Diagnostic capabilities of the vestibular evoked myogenic potential test in children with vestibular dysfunction
Keywords:Vestibular neuritis, VEMP test, Child
Background: Vestibular evoked myogenic potential (VEMP) testing is used in the diagnosis of vestibular disorders. It is an objective method for testing the the otolith organs of the vestibular system. VEMP test is an additional method for diagnosing vestibular neuritis (VN). The combination of cervical VEMP (cVEMP) and ocular VEMP (oVEMP) testing has an advantage in long-term monitoring of patients with VN. The VEMP test is well-studied for adults but studies involving children are insufficient. The aim of this study was to analysis and evaluation of the results from VEMP testing of children diagnosed with vestibular dysfunction. Analysis and evaluation of the results from VEMP testing of children diagnosed with vestibular dysfunction.
Methods: History, examination of ENT organs, tone threshold audiometry, tympanometry, otoneurological examination, VEMP test.
Results: Children with vestibular dysfunction who were examined showed changes predominantly in the oVEMP test. The upper branch of the vestibular nerve is affected.
Conclusions: The VEMP test is an additional method for diagnosing patients with vestibular dysfunction. It is safe when used for children.
Zhou WG, Dargie JBS, Dornan B, Whittemore K. Monitoring Editor Jorge Pinto Clinical Uses of Cervical Vestibular-Evoked Myogenic Potential Testing in Pediatric Patients. Med (Baltimore). 2014;93(4):37.
Adamec I, Skoric MK, Handzic J, Barusic AK, Bach I, Gabelic T, Habek M. The Role of Cervical and Ocular Vestibular Evoked Myogenic Potential in the follow up of Vestbular Neuritis. Clin EEG Neurosci. 2014;45(2):129-36.
Brantberg K, Tribukai A, Fransson PA. Vestibular evoked myogenic potencials to skull taps for patiens with vestibular neuritis. J Vestib Res. 2003;13:121-30.
Serra AP, Dorigueto RS, Almeida RR. Vestibular myogenic potential in unilateral vestibular hypofunction. Acta Oto-Laryngo. 2012;11(7):732-8.
Silva TR, Resende ML, Santos MAR. Combined ocular and cervical vestibular evoked myogenic potential in individuals with vestibular hyporeflexia and in patients with Menier’s disease. Braz J Otorhinol. 2017;83(3):330-40.
Pereira AB, Silva MGS, Assuncao ARM, Atherino CCT, Volpe FM, Felipe L. Cervical vestibular evoked myogenic potentials in children. Braz J otorhinol. 2015;81(4):358-62.
Wang SJ, Hsieh WS, Young YH. Development of Ocular Vestibular-Evoked Myogenic Potentials in Small Children. The Laryngos. 2013;123:512-7.
Danasoury EL, Serafy GE, Taha Н, Hegazy S. Vestibular evoked myogenic potentials (VEMP) in young children: Test parameters and normative data. Egiptian J oj ENT and Allied Sci. 2015;16:81-5.
Rosengren SM, Welgampova MS, Colebatch GM. Vestibular evoked myogenic potentials: past, present and future. Clin Neurophys. 2010;121:636-51.