Vestibular evoked myogenic potential

Lilian Felipe; Herman Kingma; Denise Utsch Gonçalves

doi:10.7162/S1809-48722012000100015

Arquivos Internacionais de Otorrinolaringologia, Table of Contents

Arquivos Internacionais de Otorrinolaringologia 2012; 16(01): 103-107
DOI: 10.7162/S1809-48722012000100015

Review Article

Thieme Publicações Ltda Rio de Janeiro, Brazil

Vestibular evoked myogenic potential

Potencial evocado miogênico vestibular

Lilian Felipe

¹Master's Degree in Infectology and Tropical Medicine by the Universidade Federal de Minas Gerais. Speech Therapist. Sponsored by CNPq. Ph.D. Mode Sandwith

,

Herman Kingma

²PhD in Biophysics and concentration area in Medical Physics and Otoneurology, Leiden University, The Netherlands. Professor of Otoneurology, Departament of Otorhinolaryngology, University of Maastricht, The Netherlands.

,

Denise Utsch Gonçalves

³PhD in Infectology and Tropical Medicine by the Universidade Federal de Minas Gerais. Assistant Professor from Universidade Federal de Minas Gerais.

› Author Affiliations

Abstract

Summary

Introduction: The Vestibular Evoked Myogenic Potential (VEMP) is a promising test for the evaluation of the cholic descending vestibular system. This reflex depends of the integrity from the saccular macula, from the inferior vestibular nerve, the vestibular nuclei, the vestibule-spinal tract and effectors muscles.

Objective: Perform a systematic review of the pertinent literature by means of database (COCHRANE, MEDLINE, LILACS, CAPES).

Conclusion: The clinical application of the VEMP has expanded in the last years, as goal that this exam is used as complementary in the otoneurological evaluation currently used. But, methodological issues must be clarified. This way, this method when combined with the standard protocol, can provide a more widely evaluation from the vestibular system. The standardization of the methodology is fundamental criterion for the replicability and sensibility of the exam.

Resumo

Introdução: O Potencial Evocado Miogênico Vestibular (VEMP) é um teste promissor para a avaliação do sistema vestíbulo-cólico descendente. Este reflexo depende da integridade da mácula sacular, do nervo vestibular inferior, dos núcleos vestibulares, das vias vestíbulo-espinhais e do músculo efetor.

Objetivo: Realizar revisão sistemática de literatura pertinente por meio de bases de dados (COCHRANE, MEDLINE, LILACS, CAPES).

Conclusão: A aplicação clínica do VEMP expandiu-se nos últimos anos, com o objetivo de que este exame seja utilizado como complementar na avaliação otoneurológica atualmente utilizada. Porém, questões metodológicas devem ser esclarecidas. Dessa forma, este método, quando combinado com o protocolo padrão, poderá fornecer uma avaliação mais abrangente do sistema vestibular. A padronização da metodologia é fundamental critério para a replicabilidade e sensibilidade do exame.

Keywords

methods - vestibular function tests - postural balance - saccule and utricle

Palavras-chave

métodos - testes de função vestibular - equilíbrio postural - sáculo e utrículo

Full Text

References

Bibliographical References
1 Welgampola MS, Colebatch JG. Characteristics and clinical applications of vestibular evoked myogenic potentials. Neurology 2005; 64: 1682-1688
2 Colebatch JG, Halmagyi GM. Vestibular evoked potentials in human neck muscles before and after unilateral vestibular deafferentation. Neurology 1992; 42: 1635-1636
3 Halmagyi GM, Colebatch JG, Curthoys IS. New tests of vestibular function. Baillières Clinical Neurology 2001; 3: 485-500
4 Welgampola MS. Evoked potential testing in neuro-otology. Curr Opin Neurol 2008; 21: 29-35
5 Kingma H. Function tests of the otolith or statolith system. Curr Opin Neurol 2006; 19: 21-25
6 Rauch SD. Vestibular evoked myogenic potentials. Curr Opin Otolaryngol Head Neck Surg 2006; 14: 299-304
7 Ochi K, Ohashi T, Nishino H. Variance of vestibular-evoked myogenic potentials. Laryngoscope 2001; 111: 522-527
8 McCue MP, Guinan JJ. Acoustically responsive fibers in the vestibular nerve of the cat. J Neurosci 1994; 14: 6058-70
9 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
10 Murofushi T, Curthoys IS, Gilchrist DP. Response of guinea pig vestibular nucleus neurons to clicks. Exp Brain Res 1996; 111: 149-152
11 Sheykholeslami K, Murofushi T, Kermany MH, Kaga K. Bone-conducted evoked myogenic potentials from the sternocleidomastoid muscle. Acta Otolaryngol 2000; 120: 731-734
12 Wuyts FL, Furman J, Vanspauwen R, Van de Heyning P. Vestibular function testing. Curr Opin Neurol 2007; 20: 19-24
13 Felipe L, Santos MA, Gonçalves DU. Vestibular evoked myogenic potential (Vemp): evaluation of responses in normal subjects. Pro Fono 2008; 20: 249-54
14 Colebatch JG. Vestibular evoked potentials. Curr Opin Neurol 2001; 14 (1) 21-6
15 Sartucci F, Logi F. Vestibular evoked myogenic potentials: a method to assess vestibulo-spinal conduction in multiple sclerosis patients. Brain Res Bull 2002; 59: 59-63
16 Felipe L, Gonçalves DU, Santos MAR, Proietti FA, Ribas JGR, Carneiro-Proietti AB, Lambertucci JR. Vestibular-Evoked Myogenic Potential (VEMP) to Evaluate Cervical Myelopathy in Human T-Cell Lymphotropic Virus Type I Infection. Spine : 2008; 33 (11) 1180-1184
17 Ferber-Viart C, Duclaux R, Colleaux B, Dubreil C. Myogenic vestibular evoked potentials in normal subjects: comparison between responses obtained on sternomastoid and trapezius muscles. Acta Otolaryngol 2007; 117: 472-81
18 Lim CL, Clouston P, Sheean G, Viannikas C. The influence of voluntary EMG activity and click intensity on the vestibular click evoked myogenic potential. Muscle Nerve 1995; 18: 1210-1213
19 Young YH, Huang TW, Cheng PW. Vestibular evoked myogenic potentials in delayed endolymphatic hydrops. Laryngoscope 2002; 112: 1623-1626
20 Akin FW, Murnane OD, Panus PC, Caruthers SK, Wilkinson AE, Proffitt TM. The influence of voluntary tonic EMG level on the vestibular-evoked myogenic potential. J Rehabil Res Dev 2004; 41: 473-80
21 Ito K, Karino S, Murofushi T. Effect of head position on vestibular evoked myogenic potentials with toneburst stimuli. Acta Otolaryngol 2007; 127: 57-61
22 Wu CH, Young YH, Murofushi T. Tone burst evoked myogenic potentials in human neck flexor and extensor. Acta Otolaryngol 1999; 119: 741-744
23 Rosengren SM, Govender S, Colebatch JG. The relative effectiveness of different stimulus waveforms in evoking VEMPs: significance of stimulus energy and frequency. J Vestib Res 2009; 19: 33-40
24 Wang CT, Young YH. Comparison of the head elevation and rotation methods in eliciting vestibular evoked myogenic potentials. Ear Hear 2006; 27: 376-381
25 Curthoys IS, Kim J, McPhedran SK, Camp AJ. Bone conducted vibration selectively activates irregular primary otolithic vestibular neurons in the guinea pig. Exp Brain Res 2006; 175: 256-67
26 Wang SJ, Young YH. Vestibular evoked myogenic potentials using simultaneous binaural acoustic stimulation. Hear Res 2003; 185: 43-48
27 Cheng PW, Huang TW, Young YH. The influence of clicks versus short tone bursts on the vestibular evoked myogenic potentials. Ear Hear 2003; 24: 195-197
28 Sheykholeslami K, Murofushi T, Kaga K. The effect of sternocleidomastoid electrode location on vestibular evoked myogenic potential. Auris Nasus Larynx 2001; Jan, 28 (1) 41-3 . Erratum in: Auris Nasus Larynx. 2001, 28:197.
29 Versino M, Colnaghi S, Callieco R, Bergamaschi R, Romani A, Cosi V. Vestibular evoked myogenic potentials in multiple sclerosis patients. Clin. Neurophysiol 2002; 113: 1464-1469
30 Isaacson B, Murphy E, Cohen H. Does the method of sternocleidomastoid muscle activation affect the vestibular evoked myogenic potential response?. J Vestib Res 2006; 16: 187-91