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Comparison of vestibular evoked myogenic potentials elicited by click and short duration tone burst stimuli

Published online by Cambridge University Press:  19 October 2010

K Kumar ,
S Kumar Sinha ,
A Kumar Bharti  and
A Barman
K Kumar
Affiliation:
All India Institute of Speech and Hearing, Naimisham Campus, Manasagangothri, University of Mysore, Mysore, India
S Kumar Sinha
Affiliation:
All India Institute of Speech and Hearing, Naimisham Campus, Manasagangothri, University of Mysore, Mysore, India
A Kumar Bharti
Affiliation:
All India Institute of Speech and Hearing, Naimisham Campus, Manasagangothri, University of Mysore, Mysore, India
A Barman*
Affiliation:
Department of Audiology, All India Institute of Speech and Hearing, Naimisham Campus, Manasagangothri, University of Mysore, Mysore, India
*
Address for correspondence: Dr Animesh Barman, Reader, Department of Audiology, All India Institute of Speech and Hearing, Naimisham Campus, Manasagangothri, Mysore 6, India Fax: +91-821-2510515 E-mail: nishiprerna@rediffmail.com
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Abstract

Introduction:

Vestibular evoked myogenic potentials are short latency electrical impulses that are produced in response to higher level acoustic stimuli. They are used clinically to diagnose sacculocollic pathway dysfunction.

Aim:

This study aimed to compare the vestibular evoked myogenic potential responses elicited by click stimuli and short duration tone burst stimuli, in normal hearing individuals.

Method:

Seventeen subjects participated. In all subjects, we assessed vestibular evoked myogenic potentials elicited by click and short duration tone burst stimuli.

Results and conclusion:

The latency of the vestibular evoked myogenic potential responses (i.e. the p13 and n23 peaks) was longer for tone burst stimuli compared with click stimuli. The amplitude of the p13–n23 waveform was greater for tone burst stimuli than click stimuli. Thus, the click stimulus may be preferable for clinical assessment and identification of abnormalities as this stimulus has less variability, while a low frequency tone burst stimulus may be preferable when assessing the presence or absence of vestibular evoked myogenic potential responses.

Keywords

Vestibular Function TestsVestibular Evoked Myogenic PotentialsInner EarSaccule
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 4 , April 2011 , pp. 343 - 347
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Halmagyi, GM, Curthoys, IS. Clinical testing of otolith function. Ann N Y Acad Sci 1999;871:195–204CrossRefGoogle ScholarPubMed
2Yoshie, N, Okudaira, T. Myogenic evoked potential responses to clicks in man. Acta Otolaryngol 1969;252(suppl):89–103CrossRefGoogle ScholarPubMed
3Colebatch, JC, Halmagyi, GM, Skuse, NF. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neuro Neurosur Psychiatr 1994;57:190–7CrossRefGoogle ScholarPubMed
4Cheng, PW, Murofushi, T. The effect of rise/fall time on vestibular evoked myogenic potential triggered by short tone bursts. Acta Otolaryngol 2001;121:696–9CrossRefGoogle ScholarPubMed
5Cheng, PW, Murofushi, T. The effect of plateau time on vestibular evoked myogenic potential triggered by tone bursts. Acta Otolaryngol 2001;121:935–8CrossRefGoogle ScholarPubMed
6Murofushi, T, Halmagyi, GM, Yavor, T, Colebatch, JC. Absent vestibular evoked myogenic potentials in vestibular neurolabyrinthitis. Arch Otolaryngol Head Neck Surg 1996;122:845–8CrossRefGoogle ScholarPubMed
7Murofushi, T, Shemizu, K, Takegoshi, H, Cheng, PW. Diagnostic value of prolonged latencies in the vestibular evoked myogenic potential. Arch Otolaryngol Head Neck Surg 2001;127:1069–72CrossRefGoogle ScholarPubMed
8Sheykholeslami, K, Schmerber, S, Kermany, MH, Kaga, K. Sacculo-collic pathway dysfunction accompanying auditory neuropathy: case report. Acta Otolaryngol 2005;125:786–91CrossRefGoogle Scholar
9Kumar, K, Sinha, SK, Singh, NK, Bharti, AK, Barman, A. Vestibular evoked myogenic potentials as a tool to identify vestibular involvement in auditory neuropathy. Asia Pac J Speech Lang Hear 2007;10:181–7CrossRefGoogle Scholar
10Murofushi, T, Matsuzaki, M, Mizuno, M. Vestibular evoked myogenic potentials in patients with acoustic neuromas. Arch Otolaryngol Head Neck Surg 1998;124:509–12CrossRefGoogle ScholarPubMed
11Colebatch, JC, Rothwell, JC, Bronstein, A, Ludman, H. Click-evoked vestibular activation in the Tullio phenomenon. J Neuro Neurosur Psychiatr 1994;57:1538–40CrossRefGoogle ScholarPubMed
12Trivelli, M, Vicini, C, D'Ascanio, L, Greco, F, Salvinelli, F. The effects of logon versus click on vestibular evoked myogenic potentials. Acta Otolaryngol 2008;128:314–17CrossRefGoogle ScholarPubMed
13McCue, MP, Guinan, JJ Jr. Acoustically responsive fibers in the vestibular nerve of the cat. J Neurosci 1994;14:6058–70CrossRefGoogle ScholarPubMed
14Cheng, PW, Haung, TS, Young, YH. The influence of clicks versus short tone bursts on the vestibular evoked myogenic potentials. Ear Hear 2003;24:195–7CrossRefGoogle ScholarPubMed
15Akin, FM, Murnane, OD, Proffitt, TM. The effects of click and tone burst stimulus parameters on the vestibular evoked myogenic potential. J Am Acad Audiol 2003;14:500–9Google ScholarPubMed
16Picciotti, PM, Fiorita, A, Di Nardo, W, Quaranta, N, Paludetti, G, Maurizi, M. VEMPs and dynamic posturography after intratympanic gentamycin in Menière's disease. J Vestib Res 2005;15:161–8CrossRefGoogle ScholarPubMed
17Carhart, R, Jerger, JF. Preferred method for clinical determination of pure tone thresholds. J Speech Hear Disord 1959;24:330–45CrossRefGoogle Scholar