ORL

Original Paper

Indication of the Side of Delayed Endolymphatic Hydrops by Vestibular Evoked Myogenic Potential and Caloric Test

Egami N.a · Ushio M.a · Yamasoba T.a · Murofushi T.b · Iwasaki S.a

Author affiliations

aDepartment of Otolaryngology, Graduate School of Medicine, University of Tokyo, Tokyo, and bDepartment of Otolaryngology, Teikyo University Mizonokuchi Hospital, Kawasaki, Japan

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ORL 2010;72:242–246

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 04, 2010
Accepted: April 20, 2010
Published online: August 05, 2010
Issue release date: September 2010

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 3

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL

Abstract

Objective: Delayed endolymphatic hydrops (DEH) can be clinically classified into ipsi- and contralateral types. This study aims to investigate the relationship between the results of vestibular evoked myogenic potential (VEMP) and caloric testing and the clinical type of DEH. Methods: The data of 33 patients with DEH who underwent both VEMPs and caloric testing were retrospectively examined. The type of DEH was judged from its clinical and audiological course. Theasymmetry ratios of the VEMPs and canal paresis on the caloric test were measured. Results: The results of VEMP and the caloric testing were consistent with the type of DEH in 61 and 76% of DEH patients, respectively. Combined use of VEMP and caloric testing correctly identified the type of DEH in 82% of patients. Conclusions: The combined use of VEMP and caloric testing can indicate the type of DEH at a reasonably high rate, but inconclusively.

© 2010 S. Karger AG, Basel




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References

  1. Schuknecht HF: Pathophysiology of endolymphatic hydrops. Arch Otorhinolaryngol 1976;212:253–262.
  2. Kamei T, Noro H, Yabe S, Makino S: Statistical observation of unilateral total deafness and characteristics of unilateral total deafness among young children with tendency towards occurrence of dizziness. Otolaryngology (Tokyo) 1971;43:349–358.
  3. Nadol JB, Weiss AP, Parker SW: Vertigo of delayed onset after sudden deafness. Ann Otol Rhinol Laryngol 1975;84:841–846.
  4. Wolfson RJ, Leiberman A: Unilateral deafness with subsequent vertigo. Laryngoscope 1975;85:1762–1766.
  5. Schuknecht HF: Delayed endolymphatic hydrops. Ann Otol Rhinol Laryngol 1978;87:743–748.
  6. Schuknecht HF, Suzuka Y, Zimmermann C: Delayed endolymphatic hydrops and its relationship to Ménière’s disease. Ann Otol Rhinol Laryngol 1990;99:843–853.
  7. Harcourt JP, Brookes GB: Delayed endolymphatic hydrops: clinical manifestations and treatment outcome. Clin Otolaryngol Allied Sci 1995;20:318–322.
  8. Welgampola MS, Colebatch JG: Characteristics and clinical application of vestibular-evoked myogenic potentials. Neurology 2005;64:1682–1688.
  9. Colebatch JG, Halmagyi GM: Vestibular evoked potentials in human neck muscles before and after unilateral vestibular deafferentation. Neurology 1992;42:1635–1636.
  10. McCue MP, Guinan JJ Jr: Acoustically responsive fibers in the vestibular nerve of the cat. J Neurosci 1994;14:6058–6070.
  11. Murofushi T, Curthoys IS, Topple AN, Colebatch JG, Halmagyi GM: Responses of guinea pig primary vestibular neurons to clicks. Exp Brain Res 1995;103:174–178.
  12. Murofushi T, Halmagyi GM, Yavor RA, Colebatch JG: Absent vestibular evoked myogenic potentials in vestibular neurolabyrinthitis. An indicator of inferior vestibular nerve involvement? Arch Otolaryngol Head Neck Surg 1996;122:845–848.
  13. Murofushi T, Matsuzaki M, Mizuno M: Vestibular evoked myogenic potentials in patients with acoustic neuromas. Arch Otolaryngol Head Neck Surg 1998;124:509–512.
  14. Murofushi T, Matsuzaki M, Wu CH: Short tone burst-evoked myogenic potentials on the sternocleidomastoid muscle: are these potentials also of vestibular origin? Arch Otolaryngol Head Neck Surg 1999;125:660–664.
  15. Schmal F, Lubben B, Weiberg K, Stoll W: The minimal ice water caloric test compared with established vestibular caloric test procedures. J Vestib Res 2005;15:215–224.
  16. Fujimoto C, Murofushi T, Chihara Y, Ushio M, Sugasawa K, Yamaguchi T, Yamasoba T, Iwasaki S: Assessment of diagnostic accuracy of foam posturography for peripheral vestibular disorders: analysis of parameters related to visual and somatosensory dependence. Clin Neurophysiol 2009;120:1408–1414.
  17. Kamei T: Delayed endolymphatic hydrops as a clinical entity. Int Tinnitus J 2004;10:137–143.
    External Resources
  18. Young YH, Huang TW, Cheng PW: Vestibular evoked myogenic potentials in delayed endolymphatic hydrops. Laryngoscope 2002; 112:1623–1626.
  19. Ohki M, Matsuzaki M, Sugasawa K, Murofushi T: Vestibular evoked myogenic potentials in ipsilateral delayed endolymphatic hydrops. ORL 2002;64:424–428.
    External Resources
  20. Ohki M, Matsuzaki M, Sugasawa K, Murofushi T: Vestibular evoked myogenic potentials in patients with contralateral delayed endolymphatic hydrops. Eur Arch Otorhinolaryngol 2002;259:24–26.
  21. Hicks GW, Wright WJ: Delayed endolymphatic hydrops: a review of 15 cases. Laryngoscope 1988;98:840–845.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 04, 2010
Accepted: April 20, 2010
Published online: August 05, 2010
Issue release date: September 2010

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 3

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL


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