Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications

Vestibular evoked myogenic potentials (VEMPs) are a useful and increasingly popular component of the neuro-otology test battery. These otolith-dependent reflexes are produced by stimulating the ears with air-conducted sound or skull vibration and recorded from surface electrodes placed over the neck...

Full description

Bibliographic Details
Main Authors: Sally M. Rosengren, James G. Colebatch, Allison S. Young, Sendhil Govender, Miriam S. Welgampola
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Clinical Neurophysiology Practice
Online Access:http://www.sciencedirect.com/science/article/pii/S2467981X19300095
_version_ 1818943141442486272
author Sally M. Rosengren
James G. Colebatch
Allison S. Young
Sendhil Govender
Miriam S. Welgampola
author_facet Sally M. Rosengren
James G. Colebatch
Allison S. Young
Sendhil Govender
Miriam S. Welgampola
author_sort Sally M. Rosengren
collection DOAJ
description Vestibular evoked myogenic potentials (VEMPs) are a useful and increasingly popular component of the neuro-otology test battery. These otolith-dependent reflexes are produced by stimulating the ears with air-conducted sound or skull vibration and recorded from surface electrodes placed over the neck (cervical VEMPs) and eye muscles (ocular VEMPs). VEMP abnormalities have been reported in various diseases of the ear and vestibular system, and VEMPs have a clear role in the diagnosis of superior semicircular canal dehiscence. However there is significant variability in the methods used to stimulate the otoliths and record the reflexes. This review discusses VEMP methodology and provides a detailed theoretical background for the techniques that are typically used. The review also outlines the common pitfalls in VEMP recording and the clinical applications of VEMPs. Keywords: Otolith, Sound, Vibration, Vestibular, VEMP, Method
first_indexed 2024-12-20T07:22:36Z
format Article
id doaj.art-9d49f8a1463d48d5bc9cfb706f1a9e15
institution Directory Open Access Journal
issn 2467-981X
language English
last_indexed 2024-12-20T07:22:36Z
publishDate 2019-01-01
publisher Elsevier
record_format Article
series Clinical Neurophysiology Practice
spelling doaj.art-9d49f8a1463d48d5bc9cfb706f1a9e152022-12-21T19:48:39ZengElsevierClinical Neurophysiology Practice2467-981X2019-01-0144768Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applicationsSally M. Rosengren0James G. Colebatch1Allison S. Young2Sendhil Govender3Miriam S. Welgampola4Neurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; Central Clinical School, University of Sydney, Sydney, Australia; Corresponding author at: Royal Prince Alfred Hospital, Neurology Department, Level 8, Missenden Rd, Camperdown, NSW 2050, Australia.Prince of Wales Hospital Clinical School and Neuroscience Research Australia, Randwick, Sydney, NSW, AustraliaNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; Central Clinical School, University of Sydney, Sydney, AustraliaNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; Prince of Wales Hospital Clinical School and Neuroscience Research Australia, Randwick, Sydney, NSW, AustraliaNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia; Central Clinical School, University of Sydney, Sydney, AustraliaVestibular evoked myogenic potentials (VEMPs) are a useful and increasingly popular component of the neuro-otology test battery. These otolith-dependent reflexes are produced by stimulating the ears with air-conducted sound or skull vibration and recorded from surface electrodes placed over the neck (cervical VEMPs) and eye muscles (ocular VEMPs). VEMP abnormalities have been reported in various diseases of the ear and vestibular system, and VEMPs have a clear role in the diagnosis of superior semicircular canal dehiscence. However there is significant variability in the methods used to stimulate the otoliths and record the reflexes. This review discusses VEMP methodology and provides a detailed theoretical background for the techniques that are typically used. The review also outlines the common pitfalls in VEMP recording and the clinical applications of VEMPs. Keywords: Otolith, Sound, Vibration, Vestibular, VEMP, Methodhttp://www.sciencedirect.com/science/article/pii/S2467981X19300095
spellingShingle Sally M. Rosengren
James G. Colebatch
Allison S. Young
Sendhil Govender
Miriam S. Welgampola
Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications
Clinical Neurophysiology Practice
title Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications
title_full Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications
title_fullStr Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications
title_full_unstemmed Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications
title_short Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications
title_sort vestibular evoked myogenic potentials in practice methods pitfalls and clinical applications
url http://www.sciencedirect.com/science/article/pii/S2467981X19300095
work_keys_str_mv AT sallymrosengren vestibularevokedmyogenicpotentialsinpracticemethodspitfallsandclinicalapplications
AT jamesgcolebatch vestibularevokedmyogenicpotentialsinpracticemethodspitfallsandclinicalapplications
AT allisonsyoung vestibularevokedmyogenicpotentialsinpracticemethodspitfallsandclinicalapplications
AT sendhilgovender vestibularevokedmyogenicpotentialsinpracticemethodspitfallsandclinicalapplications
AT miriamswelgampola vestibularevokedmyogenicpotentialsinpracticemethodspitfallsandclinicalapplications