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Purpose: To investigate the possibility of vestibular damage in a group of patients suffering from chronic inflammatory demyelinating polyneuropathy (CIDP) using a diagnostic protocol including the caloric test, C-VEMPs and O-VEMPs.
Methods: Twenty patients suffering from CIDP (mean age 58.5 years, range 33-80 years; 4 women and 16 men) were investigated. To assess any eventual audio-vestibular involvement, all patients of the study underwent pure tone audiometry, Fitzgerald-Hallpike caloric vestibular test, C-VEMPs and O-VEMPs.
Results: In 11 patients with CIDP values of both O-VEMPs and C-VEMPs were either absent or abnormal. An absent trace at O-VEMPs testing occurred in 36% of these pathological patients, whereas an increase of n10 latency and amplitude was present in the other 64% .
Conclusions: A specific diagnostic protocol including the caloric test, C-VEMPS, O-VEMPS, could be useful when employed for identifying vestibular damage in CIDP patients.
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http://dx.doi.org/10.1007/s00405-018-4981-9 | DOI Listing |
Int J Appl Basic Med Res
January 2025
Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
Background: Cervical vestibular-evoked myogenic potentials (c-VEMPs) is a noninvasive procedure that captures the electrical activity of sternocleidomastoid (SCM) muscles in response to auditory stimuli. The clinical value of VEMP, however, is affected by the use of appropriate stimuli and correct testing techniques. This study investigates the effects of different stimuli and recording conditions on c-VEMP recordings.
View Article and Find Full Text PDFOtol Neurotol Open
September 2023
Department of Otorhinolaryngology, Head & Neck Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland.
Objective: Evaluation at long term of the impact of the stereotactic surgery (SRS) on the vestibular function in vestibular schwannoma (VS) patients.
Study Design And Setting: Retrospective study in a tertiary referral center.
Patients: Fifty-one VS patients were included (34 females;17 males), aged from 41 to 78 years treated exclusively with SRS.
Front Neurol
April 2023
Institut de l'Audition, Institut Pasteur, CERIAH, Paris, France.
Objectives: To characterize cervical vestibular evoked myogenic potentials (c-VEMPs) in bone conduction (BC) and air conduction (AC) in healthy children, to compare the responses to adults and to provide normative values according to age and sex.
Design: Observational study in a large cohort of healthy children ( = 118) and adults ( = 41). The c-VEMPs were normalized with the individual EMG traces, the amplitude ratios were modeled with the Royston-Wright method.
Front Neurol
October 2022
ENT Unit, Department of Surgery, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Vestibular neuritis (VN) mostly involves the superior vestibular nerve. Isolated inferior vestibular neuritis (IVN) has been more rarely described. The diagnosis of IVN is based on an abnormal head impulse test (HIT) for the posterior semicircular canal (PSC), pathological cervical vestibular-evoked myogenic potentials (C-VEMPs), and spontaneous downbeat nystagmus consistent with acute functional loss of inner ear sensors lying within the inferior part of the labyrinth.
View Article and Find Full Text PDFFront Neurol
May 2022
Centre Borelli, CNRS UMR-9010, Université Paris Descartes, Paris, France.
Vestibular schwannomas (VS) are benign tumors of the vestibular nerve that may trigger hearing loss, tinnitus, rotatory vertigo, and dizziness in patients. Vestibular and auditory tests can determine the precise degree of impairment of the auditory nerve, and superior and inferior vestibular nerves. However, balance is often poorly quantified in patients with untreated vestibular schwannoma, for whom validated standardized assessments of balance are often lacking.
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