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...
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Format: | Article |
Language: | English |
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Elsevier
2019-01-01
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Series: | Clinical Neurophysiology Practice |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2467981X19300095 |
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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 |
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