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Cervical and ocular vestibular-evoked myogenic potentials in vestibular neuritis: comparison between air- and bone-conducted stimulation

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Abstract

To clarify the changes of cervical (cVEMP) and ocular (oVEMP) vestibular evoked myogenic potentials induced by air-conducted sound (ACS) and bone-conducted vibration (BCV) in patients with vestibular neuritis (VN), patients with VN (n = 30) and normal controls (n = 45) underwent recording of cVEMP and oVEMP in response to ACS (1,000 Hz, 5 ms, tone bursts) and BCV (500 Hz, short tone burst). Patients with VN showed a high proportion of oVEMP abnormalities in response to both ACS (80.0 %) and BCV at the forehead (Fz, 73.3 %) or the mastoid (76.7 %). In contrast, cVEMPs were mostly normal with both ACS and BCV in the patients. The dissociations in the abnormalities of cVEMP and oVEMP induced by ACS and BCV at the mastoids and at the forehead in patients with VN suggest that oVEMP reflects functions of the superior vestibular nerve and most likely the utricular function. The results of our study suggest that oVEMP induced by either ACS or BCV appears to depend on integrity of the superior vestibular nerve, possibly due to the utricular afferents travelling in it. In contrast, cVEMP elicited by either ACS or BCV may reflect function of the saccular afferents running in the inferior vestibular nerve.

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Acknowledgments

Dr. S.-Y. Oh is supported by Fund of Biomedical Research Institute, Chonbuk National University Hospital and by research funds of Chonbuk National University in 2012. Dr. J.S. Kim, T.-H. Yang, B.-S. Shin, S.-K. Jeong report no disclosures.

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The authors report no conflicts of interest.

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Authors and Affiliations

  1. Department of Neurology, Chonbuk National University College of Medicine, 634-18 Gumam-dong, Deokjin-gu, Jeonju, 561-712, Korea

    Sun-Young Oh, Tae-Ho Yang, Byoung-Soo Shin & Seul-Ki Jeong

  2. Research Institute of Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea

    Sun-Young Oh, Byoung-Soo Shin & Seul-Ki Jeong

  3. Department of Neurology, Seoul National University, Seoul National University Bundang Hospital, Seongnam, Korea

    Ji-Soo Kim

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Correspondence to Sun-Young Oh.

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Oh, SY., Kim, JS., Yang, TH. et al. Cervical and ocular vestibular-evoked myogenic potentials in vestibular neuritis: comparison between air- and bone-conducted stimulation. J Neurol 260, 2102–2109 (2013). https://doi.org/10.1007/s00415-013-6953-8

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