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Published on: March 3, 2018
[Myotonia-rectified bone-conducted vibration vestibular evoked myogenic potential in normal adults]
Jiali Shen1, Yulian Jin1, Xiaobao Ma1
1Department of Otolaryngology Head and Neck Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai Jiaotong University Ear Institute,Shanghai Key Laboratory of Translational Medicine in Ear and Nose Disease,Shanghai,200092,China.
Abstract:
Objective:To study the characteristics of bone-conducted vibration vestibular evoked myogenic potential(BCV-VEMP) in normal adult with and without myotonia rectification, and to provide accurate reference for clinical vestibular function evaluation. Methods:Thirty normal adults(60 ears) aged 20-32 years old were selected to receive BCV-VEMP in a sitting position. BCV-VEMP were induced by B-81 bone-conducted vibrator at 129.5 FL, the P1 latency, N1 latency, P1-N1interval, amplitude, and amplitude asymmetry ratios were recorded in two test conditions. Results:Clear and repeatable waveforms of BCV-cVEMP and BCV-oVEMP were obtained in all normal adults. The P1 and N1 latencies of BCV-cVEMP were(16.00±2.02) ms and(25.04±2.57) ms, respectively, P1-N1 interval was(9.04±1.78) ms. The N1 and P1 latencies of BCV-oVEMP were(10.39±0.81) ms and(15.85±1.00) ms, respectively, iand interval was(5.46±0.86) ms. The amplitudes of BCV-cVEMP and BCV-oVEMP in two test conditions were statistically significant(P<0.05). The amplitude asymmetry ratios of BCV-cVEMP and BCV-oVEMP after rectification were (17.03±9.14)% and (20.43±11.65)%, respectively. Conclusion:BCV-VEMP is a feasible and reliable tool for vestibular function assessment. The establishment of a normal values such as amplitude and amplitude asymmetry ratio after rectification can provide a more reliable and accurate reference.
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