Fröhlich Laura, Löffler Lea Babette
Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Bonn (UKB), Venusberg-Campus 1, 53127, Bonn, Deutschland.
Hals‑, Nasen‑, Ohrenheilkunde, Kopf- und Halschirurgie, Heinrich-Braun-Klinikum gemeinnützige GmbH, Zwickau, Deutschland.
HNO. 2024 May;72(5):377-388. doi: 10.1007/s00106-024-01446-7. Epub 2024 Mar 27.
Recording of vestibular evoked myogenic potentials (VEMPs) is a well-established method for functional diagnostics of the otolith organs. VEMPs are vestibular reflexes of the sacculus und utriculus to acoustic stimulation by air-conducted sound or bone-conducted vibration and are recorded by surface electrodes from the cervical (cVEMP) and ocular (oVEMP) muscles. The results of VEMP recordings are part of the neuro-otologic test battery and enable diagnosis of various vestibular disorders or differentiation between non-vestibular and peripheral vestibular vertigo. However, the methods for recording VEMPs vary substantially, although recording and stimulation parameters as well as methods of data analysis have a significant influence on the results. This article provides an overview of recommended parameters as well as practical instructions for the recording, analysis, and interpretation of VEMPs.
前庭诱发肌源性电位(VEMPs)记录是一种成熟的耳石器官功能诊断方法。VEMPs是球囊和椭圆囊对气导声音或骨导振动的声刺激的前庭反射,通过表面电极记录颈部(cVEMP)和眼部(oVEMP)肌肉的反应。VEMP记录结果是神经耳科检查项目的一部分,可用于诊断各种前庭疾病,或区分非前庭性和外周前庭性眩晕。然而,尽管记录和刺激参数以及数据分析方法对结果有重大影响,但VEMPs的记录方法差异很大。本文概述了推荐参数以及VEMPs记录、分析和解读的实用指南。