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Dergiler / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 10

Evaluation of utricular and saccular function in BPPV patients: The role of VEMP in diagnosis

Deniz Uğur CENGİZ
Mehmet TAN
Tuba BAYINDIR
Sanem CAN ÇOLAK
Tuğba EMEKCİ
Sümeyye DEMİREL
Sayfa
2515–2522
Yayın Tarihi
2022-10-12
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Higher oVEMP abnormality ratios compared to those of cVEMP in BPPV patients suggest that utricular dysfunction may be more common than saccular dysfunction.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Aim: The pathological cause of Benign Paroxysmal Positional Vertigo (BPPV) is the degeneration of the otolith organs (utricle and sacculus).
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Temel Bulgular & Veri:Material and Methods: The study prospectively included 35 patients with BPPV (canalolithiasis of the posterior and lateral semicircular canals) and 30 healthy individuals.
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Sonuç & Katkı:Higher oVEMP abnormality ratios compared to those of cVEMP in BPPV patients suggest that utricular dysfunction may be more common than saccular dysfunction.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: The pathological cause of Benign Paroxysmal Positional Vertigo (BPPV) is the degeneration of the otolith organs (utricle and sacculus). Vestibular Evoked Myogenic Potentials (VEMP) assess the functions of the otolith organs. The objective of this research was to evaluate the otolith organ functions of patients with unilateral idiopathic BPPV (canalolithiasis of the posterior and lateral semicircular canals) by cVEMP and oVEMP tests. Material and Methods: The study prospectively included 35 patients with BPPV (canalolithiasis of the posterior and lateral semicircular canals) and 30 healthy individuals. Bilateral cVEMP and oVEMP tests were administered to all participants. Participants were divided into three groups: control, BPPV-affected ear, and unaffected ear.Results: In our study, cVEMP and oVEMP abnormalities were statistically significantly different both between the affected and unaffected ear groups and between the affected ear and control groups. There were statistically significant differences in the cVEMP and oVEMP amplitude values both between the affected and unaffected ear groups and between the affected ear and control groups. Also, the asymmetry ratios of the cVEMP and oVEMP tests were statistically significantly different between the case group and the control group. The cVEMP and oVEMP wave latencies (p1, n1, p1-n1) were not statistically significantly different among the BPPV-affected ear, unaffected ear, and control groups. The results of measurements were not statistically significantly different between the posterior and lateral canal involvement subgroups of BPPV patients.Conclusion: Abnormal cVEMP and oVEMP test results, which are observed more frequently in patients with BPPV compared to the control group, indicate utricular and saccular degeneration. Higher oVEMP abnormality ratios compared to those of cVEMP in BPPV patients suggest that utricular dysfunction may be more common than saccular dysfunction.

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Bu Makaleye Atıf Yap

CENGİZ, D. U., TAN, M., BAYINDIR, T., ÇOLAK, S. C., EMEKCİ, T., DEMİREL, S. (2022). Evaluation of utricular and saccular function in BPPV patients: The role of VEMP in diagnosis. Annals of Medical Research, Cilt: 27 - Sayı: 10, 2515–2522. https://ajindex.com/articles/446123

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Kaynakça (16)

  1. You P, Instrum R, Parnes L. Benign paroxysmal positional vertigo. Laryngoscope Investigative Otolaryngology 2019;4:116-23
  2. Gu X, Dong F, Gu J. Analysis of effect of 1α-hydroxyvitamin D3 on benign paroxysmal positional vertigo and risk factors. Experimental and Therapeutic Med 2018;15:2321-26
  3. Fujimoto C, Kawahara T, Kinoshita M, et al. Aging is a risk factor for utricular dysfunction in idiopathic benign paroxysmal positional vertigo. Frontiers in Neurology 2018;9:1049
  4. Bhattacharyya N, Hollingsworth DB, Mahoney K, et al. Plain language summary: Benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2017;156:417-25
  5. Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399-404
  6. Byun H, Chung JH, Lee SH, et al. Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study. Sci Rep 2019;9:1-8
  7. Chen CC, Cho HS, Lee HH, et al. Efficacy of repositioning therapy in patients with benign paroxysmal positional vertigo and preexisting central neurologic disorders. Front Neurol 2018;9:486
  8. Von Breverna M, Bertholonb P, Brandt T, et al. Benign paroxysmal positional vertigo: diagnostic criteria. J Vestib Res 2015;25:105-17
  9. Pérez-Vázquez P, Franco-Gutiérrez V. Treatment of benign paroxysmal positional vertigo. A clinical review. J Otol 2017;12:165-73
  10. Murofushi T. Vestibular evoked myogenic potential. World J Otorhinolaryngol 2014;4:6-112014;4:6-11
  11. Fife TD, Colebatch JG, Kerber KA, et al. Practice guideline: Cervical and ocular vestibular evoked myogenic potential testing: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2017;89:2288-96
  12. Rosengren SM, Kingma H. New perspectives on vestibular evoked myogenic potentials. Curr Opin Neurol 2013;112:574-82
  13. Welgampola MS, Colebatch JG. Characteristics and clinical applications of vestibular-evoked myogenic potentials. Neurology 2005;64:1682-8
  14. Gacek RR. Pathology of benign paroxysmal positional vertigo revisited. Annals of Otology, Rhinology & Laryngology 2003;112:574-82
  15. Longo G, Onofri M, Pellicciari T, et al. Benign paroxysmal positional vertigo: is vestibular evoked myogenic potential testing useful? Acta Otolaryngol 2012;132:39-43
  16. Xu H, Liang F, Chen L, et al. Evaluation of the utricular and saccular function using oVEMPs and cVEMPs in