audiological and vestibular manifestations, such as aural fullness, tinnitus, vertigo, and fluctuating hearing thresholds. Over the past few years, many researchers have assessed different techniques to h...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2017-08-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fneur.2017.00415/full |
| _version_ | 1819120881239064576 |
|---|---|
| author | Maxime Maheu Jenny Marylin Alvarado-Umanzor Audrey Delcenserie François Champoux |
| author_facet | Maxime Maheu Jenny Marylin Alvarado-Umanzor Audrey Delcenserie François Champoux |
| author_sort | Maxime Maheu |
| collection | DOAJ |
| description | Ménière’s disease (MD) is a condition that has been proposed over 150 years ago, which involves audiological and vestibular manifestations, such as aural fullness, tinnitus, vertigo, and fluctuating hearing thresholds. Over the past few years, many researchers have assessed different techniques to help diagnose this pathology. Vestibular-evoked myogenic potential (VEMP) is an electrophysiological method assessing the saccule (cVEMP) and the utricule (oVEMP). Its clinical utility in the diagnosis of multiple pathologies, such as superior canal dehiscence, has made this tool a common method used in otologic clinics. The main objective of the present review is to determine the current state of knowledge of the VEMP in the identification of MD, such as the type of stimuli, the frequency tuning, and the interaural asymmetry ratio of the cVEMP and the oVEMP. Results show that the type of stimulation, the frequency sensitivity shift and the interaural asymmetry ratio (IAR) could be useful tool to diagnose and describe the evolution of MD. It is, however, important to emphasize that further studies are needed to confirm the utility of VEMP in the identification of MD in its early stage, using either bone-conduction vibration or air-conduction stimulation, which is of clinical importance when it comes to early intervention. |
| first_indexed | 2024-12-22T06:27:42Z |
| format | Article |
| id | doaj.art-86c5e94b5d29487ea1475fd33028adc0 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-22T06:27:42Z |
| publishDate | 2017-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-86c5e94b5d29487ea1475fd33028adc02022-12-21T18:35:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952017-08-01810.3389/fneur.2017.00415283949The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s DiseaseMaxime Maheu0Jenny Marylin Alvarado-Umanzor1Audrey Delcenserie2François Champoux3School of Speech Language Pathology and Audiology, Université de Montréal, Montreal, QC, CanadaSchool of Speech Language Pathology and Audiology, Université de Montréal, Montreal, QC, CanadaPsychology, Université de Montréal, Montreal, QC, CanadaSchool of Speech Language Pathology and Audiology, Université de Montréal, Montreal, QC, CanadaMénière’s disease (MD) is a condition that has been proposed over 150 years ago, which involves audiological and vestibular manifestations, such as aural fullness, tinnitus, vertigo, and fluctuating hearing thresholds. Over the past few years, many researchers have assessed different techniques to help diagnose this pathology. Vestibular-evoked myogenic potential (VEMP) is an electrophysiological method assessing the saccule (cVEMP) and the utricule (oVEMP). Its clinical utility in the diagnosis of multiple pathologies, such as superior canal dehiscence, has made this tool a common method used in otologic clinics. The main objective of the present review is to determine the current state of knowledge of the VEMP in the identification of MD, such as the type of stimuli, the frequency tuning, and the interaural asymmetry ratio of the cVEMP and the oVEMP. Results show that the type of stimulation, the frequency sensitivity shift and the interaural asymmetry ratio (IAR) could be useful tool to diagnose and describe the evolution of MD. It is, however, important to emphasize that further studies are needed to confirm the utility of VEMP in the identification of MD in its early stage, using either bone-conduction vibration or air-conduction stimulation, which is of clinical importance when it comes to early intervention.http://journal.frontiersin.org/article/10.3389/fneur.2017.00415/fullMénière diseaseendolymphatic hydropsoccular vestibular-evoked myogenic potentialcervical vestibular-evoked myogenic potentialsvestibular-evoked myogenic potential |
| spellingShingle | Maxime Maheu Jenny Marylin Alvarado-Umanzor Audrey Delcenserie François Champoux The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease Frontiers in Neurology Ménière disease endolymphatic hydrops occular vestibular-evoked myogenic potential cervical vestibular-evoked myogenic potentials vestibular-evoked myogenic potential |
| title | The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease |
| title_full | The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease |
| title_fullStr | The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease |
| title_full_unstemmed | The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease |
| title_short | The Clinical Utility of Vestibular-Evoked Myogenic Potentials in the Diagnosis of Ménière’s Disease |
| title_sort | clinical utility of vestibular evoked myogenic potentials in the diagnosis of meniere s disease |
| topic | Ménière disease endolymphatic hydrops occular vestibular-evoked myogenic potential cervical vestibular-evoked myogenic potentials vestibular-evoked myogenic potential |
| url | http://journal.frontiersin.org/article/10.3389/fneur.2017.00415/full |
| work_keys_str_mv | AT maximemaheu theclinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT jennymarylinalvaradoumanzor theclinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT audreydelcenserie theclinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT francoischampoux theclinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT maximemaheu clinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT jennymarylinalvaradoumanzor clinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT audreydelcenserie clinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease AT francoischampoux clinicalutilityofvestibularevokedmyogenicpotentialsinthediagnosisofmenieresdisease |