Effect of head position on vestibular evoked myogenic potentials with toneburst stimuli.

Abstract:

CONCLUSION:The present study demonstrated the robustness of VEMP testing with toneburst stimuli, since it is hardly affected by head position, i.e. base or tonic excitation levels of the saccule and inferior vestibular nerve. However, the small but highly significant difference found in latency should not be neglected: the gravitational axis in the upright position may have some special effect on tonic excitation of the saccule. OBJECTIVES:To evaluate the effect of head positions on vestibular evoked myogenic potentials (VEMPs) with toneburst stimuli. MATERIALS AND METHODS:VEMPs were recorded with short tonebursts of 500 Hz in 14 normal subjects in 5 head positions (upright, nose up, ear up, nose down, and ear down). The three parameters analyzed were: 1) latency of p13, 2) latency of n23, and 3) corrected amplitude of p13-n23 (CA p13-n23). RESULTS:One-way repeated measures ANOVA showed significant effects on both p13 (p=0.0245) and n23 (p<0.0001) latencies, but not on CA p13-n23. Bonferroni's post hoc test demonstrated that there were significant differences in n23 latency between the upright position and all other head positions leaning on the bed.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Ito K,Karino S,Murofushi T

doi

10.1080/00016480600740597

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

57-61

issue

1

eissn

0001-6489

issn

1651-2251

pii

769773230

journal_volume

127

pub_type

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