VEMP: An Objective Test for Diagnosing the Cases of BPPV.
Identifieur interne : 000005 ( Main/Exploration ); précédent : 000004; suivant : 000006VEMP: An Objective Test for Diagnosing the Cases of BPPV.
Auteurs : Surbhi Godha ; Aparaajita Upadhyay Mundra ; R K Mundra ; Lokesh Bhalot ; Anshu SinghSource :
- Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [ 2231-3796 ] ; 2020.
Abstract
Vertigo is a medical condition where a person feels as if they or the objects around them are moving when they are not. Any disturbance in the functioning of vestibular organ may cause vertigo. This study aims to find the role of cervical Vestibular evoked myogenic potential in diagnosing BPPV. The study performed was a prospective study of 50 patients with the age distribution from 20 to 60 years of age, attending the OPD in ENT department of MY Hospital, Indore with complaints of Vertigo. c-VEMP test was performed. The results were evaluated to diagnose BPPV. Of all the patients with the complaints of vertigo maximum belonged to the 5th decade of life. Of all the patients, females were found to be affected more than males making the male female ratio to be 1:1.28. In our study Dix-Hallpike test was found to be positive in 38 (74%) patients. On performing cervical VEMP, 15 (30%) patients of 50 patients showed abnormal latencies and amplitudes suggesting abnormal saccular functioning on affected side. Of these 15 abnormal VEMPs, 13 patients were positive on performing Dix-Hallpike test i.e. were diagnosed to have BPPV. VEMP showed a positive correlation with Dix-Hallpike test in diagnosis of vertigo of postural origin and thus can be used as a diagnostic tool for BPPV as VEMP is found to have high specificity.
DOI: 10.1007/s12070-020-01802-3
PubMed: 32551286
PubMed Central: PMC7276467
Affiliations:
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Any disturbance in the functioning of vestibular organ may cause vertigo. This study aims to find the role of cervical Vestibular evoked myogenic potential in diagnosing BPPV. The study performed was a prospective study of 50 patients with the age distribution from 20 to 60 years of age, attending the OPD in ENT department of MY Hospital, Indore with complaints of Vertigo. c-VEMP test was performed. The results were evaluated to diagnose BPPV. Of all the patients with the complaints of vertigo maximum belonged to the 5th decade of life. Of all the patients, females were found to be affected more than males making the male female ratio to be 1:1.28. In our study Dix-Hallpike test was found to be positive in 38 (74%) patients. On performing cervical VEMP, 15 (30%) patients of 50 patients showed abnormal latencies and amplitudes suggesting abnormal saccular functioning on affected side. Of these 15 abnormal VEMPs, 13 patients were positive on performing Dix-Hallpike test i.e. were diagnosed to have BPPV. VEMP showed a positive correlation with Dix-Hallpike test in diagnosis of vertigo of postural origin and thus can be used as a diagnostic tool for BPPV as VEMP is found to have high specificity.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32551286</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2231-3796</ISSN><JournalIssue CitedMedium="Print"><Volume>72</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India</Title><ISOAbbreviation>Indian J Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>VEMP: An Objective Test for Diagnosing the Cases of BPPV.</ArticleTitle><Pagination><MedlinePgn>251-256</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s12070-020-01802-3</ELocationID><Abstract><AbstractText>Vertigo is a medical condition where a person feels as if they or the objects around them are moving when they are not. Any disturbance in the functioning of vestibular organ may cause vertigo. This study aims to find the role of cervical Vestibular evoked myogenic potential in diagnosing BPPV. The study performed was a prospective study of 50 patients with the age distribution from 20 to 60 years of age, attending the OPD in ENT department of MY Hospital, Indore with complaints of Vertigo. c-VEMP test was performed. The results were evaluated to diagnose BPPV. Of all the patients with the complaints of vertigo maximum belonged to the 5th decade of life. Of all the patients, females were found to be affected more than males making the male female ratio to be 1:1.28. In our study Dix-Hallpike test was found to be positive in 38 (74%) patients. On performing cervical VEMP, 15 (30%) patients of 50 patients showed abnormal latencies and amplitudes suggesting abnormal saccular functioning on affected side. Of these 15 abnormal VEMPs, 13 patients were positive on performing Dix-Hallpike test i.e. were diagnosed to have BPPV. VEMP showed a positive correlation with Dix-Hallpike test in diagnosis of vertigo of postural origin and thus can be used as a diagnostic tool for BPPV as VEMP is found to have high specificity.</AbstractText><CopyrightInformation>© Association of Otolaryngologists of India 2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Godha</LastName><ForeName>Surbhi</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, MGM Medical College, Indore, MP India.</Affiliation><Identifier Source="GRID">grid.415481.d</Identifier><Identifier Source="ISNI">0000 0004 1767 1900</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Upadhyay Mundra</LastName><ForeName>Aparaajita</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-7232-2784</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, MGM Medical College, Indore, MP India.</Affiliation><Identifier Source="GRID">grid.415481.d</Identifier><Identifier Source="ISNI">0000 0004 1767 1900</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mundra</LastName><ForeName>R K</ForeName><Initials>RK</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, MGM Medical College, Indore, MP India.</Affiliation><Identifier Source="GRID">grid.415481.d</Identifier><Identifier Source="ISNI">0000 0004 1767 1900</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bhalot</LastName><ForeName>Lokesh</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, MGM Medical College, Indore, MP India.</Affiliation><Identifier Source="GRID">grid.415481.d</Identifier><Identifier Source="ISNI">0000 0004 1767 1900</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Anshu</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, MGM Medical College, Indore, MP India.</Affiliation><Identifier Source="GRID">grid.415481.d</Identifier><Identifier Source="ISNI">0000 0004 1767 1900</Identifier></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Otolaryngol Head Neck Surg</MedlineTA><NlmUniqueID>9422551</NlmUniqueID><ISSNLinking>2231-3796</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">BPPV</Keyword><Keyword MajorTopicYN="N">Dix–Hallpike test</Keyword><Keyword MajorTopicYN="N">VEMP</Keyword><Keyword MajorTopicYN="N">Vertigo</Keyword></KeywordList><CoiStatement>Conflict of interestThe authors declare that they have no conflict of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>12</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>01</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="pmc-release"><Year>2021</Year><Month>06</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32551286</ArticleId><ArticleId IdType="doi">10.1007/s12070-020-01802-3</ArticleId><ArticleId IdType="pii">1802</ArticleId><ArticleId IdType="pmc">PMC7276467</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):39-41</Citation><ArticleIdList><ArticleId IdType="pubmed">27066408</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Otorrinolaringol Esp. 2019 May - 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