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Kunelskaya N.L.

L. I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Guseva A.L.

Pirogov Russian National Research Medical University

Manaenkova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Chugunova M.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Zaoeva Z.O.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Vestibular evoked myogenic potentials in patients with recurrent benign paroxysmal positional vertigo

Authors:

Kunelskaya N.L., Guseva A.L., Manaenkova E.A., Chugunova M.A., Zaoeva Z.O.

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Journal: Russian Bulletin of Otorhinolaryngology. 2023;88(2): 4‑9

DOI: 10.17116/otorino2022880214

Views: 991

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To cite this article:

Kunelskaya NL, Guseva AL, Manaenkova EA, Chugunova MA, Zaoeva ZO. Vestibular evoked myogenic potentials in patients with recurrent benign paroxysmal positional vertigo. Russian Bulletin of Otorhinolaryngology. 2023;88(2):4‑9. (In Russ.)
https://doi.org/10.17116/otorino2022880214

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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Registration of ocular and cervical vestibular evoked myogenic potentials (oVEMPs and cVEMPs) reflects the function of otolith receptors: sacculus and utriculus. Benign paroxysmal positional vertigo (BPPV) is a disease of the inner ear as a result of the utriculus disfunction and migration of otoliths into semicircular channels.

OBJECTIVE

To study the function of otolith receptors (sacculus and utriculus) with using VEMPs registration in patients with first-time and recurrent posterior semicircular canal BPPV before and after repositional maneuvers.

MATERIAL AND METHODS

Registration and comparison of the results of oVEMPs and cVEMPs were performed in 50 patients with first-time posterior semicircular canal idiopathic BPPV and 26 patients with recurrent posterior semicircular canal BPPV before and after repositional treatment.

RESULTS AND DISCUSSION

Clinically significant asymmetry of the amplitude of oVEMPs before treatment was recorded in 14 (38%) of patients with first-time BPPV and in 15 (57.7%) of patients with recurrent BPPV; cVEMPs — in 6 (12%) of patients with first-time BPPV and in 6 (23.1%) of patients with recurrent BPPV. Successful repositional treatment did not affect the amplitude of cVEMPs in any of the groups of patients, but led to a significant increase in the amplitude of oVEMPs on the affected side in patients with first-time BPPV. In patients with recurrent BPPV, despite the absence of symptoms of otolithiasis, the asymmetry of the amplitude of oVEMPs persisted during remission (p<0.05), which can be considered as a prognostically unfavorable factor of disease recurrence.

Keywords:

vestibular evoked myogenic potentials (VEMPs)
ocular VEMPs
cervical VEMPs
benign paroxysmal positional vertigo (BPPV)

Authors:

Kunelskaya N.L.

L. I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Guseva A.L.

Pirogov Russian National Research Medical University

Manaenkova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Chugunova M.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Zaoeva Z.O.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Received:

09.01.2023

Accepted:

14.03.2023

List of references:

