Ocular vestibular evoked myogenic potential: literature review

Silva, Tatiana Rocha; Resende, Luciana Macedo de; Santos, Marco Aurélio Rocha

doi:10.1590/2317-6431-2015-1651

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Audiology - Communication Research

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Sumário

Literature Review • Audiol., Commun. Res. 21 (0) • 2016 • https://doi.org/10.1590/2317-6431-2015-1651 copy

Ocular vestibular evoked myogenic potential: literature review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose

To identify and systematize the main studies on the ocular vestibular evoked myogenic potentials and their applications in the diagnosis of various vestibular diseases.

Research strategy

Articles that describe the use of ocular vestibular evoked myogenic potentials the evaluation of vestibular diseases were located in PubMed, Web of Science, MEDLINE, Scopus, LILACS e SciELO.

Selection criteria

Original studies, with available abstract, published in the period 2010 to March 2016 were included.

Data analysis

The study design was described, and the characteristics for the evaluation of ocular vestibular evoked myogenic potentials were listed.

Results

265 studies were found, but just 14 contemplated the proposed selection criteria. In relation to the population / sample of patients with vestibular disorders included in the study, it was observed that the most researched diseases were the vestibular neuritis, benign paroxysmal positional vertigo, vestibular Schwanoma and Meniere’s disease.

Conclusion

The most of the research realized in recent years and published in the databases PubMed, Web of Science, MEDLINE and Scopus revealed that the ocular vestibular evoked myogenic potentials is an effective method to evaluate the utricular function in various vestibular disorders.

Vestibular nerve; Vestibular evoked myogenic potentials; Reflex, Vestibulo-ocular; Vestibular function tests; Saccule and utricle

Strategy	Combination
Strategy 1	vestibular evoked myogenic potential AND vestibular diseases AND reflex vestibulo-ocular
Strategy 2	vestibular evoked myogenic potential AND utricle AND vestibular diseases
Strategy 3	vestibular evoked myogenic potential AND reflex vestibulo-ocular AND utricle

