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Review paper

Can a finding of cervical vestibular evoked myogenic potentials contribute to vestibular migraine diagnostics?

By
Tihana Vešligaj ,
Tihana Vešligaj
Contact Tihana Vešligaj

Otorhinolaryngology Department, Vukovar General County Hospital, Vukovar, Croatia

Siniša Maslovara
Siniša Maslovara

Otorhinolaryngology Department, Vukovar General County Hospital, Vukovar, Croatia

Abstract

Aim
To investigate differences in vestibular evoked myogenic potentials (VEMP) results with patients suffering from vestibular migraine and healthy people, taking into consideration values of threshold and latency of occurrence of the characteristic wave complex, size of amplitude, and interaural amplitude ratio. According to the results, determine the importance and usefulness of VEMP in vestibular migraine diagnostics.
Methods
A total number of 62 subjects were included in the study, 32 of them belonging to a group of patients suffering from vestibular migraine (VM), while other 30 were in a control group of healthy subjects. Information was collected during the diagnostic evaluation. General and otoneurological history of patients and bedside tests, audiological results, videonystagmography and cervical vestibular evoked myogenic potentials (cVEMP) were made.
Results
There was a difference in an interaural ratio of amplitudes in the experimental and control groups, but it was not found to
be clinically significant. By ToneBurst 500 Hz method, the interaural amplitude ratio higher than 35% was measured in 46.97% subjects, while the response was totally unilaterally missing in 28.8% patients.
Conclusion
Even the sophisticated method as cVEMP does not give the ultimate result confirming the vestibular migraine diagnosis, and neither do other diagnostic methods. cVEMP result can contribute to the completion of full mosaic of vestibular migraine diagnostics.

References

1.
Curthoys I, Vulovic V, Manzari L. Ocular vestibular-evoked myogenic potential (oVEMP) to test utricular function: neural and oculomotor evidence. Acta Otorhinolaryngol Ital. 2012. p. 41–5.
2.
Brantberg K, Fransson P. Symmetry measures of vestibular evoked myogenic potentials using objective detection criteria. Scand Audiol. 2001. p. 189–96.
3.
Welgampora M, Colebatch J. Vestibulocollic reflexes: Normal values and effect of age. Clin Neurophysiol. 2001. p. 1971–9.
4.
Myamoto A, Seo T, Node M, Hashimoto H, Sakagami M. Preliminary study on vestibular evoked myogenic potential induced by bone-conducted stimuli. Otol Neurotol. 2006. p. 1110–4.

Citation

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