Recovery of ocular and cervical vestibular evoked myogenic potentials after treatment of inner ear diseases
Recovery of ocular and cervical vestibular evoked myogenic potentials after treatment of inner ear diseases
复制标题
内耳疾病治疗后眼部和颈部前庭肌源性诱发电位的恢复
DOI：
10.1080/00207454.2019.1608201
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发表时间：
2019-05-03
影响因子：
2.2
通讯作者：
Zhang, Qing
中科院分区：
文献类型：
--
作者：
Hu, Juan;Wang, Hua;Zhang, Qing
目的：本研究旨在评估眼性前庭诱发肌源性电位（oVEMP）和颈性前庭诱发肌源性电位（cVEMP）在监测外周性眩晕患者前庭功能康复中的临床价值。
材料与方法：回顾性纳入15例被诊断为外周性眩晕的患者，这些患者患侧最初无VEMP反应，但在治疗后症状缓解且出现VEMP反应。我们分析了他们VEMP反应的恢复情况及参数。
结果：治疗后，6例突发性感音神经性听力损失患者出现VEMP恢复，其中2例oVEMP和cVEMP均恢复，3例仅oVEMP恢复，1例仅cVEMP恢复。2例梅尼埃病（MD）患者出现cVEMP恢复，另外3例MD患者出现oVEMP恢复。3例耳带状疱疹患者出现cVEMP恢复。1例前庭神经炎患者出现cVEMP恢复。在cVEMP和/或oVEMP恢复的患者中，大多数患者VEMP参数正常；然而，一些患者治疗后VEMP参数异常。
结论：oVEMP和cVEMP联合是评估前庭疾病动态功能恢复过程中前庭耳石器终末器官功能的客观工具。
Abstract Purpose: This study aimed to assess the clinical value of ocular vestibular evoked myogenic potential (oVEMP) and cervical vestibular evoked myogenic potential (cVEMP) for monitoring the rehabilitation of vestibular function in patients treated for peripheral vertigo. Materials and methods: Fifteen patients who had been diagnosed with peripheral vertigo and showed no VEMP response on the affected side but exhibited symptom alleviation and VEMP responses after therapies were retrospectively enrolled. We analyzed the restoration and parameters of their VEMP response. Results: After treatment, six patients with sudden sensorineural hearing loss showed VEMP recovery, including two with both oVEMP and cVEMP recovery, three with oVEMP recovery only, and one with cVEMP recovery only. Two patients with Meniere’s disease (MD) showed cVEMP recovery, while the other three MD patients showed oVEMP recovery. Three patients with herpes zoster oticus exhibited cVEMP recovery. One patient with vestibular neuritis exhibited cVEMP recovery. Among the patients with cVEMP and/or oVEMP restoration, most patients presented normal VEMP parameters; however, some patients showed abnormal VEMP parameters after treatment. Conclusion: Combined oVEMP and cVEMP are objective tools for assessing vestibular otolithic end organ function during dynamic functional recovery from vestibular diseases.