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Abstract

BACKGROUND:

There are only a few reports concerning cervical vestibular evoked myogenic potential (cVEMP) using chirp sound, and clinical indications/advantages of it are still unclear.

OBJECTIVE:

To compare cVEMP using CE-chirp LS^® with cVEMP using 500 Hz and 1000 Hz tone bursts (TB) and to investigate clinical indications/advantages of CE-chirp LS^® for recording cVEMP.

METHODS:

Sixteen patients with vestibular disorders (2men and 14 women) (18∼62, mean 42.9 years of age) were enrolled in this study. Participants underwent cVEMP testing using 500 Hz and 1000 Hz tone bursts (TB) and CE-chirp LS^®. Response rate of P1-N1, corrected/normalized amplitude of P1-N1, latencies of P1 and N1, asymmetry ratio, and correlation of P1 latency to SLOPE in tuning property test (an index of endolymphatic hydrops) were compared.

RESULTS:

Corrected/normalized amplitude of P1-N1 to CE-chirp LS^® was smaller than corrected/normalized amplitude of P1-N1 to 500 Hz TB. Peak latencies to CE-chirp LS^® were the shortest among the 3 types of stimulation. EH-positive ears according to the tuning property test had tendency of prolonged P1 latencies to CE-chirp LS^®.

CONCLUSION:

CE-chirp LS^® is applicable for recording cVEMP with a similar diagnostic accuracy to TB. Prolongation of P1 latency in CE-chirp LS^® might be an indicator of endolymphatic hydrops in the saccule.

Keywords

Cervical vestibular evoked myogenic potential chirp tuning property endolymphatic hydrops latency Meniere’s disease

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Cervical vestibular evoked myogenic potential with chirp sounds

Abstract

BACKGROUND:

OBJECTIVE:

METHODS:

RESULTS:

CONCLUSION:

Keywords

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References