Skip to main content

Disorders of the Central Nervous System and VEMPs: Detecting Lesions in the Vestibulospinal Pathway

  • Chapter
Vestibular Evoked Myogenic Potential
  • 911 Accesses

Abstract

As vestibular evoked myogenic potential (VEMP) testing has been regarded as a clinical test of the saccule and its afferents, it has been mainly applied to diseases of the peripheral vestibular system. However, because the neural pathway of VEMPs includes the vestibulospinal tract in the brainstem, it could also detect disorders in the vestibulospinal tract, especially the medial vestibulospinal tract. The application of VEMP testing to diseases that mainly affect the central nervous system (CNS) are discussed in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Olek MJ, Dawson DM (2004) Multiple sclerosis and other inflammatory demyelinating diseases of the central nervous system. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J (eds) Neurology in clinical practice. 4th edn. Butterworth Heinemann, Philadelphia, pp 1631–1664

    Google Scholar 

  2. McDonald WI, Compston A, Edan G, et al (2001) Recommended diagnostic criteria for multiple sclerosis: guidelines from the International Panel on the Diagnosis of Multiple Sclerosis. Ann Neurol 50:121–127

    Article  PubMed  CAS  Google Scholar 

  3. Chiappa KH (1988) Use of evoked potentials for diagnosis of multiple sclerosis. Neurol Clin 6:1–88

    Google Scholar 

  4. Kalkers NS, Strijers RLM, Jasperse MMS, et al (2007) Motor evoked potential: a reliable and objective measure to document the functional consequences of multiple sclerosis? Relation to disability and MRI. Clin Neurophysiol 138:1332–1340

    Article  Google Scholar 

  5. Shimizu K, Murofushi T, Sakurai M, et al (2000) Vestibular evoked myogenic potentials in multiple sclerosis. J Neurol Neurosurg Psychiatry 69:276–277

    Article  PubMed  CAS  Google Scholar 

  6. Murofushi T, Shimizu K, Takegoshi H, et al (2001) Diagnostic value of prolonged latencies in the vestibular evoked myogenic potentials. Arch Otolaryngol Head Neck Surg 127:1069–1072

    PubMed  CAS  Google Scholar 

  7. Versino M, Colnaghi S, Callieco R, et al (2002) Vestibular evoked myogenic potentials in multiple sclerosis patients. Clin Neurophysiol 13:1464–1469

    Article  Google Scholar 

  8. Bandini F, Beronio A, Ghiglione E, et al (2004) The diagnostic value of vestibular evoked myogenic potentials in multiple sclerosis. J Neurol 251:617–621

    Article  PubMed  CAS  Google Scholar 

  9. Rosengren SM, Nogajski JH, Cremer PD, et al (2007) Delayed vestibular evoked responses to the eyes and neck in a patient with an isolated brainstem lesion. Clin Neurophysiol 118:2112–2116

    Article  PubMed  Google Scholar 

  10. Subramony SH (2004) Disorders of the cerebellum, including the degenerative ataxias. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J (eds) Neurology in clinical practice. 4th edn. Butterworth Heinemann, Philadelphia, pp 2167–2187

    Google Scholar 

  11. Takegoshi H, Murofushi T (2000) Vestibular evoked myogenic potentials in patients with spinocerebellar degeneration. Acta Otolaryngol 120:821–824

    Article  PubMed  CAS  Google Scholar 

  12. Murofushi T, Mizuno M, Hayashida T, et al (1995) Neuro-otological and neuropathological findings in two cases of Machado-Joseph disease. Acta Otolaryngol (Stockh) 520:S136–S139

    Article  Google Scholar 

  13. Gordon CR, Joffe V, Vainstein G, et al (2003) Vestibulo-ocular arreflexia in families with spinocerebellar ataxia type 3 (Machado-Joseph disease). J Neurol Neurosurg Psychiatry 74:1403–1406

    Article  PubMed  CAS  Google Scholar 

  14. Kinoshita A, Hayashi M, Oda M, et al (1995) Clinicopathological study of the peripheral nervous system in Machado-Joseph disease. J Neurol Sci 130:48–58

    Article  PubMed  CAS  Google Scholar 

  15. Itoh A, Kim YS, Yoshida K, et al (2001) Clinical study of vestibular evoked myogenic potentials and auditory brainstem responses in patients with brainstem lesions. Acta Otolaryngol 545:S116–S119

    Article  Google Scholar 

  16. Chen CH, Young YH (2003) Vestibular evoked myogenic potentials in brainstem stroke. Laryngoscope 113:990–993

    Article  PubMed  Google Scholar 

  17. Pollak L, Kushnir M, Stryjer R (2006) Diagnostic value of vestibular evoked myogenic potentials in cerebellar and lower-brainstem strokes. Neurophysiol Clin 36:227–233

    Article  PubMed  CAS  Google Scholar 

  18. Brandt T (1999) Vertigo. 2nd edn. Springer-Verlag, London

    Google Scholar 

  19. Dieterich M, Brandt T (1992) Wallenberg’s syndrome: lateropulsion, cyclorotation and subjective visual vertical in 36 patients. Ann Neurol 31:399–408

    Article  PubMed  CAS  Google Scholar 

Download references

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer

About this chapter

Cite this chapter

(2009). Disorders of the Central Nervous System and VEMPs: Detecting Lesions in the Vestibulospinal Pathway. In: Vestibular Evoked Myogenic Potential. Springer, Tokyo. https://doi.org/10.1007/978-4-431-85908-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-85908-6_11

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-85907-9

  • Online ISBN: 978-4-431-85908-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics