[The importance of vestibular evoked myogenic potentials for the assessment of the otolith function in the patients presenting with benign paroxysmal positional vertigo].
Identifieur interne : 000098 ( Main/Corpus ); précédent : 000097; suivant : 000099[The importance of vestibular evoked myogenic potentials for the assessment of the otolith function in the patients presenting with benign paroxysmal positional vertigo].
Auteurs : N L Kunel'Skaya ; E V Baybakova ; A L Guseva ; M A Chugunova ; E A ManaenkovaSource :
- Vestnik otorinolaringologii [ 0042-4668 ]
English descriptors
- KwdEn :
- Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (etiology), Benign Paroxysmal Positional Vertigo (physiopathology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Otolithic Membrane (pathology), Otolithic Membrane (physiopathology), Patient Outcome Assessment (MeSH), Patient Positioning (methods), Recovery of Function (MeSH), Reproducibility of Results (MeSH), Semicircular Canals (pathology), Semicircular Canals (physiopathology), Vestibular Evoked Myogenic Potentials (physiology), Vestibular Function Tests (methods).
- MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- etiology : Benign Paroxysmal Positional Vertigo.
- methods : Patient Positioning, Vestibular Function Tests.
- pathology : Otolithic Membrane, Semicircular Canals.
- physiology : Vestibular Evoked Myogenic Potentials.
- physiopathology : Benign Paroxysmal Positional Vertigo, Otolithic Membrane, Semicircular Canals.
- Female, Humans, Male, Middle Aged, Patient Outcome Assessment, Recovery of Function, Reproducibility of Results.
Abstract
The objective of the present study was to evaluate the otolith function in the patients presenting with idiopathic benign paroxysmal positional vertigo (pBPPV) attributable to the occlusion of the posterior semicircular canal (PSCC) of the inner ear with the use of vestibular evoked myogenic potentials (VEMP). Cervical (cVEMP) and ocular VEMP (oVEMP) were measured in 34 patients with idiopathic pBPPV before and 7 days after the treatment by means of reposition maneuvers. The results of the repeated Dix-Hallpike test performed 7 days after the repositioning maneuver were negative in 27 patients and positive in 7 patients. There was no statistically significant difference in the amplitude of cervical VEMP between the healthy and affected ears either before or after the repositioning treatment. The measurement of oVEMP revealed a reduction of the response amplitude on the affected side. The average values of the plnl on the healthy side were 12.84±1.09 and those on the affected side 4.62±0.69 (p<0,05). The successful repositioning treatment resulted in a significant increase of the oVEMP amplitude on the affected side (p<0,05). In the patients presenting with the persistent symptoms of pBPPV, the repositioning maneuvers did not cause an appreciable increase in the amplitude of oVEMP on the affected side (p<0.05). The results of the present study give evidence that pBPPV of the posterior semicircular canal is associated with the impairment of the function of the receptor structures of the utriculus and the preserved function of the succulus as suggested by the reduction of the oVEMP amplitude and clinically significant asymmetry of ocular VEMP on the affected side with intact cervical VEMP on both sides. The successful treatment of pBPPV of PSCC with the use of the liberatory maneuver results in the increase of the oVEMP amplitude on the affected side increases while the response asymmetry between both sides significantly decreases which indicates the repair of the utriculus otolith function.
DOI: 10.17116/otorino20178245-8
PubMed: 28980586
Links to Exploration step
pubmed:28980586Le document en format XML
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Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation></affiliation></author><author><name sortKey="Guseva, A L" sort="Guseva, A L" uniqKey="Guseva A" first="A L" last="Guseva">A L Guseva</name><affiliation><nlm:affiliation>N.I .Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</nlm:affiliation></affiliation></author><author><name sortKey="Chugunova, M A" sort="Chugunova, M A" uniqKey="Chugunova M" first="M A" last="Chugunova">M A Chugunova</name><affiliation><nlm:affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation></affiliation></author><author><name sortKey="Manaenkova, E A" sort="Manaenkova, E A" uniqKey="Manaenkova E" first="E A" last="Manaenkova">E A Manaenkova</name><affiliation><nlm:affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28980586</idno><idno type="pmid">28980586</idno><idno type="doi">10.17116/otorino20178245-8</idno><idno type="wicri:Area/Main/Corpus">000098</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000098</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The importance of vestibular evoked myogenic potentials for the assessment of the otolith function in the patients presenting with benign paroxysmal positional vertigo].</title><author><name sortKey="Kunel Skaya, N L" sort="Kunel Skaya, N L" uniqKey="Kunel Skaya N" first="N L" last="Kunel'Skaya">N L Kunel'Skaya</name><affiliation><nlm:affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152; N.I .Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</nlm:affiliation></affiliation></author><author><name sortKey="Baybakova, E V" sort="Baybakova, E V" uniqKey="Baybakova E" first="E V" last="Baybakova">E V Baybakova</name><affiliation><nlm:affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation></affiliation></author><author><name sortKey="Guseva, A L" sort="Guseva, A L" uniqKey="Guseva A" first="A L" last="Guseva">A L Guseva</name><affiliation><nlm:affiliation>N.I .Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</nlm:affiliation></affiliation></author><author><name sortKey="Chugunova, M A" sort="Chugunova, M A" uniqKey="Chugunova M" first="M A" last="Chugunova">M A Chugunova</name><affiliation><nlm:affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation></affiliation></author><author><name sortKey="Manaenkova, E A" sort="Manaenkova, E A" uniqKey="Manaenkova E" first="E A" last="Manaenkova">E A Manaenkova</name><affiliation><nlm:affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Vestnik otorinolaringologii</title><idno type="ISSN">0042-4668</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Benign Paroxysmal Positional Vertigo (etiology)</term><term>Benign Paroxysmal Positional Vertigo (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Otolithic Membrane (pathology)</term><term>Otolithic Membrane (physiopathology)</term><term>Patient Outcome Assessment (MeSH)</term><term>Patient Positioning (methods)</term><term>Recovery of Function (MeSH)</term><term>Reproducibility of Results (MeSH)</term><term>Semicircular Canals (pathology)</term><term>Semicircular Canals (physiopathology)</term><term>Vestibular Evoked Myogenic Potentials (physiology)</term><term>Vestibular Function Tests (methods)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Positioning</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Otolithic Membrane</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Vestibular Evoked Myogenic Potentials</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Otolithic Membrane</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Outcome Assessment</term><term>Recovery of Function</term><term>Reproducibility of Results</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective of the present study was to evaluate the otolith function in the patients presenting with idiopathic benign paroxysmal positional vertigo (pBPPV) attributable to the occlusion of the posterior semicircular canal (PSCC) of the inner ear with the use of vestibular evoked myogenic potentials (VEMP). Cervical (cVEMP) and ocular VEMP (oVEMP) were measured in 34 patients with idiopathic pBPPV before and 7 days after the treatment by means of reposition maneuvers. The results of the repeated Dix-Hallpike test performed 7 days after the repositioning maneuver were negative in 27 patients and positive in 7 patients. There was no statistically significant difference in the amplitude of cervical VEMP between the healthy and affected ears either before or after the repositioning treatment. The measurement of oVEMP revealed a reduction of the response amplitude on the affected side. The average values of the plnl on the healthy side were 12.84±1.09 and those on the affected side 4.62±0.69 (p<0,05). The successful repositioning treatment resulted in a significant increase of the oVEMP amplitude on the affected side (p<0,05). In the patients presenting with the persistent symptoms of pBPPV, the repositioning maneuvers did not cause an appreciable increase in the amplitude of oVEMP on the affected side (p<0.05). The results of the present study give evidence that pBPPV of the posterior semicircular canal is associated with the impairment of the function of the receptor structures of the utriculus and the preserved function of the succulus as suggested by the reduction of the oVEMP amplitude and clinically significant asymmetry of ocular VEMP on the affected side with intact cervical VEMP on both sides. The successful treatment of pBPPV of PSCC with the use of the liberatory maneuver results in the increase of the oVEMP amplitude on the affected side increases while the response asymmetry between both sides significantly decreases which indicates the repair of the utriculus otolith function.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28980586</PMID><DateCompleted><Year>2017</Year><Month>11</Month><Day>29</Day></DateCompleted><DateRevised><Year>2017</Year><Month>11</Month><Day>29</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0042-4668</ISSN><JournalIssue CitedMedium="Print"><Volume>82</Volume><Issue>4</Issue><PubDate><MedlineDate>2017</MedlineDate></PubDate></JournalIssue><Title>Vestnik otorinolaringologii</Title><ISOAbbreviation>Vestn Otorinolaringol</ISOAbbreviation></Journal><ArticleTitle>[The importance of vestibular evoked myogenic potentials for the assessment of the otolith function in the patients presenting with benign paroxysmal positional vertigo].