[The characteristics of vestibular-evoked myogenic potentials in unilateral Meniere's disease patients at different clinical stages].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 36(10): 740-745, 2022 Oct.
Article
en Zh
| MEDLINE
| ID: mdl-36217651
ABSTRACT
Objective:
This study was to retrospectively analyze the results of vestibular-evoked myogenic potentialsï¼VEMPï¼ in unilateral Meniere's diseaseï¼MDï¼ patients.Methods:
The clinical assessment results of MD patients who visited the department between January 2016 to February 2022 were reviewed. Unilateral MD patients who met the inclusion and exclusion criteria were divided into three groups according to clinical stages, namely, group 1ï¼stage â + stage â ¡ï¼, group 2ï¼stage â ¢ï¼ and group 3ï¼stage â £ï¼. The normal value data were used to investigate the incidence of abnormal P1 and N1 latencies, abnormal P1-N1 interwave latency, and abnormal interaural amplitude asymmetry ratioï¼IARï¼. Afterwards, considering all the above mentioned parameters, the VEMP result of each patient was graded into four levelsï¼grade 1 means VEMP result is normal, grade 2, 3 and 4 means the VEMP result is abnormal in different degreesï¼. The correlation between VEMP result level and pure tone averageï¼PTAï¼ of MD patients in different clinical stages was examined.Results:
The prevalence of cVEMP in three groups was 84.2%, 70.0% and 33.3%, respectivelyï¼P<0.05ï¼. The prevalence of oVEMP in three groups was 63.2%, 34.0% and 16.7%, respectivelyï¼P<0.05ï¼. The incidence of abnormal P1 latency, N1 letancy and P1-N1 interwave latency of cVEMP was 21.1%, 26.3% and 24.6%, respectively. The incidence of abnormal P1 latency, N1 latency and interwave latency of oVEMP was 15.6%, 43.8% and 3.1%, respectively. The incidence of abnormal cVEMP IAR in group 1, group 2 and group 3 was 6.7%, 21.2% and 33.3%, respectivelyï¼P>0.05ï¼. The incidence of abnormal IAR of oVEMP in group 1, group 2 and group 3 was 16.7%, 23.1% and 0, respectivelyï¼P>0.05ï¼. cVEMP and oVEMP result levels were significantly correlated with PTAï¼r=0.339, P<0.01; r=0.362, P<0.01 ï¼, respectively.Conclusion:
With the progression of MD, the function of saccule-vestibular inferior nerve pathway and utricle-vestibular superior nerve pathway would deteriorate in the same way as hearing.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Vestíbulo del Laberinto
/
Potenciales Vestibulares Miogénicos Evocados
/
Enfermedad de Meniere
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Año:
2022
Tipo del documento:
Article