Novel subtype of idiopathic bilateral vestibulopathy: bilateral absence of vestibular evoked myogenic potentials in the presence of normal caloric responses

被引:49
作者
Fujimoto, Chisato [1 ]
Murofushi, Toshihisa [1 ,2 ]
Chihara, Yasuhiro [1 ]
Suzuki, Mitsuya [1 ]
Yamasoba, Tatsuya [1 ]
Iwasaki, Shinichi [1 ]
机构
[1] Univ Tokyo, Dept Otolaryngol, Fac Med, Bunkyo Ku, Tokyo 113, Japan
[2] Teikyo Univ, Sch Med, Univ Hosp, Dept Otolaryngol, Kawasaki, Kanagawa, Japan
关键词
Evoked potentials; Vertigo; Vestibulopathy; Vestibular function tests; SIMPLEX-VIRUS TYPE-1; AGE-RELATED-CHANGES; MENIERES-DISEASE; CANAL FUNCTION; EYE-MOVEMENTS; HEARING-LOSS; NEURITIS; REFLEX; CLICK; STIMULATION;
D O I
10.1007/s00415-009-5147-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To characterize clinical features of those patients who showed an absence of vestibular evoked myogenic potential (VEMP) responses in the presence of normal caloric responses bilaterally, we reviewed clinical records of 1,887 consecutive outpatients who complained of balance problems, and identified three patients, who showed absent VEMPs in the presence of normal caloric responses bilaterally with unknown causes. All three patients had episodes of recurrent vertigo without spontaneous, gaze-evoked, or positional nystagmus at the time of examination. They complained of oscillopsia while moving their body or head and showed positive Romberg's signs. Drawing on these cases, we underscore the importance of examining the function of the inferior vestibular nerve system, even with no nystagmus and normal caloric findings, in patients complaining of dizziness or oscillopsia during locomotion.
引用
收藏
页码:1488 / 1492
页数:5
相关论文
共 37 条
[21]   Vestibular evoked myogenic potentials in patients with idiopathic bilateral vestibulopathy - Report of three cases [J].
Matsuzaki, M ;
Murofushi, T .
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 2001, 63 (06) :349-352
[22]   Vestibular evoked myogenic potentials in patients with acoustic neuromas [J].
Murofushi, T ;
Matsuzaki, M ;
Mizuno, M .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 1998, 124 (05) :509-512
[23]   Physiological and anatomical study of click-sensitive primary vestibular afferents in the guinea pig [J].
Murofushi, T ;
Curthoys, IS .
ACTA OTO-LARYNGOLOGICA, 1997, 117 (01) :66-72
[24]  
MUROFUSHI T, 2009, VESTIBULAR IN PRESS
[25]   Age-related changes in the vestibular-evoked myogenic potentials [J].
Ochi, K ;
Ohashi, T .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2003, 129 (06) :655-659
[26]  
RINNE T, 1995, ACTA OTO-LARYNGOL, P247
[27]  
SCHUKNECHT HF, 1981, ANN OTO RHINOL LARYN, V90, P1
[28]   Aging effect on vestibular evoked myogenic potential [J].
Su, HC ;
Huang, TW ;
Young, TH ;
Cheng, PW .
OTOLOGY & NEUROTOLOGY, 2004, 25 (06) :977-980
[29]   BILATERAL VESTIBULAR PARESIS - DIAGNOSIS AND TREATMENT [J].
TELIAN, SA ;
SHEPARD, NT ;
SMITHWHEELOCK, M ;
HOBERG, M .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1991, 104 (01) :67-71
[30]   LONG-TERM FOLLOW UP OF 610 CASES OF MENIERES DISEASE [J].
THOMAS, K ;
HARRISON, MS .
PROCEEDINGS OF THE ROYAL SOCIETY OF MEDICINE-LONDON, 1971, 64 (08) :853-&