Ocular versus cervical VEMPs in the diagnosis of superior semicircular canal dehiscence syndrome.

Ocular versus cervical VEMPs in the diagnosis of superior semicircular canal dehiscence syndrome.
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DOI:
10.1097/mao.0b013e31827136b0
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发表时间:
2013-01
期刊:
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
影响因子:
--
通讯作者:
Carey JP
Carey JP
中科院分区:
其他
文献类型:
--
作者:
Zuniga MG;Janky KL;Nguyen KD;Welgampola MS;Carey JP

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目的探讨颈前庭诱发肌源性电位(cVEMP)阈值和眼VEMP振幅在诊断上级半规管裂综合征(SCDS)中的敏感性和特异性。前瞻性病例对照研究三级转诊中心29例SCDS患者(平均年龄48岁;范围31- 66岁)和25例年龄匹配的对照(平均年龄48岁;范围30- 66岁)。cVEMP和oVEMP响应于空气传导声音(ACS)。所有患者均接受手术修复SCDS。cVEMP阈值; oVEMP n10和峰间振幅。cVEMP阈值结果显示诊断SCDS的敏感性和特异性范围为80-100%。相比之下,oVEMP振幅显示灵敏度和特异性> 90%。在SCDS的诊断中,oVEMP振幅上级于cVEMP阈值。
To determine whether cervical vestibular evoked myogenic potential (cVEMP) thresholds or ocular VEMP amplitudes are more sensitive and specific in the diagnosis of superior semicircular canal dehiscence syndrome (SCDS). Prospective case-control study Tertiary referral center 29 patients with SCDS (mean age 48y; range 31–66y) and 25 age-matched controls (mean age 48y; range 30–66y). cVEMP and oVEMP in response to air-conducted sound (ACS). All patients underwent surgery for repair of SCDS. cVEMP thresholds; oVEMP n10 and peak-to-peak amplitudes. cVEMP threshold results showed sensitivity and specificity ranging from 80–100% for the diagnosis of SCDS. In contrast, oVEMP amplitudes demonstrated sensitivity and specificity >90%. oVEMP amplitudes are superior to cVEMP thresholds in the diagnosis of SCDS.