Vestibular Evoked Myogenic Potentials and Benign Paroxysmal Positional Vertigo
Resultados de los potenciales evocados miogénicos vestibulares en el vértigo posicional paroxístico benigno
Marisol Boleas-Aguirrea,
, Noelia Sánchez-Ferrándizb, Julio Artiedac, Nicolás Péreza
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msboleas@unav.es
Correspondence: Dpto. de Otorrinolaringología. Clínica Universitaria de Navarra.Avda. Pío XII, 36. 31008 Pamplona. Navarra. España.
Correspondence: Dpto. de Otorrinolaringología. Clínica Universitaria de Navarra.Avda. Pío XII, 36. 31008 Pamplona. Navarra. España.
a Departamento de Otorrinolaringología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Navarra, Spain
b Departamento de Otorrinolaringología, Hospital La Mancha-Centro, Alcázar de San Juan, Ciudad Real, Spain
c Departamento de Neurofisiología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Navarra, Spain
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Clínica Universitaria de Navarra.Avda. Pío XII, 36. 31008 Pamplona. Navarra. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados de los potenciales evocados miogénicos vestibulares en el vértigo posicional paroxístico benigno" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-10-02" "fechaAceptado" => "2007-03-19" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec79890" "palabras" => array:3 [ 0 => "VEMPs" 1 => "Benign paroxysmal positional vertigo" 2 => "Saccule" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec79889" "palabras" => array:3 [ 0 => "VEMP" 1 => "Vértigo posicional paroxístico benigno" 2 => "Sáculo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Benign paroxysmal positional vertigo (BPPV) seems to occur because of otoconia migration into the semicircular canals or their adherence to the cupula. Although the origin of these otoconia lies in the macula of the utricle, vestibular evoked myogenic potentials (VEMPs) can be used assess saccular function. The aim of this study is to assess the saccular function in patients diagnosed with BPPV.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Nineteen patients diagnosed with BPPV of the posterior semicircular canal were included in this study. Their auditory function and their caloric, rotatory chair, and VEMP responses were tested. Ipsilateral and contralateral VEMP thresholds, ipsilateral and contralateral p13 and n23 latencies at 100 dB, inter-peak amplitude and the interaural amplitude difference were determined.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We found a lack of VEMP response in 52% of the ears with BPPV. When adjusted for bilateral absence, VEMP response was absent in 20.3% of ears.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Some patients with idiopathic BPPV show a degree of saccular dysfunction.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El vértigo posicional paroxístico benigno (VPPB) parece deberse a la migración de otoconias dentro de los conductos semicirculares o su adherencia a la cúpula. Si bien el origen de estas otoconias es la mácula del utrículo, aprovechando que los potenciales evocados miogénicos vestibulares (VEMP) valoran la función del sáculo, nuestro objetivo es estudiar su función en pacientes con VPPB.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">En 19 pacientes con VPPB por afección del conducto semicircular posterior, se valoró el nivel de audición, la respuesta de las pruebas calórica, rotatoria y VEMP. Se determinó en los VEMP ipsolaterales y contralaterales los umbrales, las latencias de las ondas p13 y n23 a 100 dB, la amplitud entre máximos y la diferencia de la amplitud interaural.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se halló ausencia de respuesta de los VEMP en el 52% de los oídos con VPPB. Cuando se corrigió por la ausencia de respuesta bilateral, los VEMP estaban ausentes en el 20,3% de los casos.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En algunos pacientes con VPPB hay cierto grado de disfunción sacular.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Analytical studies of the organic material of otoconial complexes, including its amino acid and carbonate composition" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.D. Ross" 1 => "K.G. Pote" 2 => "F. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 0 | 3 | 3 |
| 2024 September | 0 | 13 | 13 |
| 2024 August | 0 | 9 | 9 |
| 2024 March | 0 | 2 | 2 |
| 2024 January | 0 | 1 | 1 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 1 | 1 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 1 | 1 |
| 2023 February | 0 | 1 | 1 |
| 2023 January | 0 | 6 | 6 |
| 2022 November | 0 | 4 | 4 |
| 2022 October | 0 | 2 | 2 |
| 2022 September | 0 | 2 | 2 |
| 2022 August | 0 | 2 | 2 |
| 2022 May | 0 | 1 | 1 |
| 2020 August | 0 | 2 | 2 |
| 2020 July | 1 | 2 | 3 |
| 2020 May | 0 | 1 | 1 |
| 2020 March | 4 | 7 | 11 |
| 2020 February | 6 | 4 | 10 |
| 2020 January | 8 | 11 | 19 |
| 2019 December | 9 | 15 | 24 |
| 2019 November | 4 | 10 | 14 |
| 2019 October | 1 | 9 | 10 |
| 2019 September | 3 | 4 | 7 |
| 2019 August | 2 | 7 | 9 |
| 2019 July | 8 | 14 | 22 |
| 2019 June | 13 | 33 | 46 |
| 2019 May | 31 | 54 | 85 |
| 2019 April | 3 | 39 | 42 |
| 2019 March | 1 | 8 | 9 |
| 2019 February | 1 | 9 | 10 |
| 2019 January | 4 | 12 | 16 |
| 2018 December | 2 | 12 | 14 |
| 2018 November | 3 | 12 | 15 |
| 2018 October | 3 | 3 | 6 |
| 2018 September | 0 | 1 | 1 |
| 2018 April | 3 | 6 | 9 |
| 2018 March | 1 | 4 | 5 |
| 2018 February | 1 | 4 | 5 |
| 2018 January | 1 | 6 | 7 |
| 2017 December | 0 | 1 | 1 |
| 2017 November | 1 | 4 | 5 |
| 2017 October | 3 | 4 | 7 |
| 2017 September | 5 | 8 | 13 |
| 2017 August | 1 | 11 | 12 |
| 2017 July | 3 | 3 | 6 |
| 2017 June | 6 | 16 | 22 |
| 2017 May | 2 | 5 | 7 |
| 2017 April | 8 | 8 | 16 |
| 2017 March | 6 | 27 | 33 |
| 2017 February | 5 | 1 | 6 |
| 2017 January | 3 | 1 | 4 |
| 2016 December | 5 | 3 | 8 |
| 2016 November | 4 | 1 | 5 |
| 2016 October | 6 | 4 | 10 |
| 2016 September | 3 | 7 | 10 |
| 2016 August | 5 | 0 | 5 |
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