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Vestibular evoked myogenic potentials results of dizzy patients with normal videonystagmography

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Abstract

Aim

The aim of this study is to detect saccular dysfunction tests using vestibular evoked myogenic potentials (VEMPs) in dizzy patients with normal videonystagmography (VNG) findings.

Patients and methods

Thirty patients complaining of dizziness with normal VNG findings were studied. They were subjected to full assessment of history, basic audiological evaluation, VNG, and VEMPs. VEMPs were evaluated in both ears of all cases through absolute latencies of p13 and n23.

Results

VEMPs showed abnormalities in 19 patients (66.3%). Ten patients (33.3%) showed unilateral absent, six patients (20%) showed bilateral absent, and three patients (20%) showed shifted latencies.

Conclusion

VEMP appears to be a valuable tool in the detection of initial saccular abnormalities initially in dizzy patients with normal VNG findings.

References

  1. Lemajiæ-Komazec S, Komazec Z. Initial evaluation of vertigo. Med Pregl 2006; 59: 585–590.

    Article  Google Scholar 

  2. Ribeiro S, RR de Almeida, HH Caovilla, MM Ganança. Vestibular evoked myogenic potentials in affected and asymptomatic ears in unilateral Ménière’s disease. Rev Bras Otorrinolaringol 2005; 71: 60–66.

    Article  Google Scholar 

  3. Soliman S, Fathalla A, Shehata M. Development of Arabic staggered spondee words (SSW) test. Proceedings of the 8th Ain Shams Medical Congress; 1985, Egypt, 2, 1220–1246.

    Google Scholar 

  4. Soliman S. Speech discrimination audiometry using Arabic phonetically balanced words. Ain Shams Med J 1976; 27: 27–30.

    Google Scholar 

  5. Gouveris H, Helling K, Victor A, Mann W. Comparison of electronystagmography results with dynamic posturography findings in patients with vestibular schwannoma. Acta Otolaryngol 2007; 127: 839–842.

    Article  Google Scholar 

  6. Black F, Kitch R. A review of vestibular test results in Meniere’s disease. Otolaryngol Clinic North Am 1980; 13: 631–642.

    Article  CAS  Google Scholar 

  7. Shepard NT, Telian ST. Rotational chair testing. In: Shepard NT, Telian ST, editors. Practical management of the balance disorder patient. San Diego, London: Singular Publishing Group; 1996. 109–110.

    Google Scholar 

  8. Seo T, Miyamoto A, Node M, Sakagami M. Vestibular evoked myogenic potentials of undiagnosed dizziness. Auris Nasus Larynx 2008; 35: 27–30.

    Article  Google Scholar 

  9. Rauch SD. Vestibular evoked myogenic potentials. Curr Opin Otolaryngol Head Neck Surg 2006; 14: 299–304.

    Article  Google Scholar 

  10. Iwasaki S, Takai Y, Ito K, Murofushi T. Abnormal vestibular evoked myogenic potentials in the presence of normal caloric responses. Otol Neurotol 2005; 26: 1196–1199.

    Article  Google Scholar 

Download references

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Correspondence to Tarek El Dessouky MD.

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None declared.

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Nada, I., El Dessouky, T. Vestibular evoked myogenic potentials results of dizzy patients with normal videonystagmography. Egypt J Otolaryngol 30, 234–236 (2014). https://doi.org/10.4103/1012-5574.138480

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