Ocular Versus Cervical VEMPs in the Diagnosis of Superior Semicircular Canal Dehiscence Syndrome

被引：106

作者：

Zuniga, M. Geraldine ^{[1
]}

Janky, Kristen L. ^{[2
]}

Nguyen, Kimanh D. ^{[3
]}

Welgampola, Miriam S. ^{[4
]}

Carey, John P. ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD 21287 USA

[2] Boys Town Natl Res Hosp, Omaha, NE 68131 USA

[3] Univ Calif Los Angeles, Med Ctr, Los Angeles, CA 90024 USA

[4] Univ Sydney, Inst Clin Neurosci, Royal Prince Alfred Hosp, Sydney, NSW 2006, Australia

来源：

OTOLOGY & NEUROTOLOGY | 2013年 / 34卷 / 01期

关键词：

Cervical vestibular evoked myogenic potential; Ocular vestibular evoked myogenic potential; Superior canal dehiscence; Tone bursts; Vestibular; EVOKED MYOGENIC POTENTIALS; BONE-CONDUCTED VIBRATION; PRESSURE-INDUCED VERTIGO; SOUND; REFLEX;

D O I：

10.1097/MAO.0b013e31827136b0

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objectives: To determine whether cervical vestibular evoked myogenic potential (cVEMP) thresholds or ocular VEMP (oVEMP) amplitudes are more sensitive and specific in the diagnosis of superior semicircular canal dehiscence syndrome (SCDS). Study Design: Prospective case-control study. Setting: Tertiary referral center. Subjects and Methods: Twenty-nine patients with SCDS (mean age 48 yr; range, 31-66 yr) and 25 age-matched controls (mean age 48 yr; range, 30-66 yr). Intervention(s): cVEMPand oVEMPin response to air-conducted sound. All patients underwent surgery for repair of SCDS. Main Outcome Measure(s): cVEMP thresholds; oVEMP n10 and peak-to-peak amplitudes. Results: cVEMP threshold results showed sensitivity and specificity ranging from 80% to 100% for the diagnosis of SCDS. In contrast, oVEMP amplitudes demonstrated sensitivity and specificity greater than 90%. Conclusion: oVEMP amplitudes are superior to cVEMP thresholds in the diagnosis of SCDS.

引用

页码：121 / 126

页数：6

共 19 条

[1] CT evaluation of bone dehiscence of the superior semicircular canal as a cause of sound- and/or pressure-induced vertigo [J].

Belden, CJ ;

Weg, N ;

Minor, LB ;

Zinreich, SJ .

RADIOLOGY, 2003, 226 (02) :337-343

[2]

Brantberg K, 1999, ACTA OTO-LARYNGOL, V119, P633

[3] Measurements of human middle- and inner-ear mechanics with dehiscence of the superior semicircular canal [J].

Chien, Wade ;

Ravicz, Michael E. ;

Rosowski, John J. ;

Merchant, Saumil N. .

OTOLOGY & NEUROTOLOGY, 2007, 28 (02) :250-257

[4] MYOGENIC POTENTIALS GENERATED BY A CLICK-EVOKED VESTIBULOCOLLIC REFLEX [J].

COLEBATCH, JG ;

HALMAGYI, GM ;

SKUSE, NF .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1994, 57 (02) :190-197

[5]

Crane BT, 2009, OTOLOGIC SURG, P512

[6] Head taps evoke a crossed vestibulo-ocular reflex [J].

Iwasaki, S. ;

McGarvie, L. A. ;

Halmagyi, G. M. ;

Burgess, A. M. ;

Kim, J. ;

Colebatch, J. G. ;

Curthoys, I. S. .

NEUROLOGY, 2007, 68 (15) :1227-1229

[7]

Janky KL, 2013, OTOL NEUROTOL, P128

[8] Ocular and Cervical Vestibular Evoked Myogenic Potentials to 500 Hz Fz Bone-Conducted Vibration in Superior Semicircular Canal Dehiscence [J].

Manzari, Leonardo ;

Burgess, Ann M. ;

McGarvie, Leigh A. ;

Curthoys, Ian S. .

EAR AND HEARING, 2012, 33 (04) :508-520

[9] Ocular vestibular-evoked myogenic potentials to bone-conducted vibration in superior vestibular neuritis show utricular function [J].

Manzari, Leonardo ;

Tedesco, AnnaRita ;

Burgess, Ann M. ;

Curthoys, Ian S. .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2010, 143 (02) :274-280

[10] Clinical manifestations of superior semicircular canal dehiscence [J].

Minor, LB .

LARYNGOSCOPE, 2005, 115 (10) :1717-1727

← 1 2 →