Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), Discipline of Otology and Neurotology, São Paulo, SP, Brazil.
Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), Discipline of Otology and Neurotology, São Paulo, SP, Brazil.
Braz J Otorhinolaryngol. 2023 May-Jun;89(3):485-493. doi: 10.1016/j.bjorl.2022.11.005. Epub 2022 Dec 16.
To evaluate otolith function by comparing the findings of the Subjective Visual Vertical, the cervical Vestibular Evoked Myogenic Potential and the ocular Vestibular Evoked Myogenic Potential tests in patients in the inter-crisis period of unilateral definite Meniere's disease.
The sample consisted of an experimental group (n=22; 10 men and 12 women, mean age 47.32±12.82 years) with definite unilateral Meniere's disease and a control group (n=14; 5 men and 9 women, with a mean age of 41.64±13.45 years). They all underwent vestibular evaluation by means of Subjective Visual Vertical with the bucket method and, cervical and ocular Vestibular Evoked Myogenic Potential tests. The data were collected and subjected to statistical analysis.
The results of the comparison of the Subjective Visual Vertical, the cervical Vestibular Evoked Myogenic Potential, the ocular Vestibular Evoked Myogenic Potential and, the association of cervical Vestibular Evoked Myogenic Potential with the ocular Vestibular Evoked Myogenic Potential showed no significant difference, indicating concordance among the tests.
The identified abnormalities and the concordance between the combined proportion of the Subjective Visual Vertical, the cervical Vestibular Evoked Myogenic Potential and the ocular Vestibular Evoked Myogenic Potential findings indicate that the association of these three tests contributes to the identification of sustained and transient otolith dysfunction in the inter-crisis of unilateral definite Meniere's disease.
通过比较单侧明确梅尼埃病间歇期患者主观视觉垂直、颈性前庭诱发肌源性电位和眼性前庭诱发肌源性电位检查的结果，评估耳石功能。
实验组（n=22；10 男，12 女，平均年龄 47.32±12.82 岁）和对照组（n=14；5 男，9 女，平均年龄 41.64±13.45 岁）均接受了前庭评估，包括桶状法主观视觉垂直和颈性及眼性前庭诱发肌源性电位检查。收集数据并进行统计分析。
主观视觉垂直、颈性前庭诱发肌源性电位、眼性前庭诱发肌源性电位的比较结果，以及颈性前庭诱发肌源性电位与眼性前庭诱发肌源性电位的相关性均无显著差异，表明这些检查具有一致性。
所识别的异常以及主观视觉垂直、颈性前庭诱发肌源性电位和眼性前庭诱发肌源性电位检查结果的一致性表明，这三种检查的联合可有助于识别单侧明确梅尼埃病间歇期持续和短暂的耳石功能障碍。