Author	Locale of the study	Study design	Population/sample	Study context	Study findings
Govender et al.⁽⁵⁾	Sidney	Case control	Case group: 12 patients with unilateral vestibular dysfunction; Control group: 11 individuals without auditory or vestibular complaints	Comparison of the responses of the oVEMP utilizing side electrodes (stimulation lateral transmastoid) with the responses of the oVEMP utilizing inferior electrodes (inferior oblique muscles) in patients with vestibular Schwannoma. Utilization of the oVEMP with auditory stimulation by air pathway, tone burst, in the frequency of 500 Hz.	The oVEMP was altered only on the affected side, when inferior electrodes were used. However, by using side electrodes the oVEMP was abnormal both in the affected side, as well as in the asymptomatic side. In the control group, there were no observed alterations in the oVEMP.
Chiarovano et al.⁽¹⁴⁾	Paris	Case control	Case group: 74 patients with vestibular disorders (12 with vestibular Schwannoma, 5 with dehiscence of the superior canal, 26 with Ménière’s disease, 12 with vestibular neuronitis in the acute phase, 9 with arreflexia bilateral horizontal canal, and 17 with unilateral vestibular function loss); Control group: 32 individuals without auditory or vestibular complaints	Evaluation of the oVEMP through auditory stimulation, by air pathway, clicks or tone burst in the frequency of 500 Hz.	The amplitude of the oVEMP was less in most patients with vestibular disorders. In the control group, there were no observed alterations in the oVEMP.
Iwasaki et al.⁽¹⁹⁾	Tokyo	Case control	Case group: 14 patients with unilateral vestibular dysfunction (9 with Schwannoma and 5 with vestibular neuritis); Control group: 24 individuals without auditory or vestibular complaints.	Evaluation of the oVEMP with binaural stimulation in individuals with unilateral vestibular dysfunction. Utilization of the oVEMP with auditory stimulation by air pathway, tone burst, in the frequency of 500 Hz.	In the patients with unilateral vestibular dysfunction, there was no significant difference in amplitude and latency of response with binaural stimulation. In the control group, no alterations were observed in the oVEMP.
Lee et al.⁽²⁰⁾	Jeonju (South Korea)	Transversal	36 patients with benign paroxysmal positional vertigo (VPPB). Of these, 16 presented recurrent VPPB and 20 presented non-recurrent VPPB.	Utilization of the oVEMP (auditory stimulation by air pathway, tone burst, in the frequency of 500 Hz) to test the hypothesis that the otolith dysfunction can be the cause of recurrence of VPPB.	The responses of the ocular VEMP showed alterations in 8 individuals in the recurrent VPPB group and in 3 individuals in the non-recurring BPPV group.
Bremova et al.⁽²¹⁾	Munich	Longitudinal	30 patients with unilateral VPPB.	Utilization of the oVEMP (auditory stimulation by bone pathway, tone burst, in the frequency of 500 Hz) to evaluate the success of liberatory maneuvers.	After treatment, observed increase in the amplitude of the responses of the oVEMP.
Seo et al.⁽²²⁾	Osaka (Japan)	Transversal	16 patients with VPPB.	Utilization of the oVEMP (auditory stimulation by air pathway, tone burst, in the frequency of 500 Hz) to evaluate the utricular dysfunction in patients with VPPB.	The oVEMP showed reduced responses in 5 patients with VPPB in the pre-treatment period.
Nakahara et al.⁽²³⁾	Fujisawa (Japan)	Case control	Case group: 12 patients with VPPB; Control group: 12 individuals without auditory or vestibular complaints.	Utilization of the oVEMP (auditory stimulation by air pathway, tone burst, in the frequency of 500 Hz) to evaluate the utricular dysfunction signals in patients with VPPB.	The patients with VPPB showed alterations in the responses of the oVEMP to the affected side. In the control group, no alterations were observed in the oVEMP.
Manzari et al.⁽²⁴⁾	Sidney	Transversal	133 patients with superior vestibular neuritis.	Analysis of the activation of the potential n1 of the oVEMP (auditory stimulation by air pathway, tone burst, in the frequency of 500 Hz) in patients with superior vestibular neuritis.	The amplitude of the potential n1 was lower for patients with superior vestibular neuritis on the affected side.
Kinoshita, et al.⁽²⁵⁾	Tokyo	Transversal	45 patients with unilateral vestibular Schwannoma.	Comparison of the responses of the oVEMP (auditory stimulation by air pathway and by bone pathway, tone burst, in the frequency of 500 Hz), with the responses of the oVEMP by auditory stimulation by bone pathway in patients with vestibular Schwannoma.	There was no difference between the responses of the oVEMP by auditory stimulation tone burst and the responses of the oVEMP by auditory stimulation by bone pathway.
Lin and Young⁽²⁶⁾	Taipei (Taiwan)	Transversal	20 patients with unilateral vestibular neuritis.	Utilization of the oVEMP (auditory stimulation by bone pathway, tone burst, in the frequency of 500 Hz) to evaluate the vestibular nerve branches affected in patients with vestibular neuritis.	11 patients showed altered responses to the oVEMP. After treatment, 3 patients showed normal responses to the oVEMP.
Sandhu et al.⁽²⁷⁾	Brighton (England)	Cohort	Diseased group: 12 patients with Ménière’s disease; Not diseased group: 8 individuals without auditory or vestibular complaints.	Evaluation of the oVEMP (auditory stimulation by bone pathway, tone burst, in the frequency of 500 Hz) in various frequencies in patients with Ménière’s disease.	The amplitude of response of the oVEMP was higher for the frequency of 500 Hz.
Manzari et al.⁽²⁸⁾	Sidney	Transversal	26 patients with dehiscence of the superior semicircular canal.	Utilization of the oVEMP (auditory stimulation by bone pathway, tone burst, in the frequency of 500 Hz) to investigate the effect of dehiscence of the superior semicircular canal on the potential N10.	The amplitude of the potential N10 was higher contralaterally to the affected side.
Winters et al.⁽²⁹⁾	Utrecht (Netherlands)	Case control	Case group: 27 patients with otosclerosis; Control group: 26 individuals without auditory or vestibular complaints.	Utilization of the oVEMP (auditory stimulation by bone pathway, tone burst, in the frequency of 500 Hz) to investigate the utricular function in patients with otosclerosis.	No differences were observed between the study group and the control group. In control group, no alterations were observed in the oVEMP.
Murofushi et al.⁽³⁰⁾	Fujisawa (Japan)	Case control	Case group: 26 patients with unilateral peripheral vestibular disorder (20 with Ménière’s disease and 6 with unilateral vestibular neuritis); Control group: 7 individuals without auditory or vestibular complaints	Analysis of the responses of the oVEMP by auditory stimulation tone burst, by air pathway, in the frequency of 500 Hz with the answers caloric test of the vestibular test.	The results of the oVEMP allowed researchers to observe significant association with the findings of the caloric test. Therefore, the oVEMP reflects, exclusively, the utricular function. In control group, no alterations were observed in the oVEMP.

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[1] Corresponding author: Tatiana Rocha Silva. E-mail: tatiana.rochas@gmail.com