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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Al-Azhar University, Faculty of Medicine (Damietta)
2020
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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) |
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multiple sclerosis [ms] vestibular evoked myogenic potential [vemp] cervical vestibular function ocular Medicine (General) R5-920 |
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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 |
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_version_ |
1718392405639561216 |