前庭诱发肌源性电位临床应用的研究现状
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摘要
前庭诱发肌源性电位(Vestibular Evoked Myogenic Potentials,VEMPs)是通过刺激微纹区的Ⅰ型毛细胞所产生的一种肌源性反应,主要反映球囊、椭圆囊的功能及前庭颈、前庭眼反射通路的完整性。VEMPs目前主要应用于前庭、中枢相关疾病的诊断及鉴别诊断,本文将就其信号产生、参数正常值及临床应用的研究进展进行综述。
Vestibular Evoked Myogenic Potentials(VEMPs) are myogenic responses to stimulation of type I hair cells in the striola and reflect mainly function of the utricule and saccule, as well as the integrity of the vestibulo-collic reflex and vestibulo-ocular reflex pathways. VEMPs are mainly used in the diagnosis of vestibular and central nervous system diseases. This paper summarizes research progress regarding signal generation, normal parameters and clinical application of VEMPs.
Vestibular Evoked Myogenic Potentials(VEMPs) are myogenic responses to stimulation of type I hair cells in the striola and reflect mainly function of the utricule and saccule, as well as the integrity of the vestibulo-collic reflex and vestibulo-ocular reflex pathways. VEMPs are mainly used in the diagnosis of vestibular and central nervous system diseases. This paper summarizes research progress regarding signal generation, normal parameters and clinical application of VEMPs.
引文
1 Rosengren SM,Welgampola MS,Colebatch JG.Vestibular evoked myogenic potentials:past,present and future[J].Clinical neurophysiology,2010,121(5):636-651.
2 Rosengren SM,Colebatch JG.The Contributions of vestibular evoked myogenic potentials and acoustic vestibular stimulation to our understanding of the vestibular system[J].Frontiers in Neurology,2018,9:481.
3 Fife TD,Colebatch JG,Kerber KA,et al.Practice guideline:Cervical and ocular vestibular evoked myogenic potential testing[J].American Academy of Neurology,2017,89:1-9.
4 Curthoys IS,Kim J,Mc Phedran SK.Bone conducted vibration electively activates irregular primary otolithic vestibular neurons in the guinea pig[J].Experimental brain research,2006,175(2):256-267.
5 Curthoys IS,Vulovic V,Burgess AM,et al.The response of guinea pig primary utricular and saccular irregular neurons to bone-conducted vibration(BCV)and air-conducted sound(ACS)[J].Hearing research,2016,331:131-143.
6 Curthoys IS,Vulovic V,Sokolic L,et al.Irregular primary otolith afferents from the guinea pig utricular and saccular maculae respond to both bone conducted vibration and to air conducted sound[J].Brain Research Bulletin,2012,89(1-2):16-21.
7 Curthoys IS,Grant JW.How does high-frequency sound or vibration activate vestibular receptors?[J].Experimental Brain Research,2015,233(3):691-699.
8 Pastras CJ,Curthoys IS,Brown DJ.Dynamic response to sound and vibration of the guinea pig utricular macula,measured in vivo using Laser Doppler Vibrometry[J].Hearing research,2018,370:232-237.
9 Curthoys IS.The new vestibular stimuli:sound and vibrationanatomical,physiological and clinical evidence[J].Experimental Brain Research,2017,235(4):957-972.
10 Grant W,Curthoys I.Otoliths-accelerometer and seismometer;implications in vestibular evoked myogenic potential(VEMP)[J].Hearing Research,2017,353:26-35.
11王博琛,梁勇.颈部前庭诱发肌源性电位的影响因素[J].中华耳科学杂志,2012,10(4):541-545.Wang BC,Liang Y.Influence factors of cervical vestibular evoked potential[J].Chinese Journal of Otology.2012,10(4):541-544.
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18 Sparacia G,Iaia A.Diagnostic performance of reformatted isotropic thin-section helical CT images in the detection of superior semicircular canal dehiscence[J].Neuroradiol J,2017,30(3):216-221.
19 Chilvers G,Mckay-Davies I.Recent advances in superior semicircular canal dehiscence syndrome[J].The Journal of Laryngology&Otology,2015,129(3):217-225.
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2 Rosengren SM,Colebatch JG.The Contributions of vestibular evoked myogenic potentials and acoustic vestibular stimulation to our understanding of the vestibular system[J].Frontiers in Neurology,2018,9:481.
