Clinical application of vestibular evoked myogenic potential (VEMP)

Auris Nasus Larynx. 2016 Aug;43(4):367-76. doi: 10.1016/j.anl.2015.12.006. Epub 2016 Jan 11.

Abstract

The author reviewed clinical aspects of vestibular evoked myogenic potentials (VEMPs). Now two types of VEMPs are available. The first one is cervical VEMP, which is recorded in the sternocleidomastoid muscle and predominantly reflects sacculo-collic reflex. The other is ocular VEMP, which is usually recorded below the lower eye lid and predominantly reflects utriculo-ocular reflex. VEMPs play important roles not only for assessment of common vestibular diseases but also for establishment of new clinical entities. Clinical application in Meniere's disease, vestibular neuritis, benign paroxysmal positional vertigo, vestibular migraine, idiopathic otolithic vertigo, and central vertigo/dizziness was reviewed.

Keywords: Endolymphatic hydrops; Inferior vestibular nerve; Otolith organ; Otolithic vertigo; Saccule; Utricle; Vestibular migraine.

Publication types

  • Review

MeSH terms

  • Benign Paroxysmal Positional Vertigo / diagnosis
  • Benign Paroxysmal Positional Vertigo / physiopathology
  • Endolymphatic Hydrops / diagnosis
  • Endolymphatic Hydrops / physiopathology
  • Humans
  • Meniere Disease / diagnosis*
  • Meniere Disease / physiopathology
  • Migraine Disorders / diagnosis*
  • Migraine Disorders / physiopathology
  • Neck Muscles
  • Oculomotor Muscles
  • Vertigo / diagnosis
  • Vertigo / physiopathology
  • Vestibular Diseases / diagnosis*
  • Vestibular Diseases / physiopathology
  • Vestibular Evoked Myogenic Potentials*
  • Vestibular Neuronitis / diagnosis
  • Vestibular Neuronitis / physiopathology