The role of vestibular evoked myogenic potentials (VEMPs) in vestibulopathy diagnostics
The role of vestibular evoked myogenic potentials (VEMPs) in vestibulopathy diagnostics
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DOI：
10.4149/bll_2012_070
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发表时间：
2012-01-01
影响因子：
1.5
通讯作者：
Koval, J.
中科院分区：
文献类型：
--
作者：
Krempaska, S.;Koval, J.
目的：本研究旨在探讨前庭诱发肌源性电位（VEMPs）在前庭系统研究中的作用，重点是前庭神经球囊和前庭神经下部的功能。本研究的主要目的是报告VEMP结果在不同组的患者内耳疾病的症状，并确定一些临床应用本测试在我们的病人。材料和方法：我们检查了218例耳蜗前庭神经病患者（突发感音神经性耳蜗性听力损失、耳蜗后听力损失、前庭神经元炎、良性阵发性位置性眩晕（BPPV）、梅尼埃病，中枢性前庭功能障碍、非前庭性眩晕及32例传导性耳聋患者进行VEMP测试。我们进行了I通道和II通道测量。结果：我们在所有病例中的传导性或混合性听力损失组中均未发现VEMP反应-32例患者中为100%，48例患者中为35. 4%的突发感音神经性耳蜗听力损失，26例患者中为19%的耳蜗后听力损失，35例患者中为40%的前庭神经元炎，结论：VEMP检查对周围性前庭病变的诊断有潜在价值，对周围性前庭病变的诊断有重要意义。1，图7，参考文献33）。全文PDF格式www.elis.sk。
Objective: This study presents the role of vestibular evoked myogenic potentials (VEMPs) in the vestibular system investigation focused on the function of the saccule and inferior portion of the vestibular nerve. The main goal of the study is to report VEMP findings in different groups of patients with inner ear disorders symptoms and to identify some clinical application of this test in our patients.Material and methods: WE have examined 218 patients with cochleovestibular symptomatology (sudden sensorineural cochlear hearing loss, retrocochlear hearing loss, vestibular neuronitis, benign paroxysmal positional vertigo (BPPV), Meniere's disease, central vestibular disorder, as well as vertigo of non vestibular ethiology and 32 patients with conductive hearing loss with VEMP testing. We performed I channel and II channels measurements.Results: We found no VEMP response in the group of conductive or mixed hearing loss in all cases - 100 % of 32 patients, in sudden sensorineural cochlear hearing loss in 35.4 % of 48 patients, in retrocochlear hearing loss in 19 % of 26 patients, in vestibular neuronitis in 40 % of 35 patients, in (BPPV) in 10 % of 43 patients, in Meniere's disease in 61 % of 18 patients, in non vestibular vertigo in no case of 22 patients and in central vestibular disorders in 35 % of 23 patients.Conclusion: The present study shows the potential value of VEMP investigation in periferal vestibulopathy diagnosis (Tab. 1, Fig. 7, Ref. 33). Full Text in PDF www.elis.sk.