3 Fife TD,Colebatch JG,Kerber KA,et al.Practice guideline:Cervical and ocular vestibular evoked myogenic potential testing[J].American Academy of Neurology,2017,89:1-9.
4 Curthoys IS,Kim J,Mc Phedran SK.Bone conducted vibration electively activates irregular primary otolithic vestibular neurons in the guinea pig[J].Experimental brain research,2006,175(2):256-267.
5 Curthoys IS,Vulovic V,Burgess AM,et al.The response of guinea pig primary utricular and saccular irregular neurons to bone-conducted vibration(BCV)and air-conducted sound(ACS)[J].Hearing research,2016,331:131-143.
6 Curthoys IS,Vulovic V,Sokolic L,et al.Irregular primary otolith afferents from the guinea pig utricular and saccular maculae respond to both bone conducted vibration and to air conducted sound[J].Brain Research Bulletin,2012,89(1-2):16-21.
7 Curthoys IS,Grant JW.How does high-frequency sound or vibration activate vestibular receptors?[J].Experimental Brain Research,2015,233(3):691-699.
8 Pastras CJ,Curthoys IS,Brown DJ.Dynamic response to sound and vibration of the guinea pig utricular macula,measured in vivo using Laser Doppler Vibrometry[J].Hearing research,2018,370:232-237.
9 Curthoys IS.The new vestibular stimuli:sound and vibrationanatomical,physiological and clinical evidence[J].Experimental Brain Research,2017,235(4):957-972.
10 Grant W,Curthoys I.Otoliths-accelerometer and seismometer;implications in vestibular evoked myogenic potential(VEMP)[J].Hearing Research,2017,353:26-35.
11王博琛,梁勇.颈部前庭诱发肌源性电位的影响因素[J].中华耳科学杂志,2012,10(4):541-545.Wang BC,Liang Y.Influence factors of cervical vestibular evoked potential[J].Chinese Journal of Otology.2012,10(4):541-544.
12于澜,赵苗苗,李清溪,等.EMG修正对颈部及眼部前庭诱发肌源性电位的影响[J].中华耳科学杂志,2017,15(2):147-152.Yu L,Zhao MM,Li QX,et al.Effects of EMG rectification on cervical and ocular vestibular evoked myogenic potentials[J].Chinese Journal of Otology,2017,15(2):147-152.
13牛晓蓉,张青,韩鹏,等.不伴眩晕的突发性感音神经性耳聋患者隐匿的前庭机能障碍研究[J].四川大学学报(医学版),2015,46(3):426-430.Niu XR,Zhang Q,Han P,et al.Vestibular dysfunctionin patients with sudden sensorineural hearing loss without vertigo[J].Sichuan Univ(Med Sci Edi).2015,46(3):426-430.
14韩朝,田亮,王璟,等.颈性前庭诱发肌源性电位正常值及影响因素的探讨[J].中国眼耳鼻喉科杂志,2015,15(2):101-104.Han C,Tian L,Wang J,et al.Normal values of cervical vestibular evoked myogenic potential and its influence factors[J].Chinese Journal of Ophthalmology and Otorhinolaryngology.2015,15(2):101-104.
15王佩杰,罗伟,陆小燕,等.健康青年人气导短纯音诱发的眼肌前庭诱发肌源性电位[J].临床耳鼻咽喉头颈外科杂志,2014(19):1495-1498.Wang PJ,Luo W,Lu XY,et al.Normal value of air-conducted ocular evoked myogenic potential in young people[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery.2014,28(19):1495-1498
16 Mau C,Kamal N,Badeti S,et al.Superior semicircular canal dehiscence:diagnosis and management[J].Journal of Clinical Neuroscience,2018,48:58-65.
17 Taylor RL,Bradshaw AP,Halmagyi GM,et al.Tuning characteristics of ocular and cervical vestibular evoked myogenic potentials in intact and dehiscent ears[J].Audiol Neurotol,2012,17(4):207-218.
18 Sparacia G,Iaia A.Diagnostic performance of reformatted isotropic thin-section helical CT images in the detection of superior semicircular canal dehiscence[J].Neuroradiol J,2017,30(3):216-221.
19 Chilvers G,Mckay-Davies I.Recent advances in superior semicircular canal dehiscence syndrome[J].The Journal of Laryngology&Otology,2015,129(3):217-225.
