Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)

Background: Involvement of the brainstem in multiple sclerosis [MS] has significant implications on the disease course and can be presented with different symptoms. There are many tests able to detect brain-stem involvement in MS with various degrees of success. Aim of the work: To study the changes...

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Autores principales: Alaa Ameen Hamed, Amal Elsebaie Beshr, Reda Mohamed Behairy, Iman Ibrahim Eladawy
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Lenguaje:EN
Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/ca9e878ba1c246c185b62d31b0b48746
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spelling oai:doaj.org-article:ca9e878ba1c246c185b62d31b0b487462021-12-02T13:52:45ZVestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)2636-41742682-378010.21608/ijma.2020.27101.1119https://doaj.org/article/ca9e878ba1c246c185b62d31b0b487462020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_94557_2c4b040689225d8a3d1a8a5ed18e1a26.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Involvement of the brainstem in multiple sclerosis [MS] has significant implications on the disease course and can be presented with different symptoms. There are many tests able to detect brain-stem involvement in MS with various degrees of success. Aim of the work: To study the changes in vestibular evoked myogenic potential [VEMP], in patients with MS, and to detect its sensitivity for detection of the brain-stem lesions previously diagnosed with magnetic resonance imaging [MRI] in MS patients. Patients and Methods: Sixty participants had been enrolled and divided into two groups: 30 healthy subjects [Control group] and 30 MS patients [Study group]. Both groups had been subjected to otological examinations, pure tone audiometry, acoustic impedance, cervical vestibular evoked myogenic potential [cVEMP], ocular vestibular evoked myogenic potential [oVEMP] and MRI.  Results: In MS group, oVEMP mean latencies of n1 and p1 and cVEMP mean p13 and n23 latencies were significantly prolonged. In addition, 14 MS patients [46.7%] had brainstem lesions as confirmed by MRI. Finally, oVEMP test had higher sensitivity than the cVEMP in prediction of brainstem lesions. Conclusion: oVEMP seems to be useful and more sensitive than cVEMP as an adjunct test in the evaluation of brain-stem dysfunction in MS patients.Alaa Ameen HamedAmal Elsebaie BeshrReda Mohamed BehairyIman Ibrahim EladawyAl-Azhar University, Faculty of Medicine (Damietta)articlemultiple sclerosis [ms]vestibular evoked myogenic potential [vemp]cervicalvestibular functionocularMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 547-553 (2020)
institution DOAJ
collection DOAJ
language EN
topic multiple sclerosis [ms]
vestibular evoked myogenic potential [vemp]
cervical
vestibular function
ocular
Medicine (General)
R5-920
spellingShingle multiple sclerosis [ms]
vestibular evoked myogenic potential [vemp]
cervical
vestibular function
ocular
Medicine (General)
R5-920
Alaa Ameen Hamed
Amal Elsebaie Beshr
Reda Mohamed Behairy
Iman Ibrahim Eladawy
Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)
description Background: Involvement of the brainstem in multiple sclerosis [MS] has significant implications on the disease course and can be presented with different symptoms. There are many tests able to detect brain-stem involvement in MS with various degrees of success. Aim of the work: To study the changes in vestibular evoked myogenic potential [VEMP], in patients with MS, and to detect its sensitivity for detection of the brain-stem lesions previously diagnosed with magnetic resonance imaging [MRI] in MS patients. Patients and Methods: Sixty participants had been enrolled and divided into two groups: 30 healthy subjects [Control group] and 30 MS patients [Study group]. Both groups had been subjected to otological examinations, pure tone audiometry, acoustic impedance, cervical vestibular evoked myogenic potential [cVEMP], ocular vestibular evoked myogenic potential [oVEMP] and MRI.  Results: In MS group, oVEMP mean latencies of n1 and p1 and cVEMP mean p13 and n23 latencies were significantly prolonged. In addition, 14 MS patients [46.7%] had brainstem lesions as confirmed by MRI. Finally, oVEMP test had higher sensitivity than the cVEMP in prediction of brainstem lesions. Conclusion: oVEMP seems to be useful and more sensitive than cVEMP as an adjunct test in the evaluation of brain-stem dysfunction in MS patients.
format article
author Alaa Ameen Hamed
Amal Elsebaie Beshr
Reda Mohamed Behairy
Iman Ibrahim Eladawy
author_facet Alaa Ameen Hamed
Amal Elsebaie Beshr
Reda Mohamed Behairy
Iman Ibrahim Eladawy
author_sort Alaa Ameen Hamed
title Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)
title_short Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)
title_full Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)
title_fullStr Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)
title_full_unstemmed Vestibular Evoked Myogenic Potential in Multiple Sclerosis (MS)
title_sort vestibular evoked myogenic potential in multiple sclerosis (ms)
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/ca9e878ba1c246c185b62d31b0b48746
work_keys_str_mv AT alaaameenhamed vestibularevokedmyogenicpotentialinmultiplesclerosisms
AT amalelsebaiebeshr vestibularevokedmyogenicpotentialinmultiplesclerosisms
AT redamohamedbehairy vestibularevokedmyogenicpotentialinmultiplesclerosisms
AT imanibrahimeladawy vestibularevokedmyogenicpotentialinmultiplesclerosisms
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