</ArticleTitle><Pagination><MedlinePgn>5-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.17116/otorino20178245-8</ELocationID><Abstract><AbstractText>The objective of the present study was to evaluate the otolith function in the patients presenting with idiopathic benign paroxysmal positional vertigo (pBPPV) attributable to the occlusion of the posterior semicircular canal (PSCC) of the inner ear with the use of vestibular evoked myogenic potentials (VEMP). Cervical (cVEMP) and ocular VEMP (oVEMP) were measured in 34 patients with idiopathic pBPPV before and 7 days after the treatment by means of reposition maneuvers. The results of the repeated Dix-Hallpike test performed 7 days after the repositioning maneuver were negative in 27 patients and positive in 7 patients. There was no statistically significant difference in the amplitude of cervical VEMP between the healthy and affected ears either before or after the repositioning treatment. The measurement of oVEMP revealed a reduction of the response amplitude on the affected side. The average values of the plnl on the healthy side were 12.84±1.09 and those on the affected side 4.62±0.69 (p<0,05). The successful repositioning treatment resulted in a significant increase of the oVEMP amplitude on the affected side (p<0,05). In the patients presenting with the persistent symptoms of pBPPV, the repositioning maneuvers did not cause an appreciable increase in the amplitude of oVEMP on the affected side (p<0.05). The results of the present study give evidence that pBPPV of the posterior semicircular canal is associated with the impairment of the function of the receptor structures of the utriculus and the preserved function of the succulus as suggested by the reduction of the oVEMP amplitude and clinically significant asymmetry of ocular VEMP on the affected side with intact cervical VEMP on both sides. The successful treatment of pBPPV of PSCC with the use of the liberatory maneuver results in the increase of the oVEMP amplitude on the affected side increases while the response asymmetry between both sides significantly decreases which indicates the repair of the utriculus otolith function.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kunel'skaya</LastName><ForeName>N L</ForeName><Initials>NL</Initials><AffiliationInfo><Affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152; N.I .Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baybakova</LastName><ForeName>E V</ForeName><Initials>EV</Initials><AffiliationInfo><Affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guseva</LastName><ForeName>A L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>N.I .Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chugunova</LastName><ForeName>M A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manaenkova</LastName><ForeName>E A</ForeName><Initials>EA</Initials><AffiliationInfo><Affiliation>L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</Affiliation></AffiliationInfo></Author></AuthorList><Language>rus</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Vestibuliarnye miogennye vyzvannye potentsialy v otsenke otolitovoĭ funktsii u patsientov s dobrokachestvennym paroksizmal'nym pozitsionnym golovokruzheniem.</VernacularTitle></Article><MedlineJournalInfo><Country>Russia (Federation)</Country><MedlineTA>Vestn Otorinolaringol</MedlineTA><NlmUniqueID>0416577</NlmUniqueID><ISSNLinking>0042-4668</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="Y">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010037" MajorTopicYN="Y">Otolithic Membrane</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D063868" MajorTopicYN="N">Patient Outcome Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020127" MajorTopicYN="N">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058585" MajorTopicYN="N">Vestibular Evoked Myogenic Potentials</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="rus"><AbstractText>Цель работы - оценка функционального состояния отолитового аппарата с помощью регистрации вестибулярных миогенных вызванных потенциалов (ВМВП) у пациентов с идиопатическим доброкачественным пароксизмальным позиционным головокружением (ДППГ) заднего полукружного канала (ЗПК). Произведена регистрация и сравнение цервикальных и окулярных ВМВП у 34 пациентов с идиопатическим ДППГ ЗПК перед лечением репозиционными маневрами и спустя 7 дней после него. По результатам повторной пробы Dix-Hallpike через 7 дней после репозиции у 27 пациентов проба Dix-Hallpike отрицательная, у 7 пациентов проба Dix-Hallpike положительная. Статистически значимой разницы амплитуды цервикальных ВМВП между здоровым и пораженным ухом ни до, ни после репозиционного лечения не выявлено. При регистрации окулярных ВМВП выявлено достоверное снижение амплитуды ответа на пораженной стороне. Средние значения p1n1 на здоровой стороне - 12,84±1,09 мкВ, на стороне поражения - 4,62±0,69 мкВ (p<0,05). В случае успешно проведенного репозиционного лечения отмечено достоверное увеличение амплитуды окулярных ВМВП на стороне поражения (p<0,05). У пациентов с персистированием симптомов ДППГ после репозиционного маневра выраженного прироста амплитуды окулярных ВМВП на стороне поражения не наблюдалось. При ДППГ ЗПК выявляется дисфункция отолитового рецептора утрикулюса при сохранной функции отолитового рецептора саккулюса, что подтверждается снижением амплитуды на стороне поражения и клинически значимой асимметрией окулярных ВМВП при сохранных цервикальных ВМВП. При успешном лечении ДППГ ЗПК и клиническом разрешении отолитиаза ЗПК амплитуда окулярных ВМВП на стороне поражения повышается, асимметрия ответа значительно уменьшается, что характеризует восстановление функции отолитового рецептора утрикулюса.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="N">cervical VEMP</Keyword><Keyword MajorTopicYN="N">ocular VEMP</Keyword><Keyword MajorTopicYN="N">otolith function</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>10</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>10</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>12</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28980586</ArticleId><ArticleId IdType="doi">10.17116/otorino20178245-8</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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