20 Mehta R,Klumpp ML,Spear SA,et al.Subjective and objective findings in patients with true dehiscence versus thin bone over the superior semicircular canal[J].Otology&Neurotology,2015,36(2):289-294.
21 Hunter JB,O’Connell BP,Wang J,et al.Correlation of superior canal dehiscence surface area with vestibular evoked myogenic potentials,audiometric thresholds,and dizziness handicap[J].Otology&Neurotology,2016,37(8):1104-1110.
22 Skori?MK,Adamec I,Pavi?i?T,et al.Vestibular evoked myogenic potentials and video head impulse test in patients with vertigo,dizziness and imbalance[J].Journal of Clinical Neuroscience,2017,39:216-220.
23 Shin BS,Oh SY,Kim JS,et al.Cervical and ocular vestibular-evoked myogenic potentials in acute vestibular neuritis[J].Clinical Neurophysiology Official Journal of the International Federation of Clinical Neurophysiology,2012,123(2):369-375.
24 Xu H,Liang F,Chen L,et al.Evaluation of the utricular and saccular function using o VEMPs and c VEMPs in BPPV patients[J].Journal of Otolaryngology-Head&Neck Surgery,2016,45(1):12.
25 Singh NK,Apeksha K.Efficacy of cervical and ocular vestibular-evoked myogenic potentials in evaluation of benign paroxysmal positional vertigo of posterior semicircular canal[J].European Archives of Oto-Rhino-Laryngology,2016,273(9):2523-2532.
26 Kim EJ,Oh SY,Kim JS,et al.Persistent otolith dysfunction even after successful repositioning in benign paroxysmal positional vertigo[J].Journal of the Neurological Sciences,2015,358(1-2):287-293.
27 Mende?T,Maslovara S,V?eva A,et al.Role of vestibular evoked myogenic potentials as an indicator of recovery in patients with benign paroxysmal positional vertigo[J].Acta Clinica Croatica,2017,56(4):756-764.
28 Okuno T,Sando I.Localization,frequency,and severity of endolymphatic hydrops and the pathology of the labyrinthine membrane in Meniere’s disease[J].Ann Otol Rhinol Laryngol,1987,96(4):438-445.
29 Okumura T,Imai T,Takimoto Y,et al.Assessment of endolymphatic hydrops and otolith function in patients with Meniere’s disease[J].Eur Arch Otorhinolaryngol,2017,274:1413-1421.
30吴子明,张素珍.前庭诱发肌源电位应用在中国15年[J].中华耳科学杂志,2016,14(4):442-445.Wu ZM,Zhang SZ.The application of vestibular evoked myogenic potential(VEMP)in the past 15 years in China[J].Chinese Journal of Otology,2016,14(4):442-445.
31 Salviz M,Yuce T,Karatas A,et al.Diagnostic value of frequency-associated vestibular-evoked myogenic potential responses in Ménière’s disease[J].Audiol Neurotol,2015,20(4):229-236.
32 Jerin C,Berman A,Krause E,et al.Ocular vestibular evoked myogenic potential frequency tuning in certain Menière’s disease[J].Hearing Research,2014,310:54-59.
33 Chen L,Xu H,Wang WQ,et al.Evaluation of the otolith function using c/o VEMPs in patients with Ménière's disease[J].Journal of otolaryngology-head&neck surgery,2016,45(1):39.
34 Manzari L,Tedesco AR,Burgess AM.Ocular and cervical vestibular-evoked myogenic potentials to bone conducted vibration in Ménière's disease during quiescence vs during acute attacks[J].Clinical neurophysiology:official journal of the International Federation of Clinical Neurophysiology,2010,121(7):1092-1101.
35 Oz I,Erbek SH,Alp G,et al.Glycerol affects vestibular-evoked myogenic potentials and pure-tone hearing in patients with Ménière’s disease[J].Acta Oto-Laryngologica.2015,135(2):111-118.
36 Valame DA,Gore GB.Role of cervical vestibular evoked myogenic potentials(c VEMP)as outcome-measure of glycerol test[J].Indian Journal of Otolaryngology&Head&Neck Surgery,2018:1-9.
37 Yazdani N,Nejadian F,Rezazadeh N,et al.The follow-up role of the vestibular evoked myogenic potential test in Meniere’s disease[J].Acta Med Iran,2018,56(1):43-48.
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