  1. Colebatch JG, Halmagyi GM. Vestibular evoked potentials in human neck muscles before and after unilateral vestibular deafferentation. Neurology. 1992;42(8):1635-1636. PMID: 1641165. https://doi.org/10.1212/wnl.42.8.1635
  2. Colebatch JG, Halmagyi GM, Skuse NF. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry. 1994;57(2):190-197. PMID: 8126503; PMCID: PMC1072448. https://doi.org/10.1136/jnnp.57.2.190
  3. Rosengren SM, McAngus Todd NP, Colebatch JG. Vestibular-evoked extraocular potentials produced by stimulation with bone-conducted sound. Clin Neurophysiol. 2005;116(8):1938-1948. PMID: 15979939. https://doi.org/10.1016/j.clinph.2005.03.019
  4. Chihara Y, Iwasaki S, Ushio M, Murofushi T. Vestibular-evoked extraocular potentials by air-conducted sound: another clinical test for vestibular function. Clin Neurophysiol. 2007;118(12):2745-2751. PMID: 17905655. https://doi.org/10.1016/j.clinph.2007.08.005
  5. Kunel’skaya NL, Mokrysheva NG, Guseva AL, Baibakova EV, Manaenkova EA. Benign paroxysmal positional vertigo: modern concepts of its etiology and pathogenesis. Vestnik otorinolaringologii. 2017;82(3):75-79. PMID: 28631688. (In Russ.). https://doi.org/10.17116/otorino201782375-79
  6. Pal’chun VT, Kryukov AI, Guseva AL, Makarov SA. Clinical features of BPPV and their influence on the choice of the doctor’s tactics. Vestnik otorinolaringologii. 2021;86(4):4-8. PMID: 34499439. (In Russ.). https://doi.org/10.17116/otorino2021860414
  7. Isaradisaikul S, Navacharoen N, Hanprasertpong C, Kangsanarak J. Cervical vestibular-evoked myogenic potentials: norms and protocols. Int J Otolaryngol. 2012;2012:913515. PMID: 22577386; PMCID: PMC3332197  https://doi.org/10.1155/2012/913515
  8. Lee SK, Cha CI, Jung TS, Park DC, Yeo SG. Age-related differences in parameters of vestibular evoked myogenic potentials. Acta Otolaryngol. 2008;128(1):66-72. PMID: 17851962. https://doi.org/10.1080/00016480701387108
  9. Chen G, Dai X, Ren X, Lin N, Zhang M, Du Z, Zhang E. Ocular vs. Cervical Vestibular Evoked Myogenic Potentials in Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis. Front Neurol. 2020;11:596454. PMID: 33193065; PMCID: PMC7649758. https://doi.org/10.3389/fneur.2020.596454
  10. Hong SM, Park DC, Yeo SG, Cha CI. Vestibular evoked myogenic potentials in patients with benign paroxysmal positional vertigo involving each semicircular canal. Am J Otolaryngol. 2008;29(3):184-187. PMID: 18439953. https://doi.org/10.1016/j.amjoto.2007.07.004
  11. Bremova T, Bayer O, Agrawal Y, Kremmyda O, Brandt T, Teufel J, Strupp M. Ocular VEMPs indicate repositioning of otoconia to the utricle after successful liberatory maneuvers in benign paroxysmal positioning vertigo. Acta Otolaryngol. 2013;133(12):1297-1303. PMID: 24245699; PMCID: PMC4069124. https://doi.org/10.3109/00016489.2013.829922
  12. Kim EJ, Oh SY, Kim JS, Yang TH, Yang SY. Persistent otolith dysfunction even after successful repositioning in benign paroxysmal positional vertigo. J Neurol Sci. 2015;358(1-2):287-293. PMID: 26371697. https://doi.org/10.1016/j.jns.2015.09.012
  13. Lee JD, Park MK, Lee BD, Lee TK, Sung KB, Park JY. Abnormality of cervical vestibular-evoked myogenic potentials and ocular vestibular-evoked myogenic potentials in patients with recurrent benign paroxysmal postitional vertigo. Acta Otolaryngol. 2013;133(2):150-153. Epub 2012 Sept 06. PMID: 22953719. https://doi.org/10.3109/00016489.2012.723823
  14. Kunel’skaya NL, Baybakova EV, Guseva AL, Chugunova MA, Manaenkova EA. The importance of vestibular evoked myogenic potentials for the assessment of the otolith function in the patients presenting with benign paroxysmal positional vertigo. Vestnik otorinolaringologii. 2017;82(4):5-8. PMID: 28980586. (In Russ.). https://doi.org/10.17116/otorino20178245-8
  15. Semmanaselvan K, Vignesh SS, Muthukumar R, Jaya V. Vestibular Evoked Myogenic Potentials After Epleys Manoeuvre Among Individuals with Benign Paroxysmal Positional Vertigo. Indian J Otolaryngol Head Neck Surg. 2019;71(2):195-200. PMID: 31275830; PMCID: PMC6582164. https://doi.org/10.1007/s12070-019-01581-6
  16. Von Brevern M, Schmidt T, Schönfeld U, Lempert T, Clarke AH. Utricular dysfunction in patients with benign paroxysmal positional vertigo. Otol Neurotol. 2006;27(1):92-96. PMID: 16371853. https://doi.org/10.1097/01.mao.0000187238.56583.9b
  17. Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 1992;107(3):399-404. PMID: 1408225. https://doi.org/10.1177/019459989210700310.
  18. Blatt PJ, Georgakakis GA, Herdman SJ, Clendaniel RA, Tusa RJ. The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otol. 2000;21(3):356-363. PMID: 10821549. https://doi.org/10.1016/s0196-0709(00)80045-9

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