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听觉神经病患者的咬肌和颈部前庭诱发肌源性电位

Masseter and cervical vestibular evoked myogenic potentials in individuals with auditory neuropathy.

作者信息

Kalaiyarasan R, Sinha Sujeet Kumar

机构信息

Department of Audiology, All India Institute of Speech and Hearing, Mysore, India.

Center of Excellence for person with Tinnitus and Vestibular Disorders, Department of Audiology, All India Institute of Speech and Hearing, Mysore, India.

出版信息

Int J Audiol. 2024 Sep 12:1-9. doi: 10.1080/14992027.2024.2399788.

Abstract

OBJECTIVE

This study aimed to explore the functional integrity of vestibulo-masseteric and sacculo-collic reflex pathways in individuals with Auditory Neuropathy (AN). The study also aimed at finding the correlation between mVEMP and cVEMP response parameters for AN and healthy individuals.

DESIGN

Standard group comparison research design.

STUDY SAMPLE

Individuals with AN (n = 20); age-gender matched healthy individuals (n = 20) were recruited. Each participant underwent routine audiological evaluation; mVEMP and cVEMP testing. mVEMP and cVEMP were recorded using 500 Hz tone burst stimulus for all the participants.

RESULTS

Most of the AN individuals had no mVEMP (ipsilateral & contralateral - 60%; bilateral - 50%) and cVEMP (60%) responses. There was no significant association ( > 0.05) between the duration of AN with mVEMP and cVEMP findings. However, a significant correlation ( < 0.05) was found for EMG rectified amplitude of mVEMP and cVEMP in AN.

CONCLUSION

The results of this study suggested an impaired function of the vestibulomassteric and sacculocollic reflex pathways in individuals with AN. Vestibular evaluation should be included as a part of the regular test battery for individuals with AN.

摘要

目的

本研究旨在探讨听神经病(AN)患者前庭 - 咬肌反射通路和球囊 - 颈反射通路的功能完整性。该研究还旨在找出AN患者与健康个体的前庭肌源性诱发电位(mVEMP)和颈肌前庭诱发肌源性电位(cVEMP)反应参数之间的相关性。

设计

标准组比较研究设计。

研究样本

招募了AN患者(n = 20);年龄和性别匹配的健康个体(n = 20)。每位参与者都接受了常规听力学评估;mVEMP和cVEMP测试。所有参与者均使用500 Hz短纯音刺激记录mVEMP和cVEMP。

结果

大多数AN患者无mVEMP(同侧和对侧 - 60%;双侧 - 50%)和cVEMP(60%)反应。AN的病程与mVEMP和cVEMP结果之间无显著相关性(> 0.05)。然而,发现AN患者mVEMP和cVEMP的肌电图矫正幅度之间存在显著相关性(< 0.05)。

结论

本研究结果提示AN患者的前庭 - 咬肌反射通路和球囊 - 颈反射通路功能受损。对于AN患者,前庭评估应作为常规检查项目的一部分。

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