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Comparison of chirp versus click and tone pip stimulation for cervical vestibular evoked myogenic potentials

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The current study explored differences among cervical vestibular evoked myogenic potentials (cVEMP) that were evoked by CE-chirp and click and tone pip in healthy controls, and tried to explain the differences of cVEMP between the three of them. Thirty normal volunteers were used as subjects for CE-chirp and click and tone-pip (Blackman pip) stimuli. The latency of P1, N1, peak-to-peak P1–N1 amplitude, and cVEMP interaural difference were obtained and analyzed. The response rates of cVEMP were 93 % for click and 100 % for both Blackman pip and CE-chirp, respectively. The P1 and N1 latencies of cVEMP evoked by CE-chirp were the shortest, followed by click, with Blackman pip the longest (F = 6,686.852, P < 0.001). All indices of cVEMP evoked by the three stimuli showed no significant difference between the left and right ears or between genders. cVEMP responses were significantly different between the three stimuli. Compared with the currently used stimulus, CE-chirp can evoke cVEMP with shorter latencies and demonstrates increased speed and reliability.

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References

  1. Akin FW, Murnane OD, Panus PC, Caruthers SK, Wilkinson AE, Proffitt TM (2004) The influence of voluntary tonic EMG level on the vestibular-evoked myogenic potential. J Rehabil Res 41:473–480

    Article  Google Scholar 

  2. Morufushi T, Curthuys IS (1997) Physiological and anatomicstudy of click-sensitive primary vestibular afferents in the guinea pig. Acta Otolaryngol 117:66–72

    Article  Google Scholar 

  3. Rauch SD (2006) Vestibular evoked myogenic potentials. Curr Opin Otolaryngol Head Neck Surg 14:299–304

    Article  PubMed  Google Scholar 

  4. Cheng PW, Huang TW, Young YH (2003) The influence of clicks versus short tone bursts on the vestibular evoked myogenic potentials. Ear Hear 24:195–197

    Article  PubMed  Google Scholar 

  5. Huang TW, Cheng PW, Su HC (2006) The influence of unilateral versus bilateral clicks on the vestibular-evoked myogenic potentials. Otol Neurotol 27:193–196

    Article  PubMed  Google Scholar 

  6. Murofushi T, Matsuzaki M, Wu CH (1999) Short tone burst-evoked myogenic potentials on the sternoclideomastoid muscle: are these potentials also of vestibular origin? Arch Otolaryngol Head Neck Surg 125:660–664

    Article  CAS  PubMed  Google Scholar 

  7. Cal R, Bahmad JF (2009) Vestibular evoked myogenic potentials: an overview. Braz J Otorhinolaryngol 75:456–462

    Article  PubMed  Google Scholar 

  8. Ozdek A, Bayır O, Tatar EC, Korkmaz MH (2012) Comparison of tone burst versus logon stimulation for vestibular evoked myogenic potentials. Eur Arch Otorhinolaryngol 269:1425–1429

    Article  PubMed  Google Scholar 

  9. Bekesy G (1952) Direct observation of the vibrations of the cochlear partition under a microscope. Acta Otolaryngol 42:197–201

    Google Scholar 

  10. Shore SE, Nuttall AL (1985) High-synchrony cochlear compound action potentials evoked by rising frequency-swept tone bursts. J Acoust Soc Am 78:1286–1295

    Article  CAS  PubMed  Google Scholar 

  11. Lütkenhöner B, Kauffmann G, Pantev C, Ross B (1990) Verbesserung der Synchronisation auditorisch evozierter Hirnstammpotentiale durch Verwendung eines die cochleären Laufzeitunterschiede kompensierenden Stimulus (Increased synchronization of the auditory brainstem response obtained by a stimulus which compensates for the cochlear delay). Arch Otolaryngol 2:157–159

    Google Scholar 

  12. Kristensen SG, Elberling C (2012) Auditory brainstem responses to level-specific chirps in normal-hearing adults. J Am Acad Audiol 23:712–721

    Google Scholar 

  13. Elberling C, Callø J, Don M (2010) Evaluating auditory brainstem responses to different chirp stimuli at three levels of stimulation. J Acoust Soc Am 128:215–223

    Google Scholar 

  14. Elberling C, Don M (2008) Auditory brainstem responses to a chirp stimulus designed from derived-band latencies in normal-hearing subjects. J Acoust Soc Am 124:3022–3037

    Google Scholar 

  15. Dau T, Wegner O, Mellert V, Kollmeier B (2000) Auditory brainstem responses with optimized chirp signals compensating basilar-membrane dispersion. J Acoust Soc Am 107:1530–1540

    Google Scholar 

  16. Lin YH, Ho HC, Wu HP (2009) Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss. Auris Nasus Larynx 36:140–145

    Google Scholar 

  17. Elberling C, Don M, Cebulla M, Stürzebecher E (2007) Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay. J Acoust Soc Am 122:2772–2785

    Google Scholar 

  18. Bohr A, Bernarding C, Strauss DJ, Corona-Strauss FI (2011) Effects of auditory selective attention on chirp evoked auditory steady state responses. Conf Proc IEEE Eng Med Biol Soc 2011:2013–2016

  19. Krempaska S, Koval J (2012) The role of vestibular evoked myogenic potentials (VEMPs) in vestibulopathy diagnostics. Bratisl Lek Listy 113:301–306

    Google Scholar 

  20. Viciana D, Lopez-Escamez JA (2012) Short tone bursts are better than clicks for cervical vestibular-evoked myogenic potentials in clinical practice. Eur Arch Otorhinolaryngol 269:1857–1863

    Google Scholar 

  21. Elberling C, Don M (2010) A direct approach for the design of chirp stimuli used for the recording of auditory brainstem responses. J Acoust Soc Am 128:2955–2964

    Google Scholar 

  22. Akin FW, Murnane OD, Proffitt TM (2003) The effects of click and tone-burst stimulus parameters on the vestibular evoked myogenic potential (VEMP). J Am Acad Audiol 14:500–509

    Google Scholar 

  23. Cheng PW, Murofushi T (2001) The effects of plateau time on vestibular-evoked myogenic potentials triggered by tone bursts. Acta Otolaryngologica 121:935–938

    Google Scholar 

  24. Colebatch JG, Halmagyi GMH (1992) Vestibular evoked potentials in human neck muscles before and after unilateral vestibular deafferentation. Neurology 42:1635–1636

    Google Scholar 

  25. Colebatch JG (2001) Vestibular evoked potentials. Curr Opin Neurol 14:21–26

    Google Scholar 

  26. McNerney KM, Burkard RF (2011) The vestibular evoked myogenic potential (VEMP): air- versus bone-conducted stimuli. Ear Hear 32:6–15

    Google Scholar 

  27. Tsutsumi T, Komatsuzaki A, Noguchi Y, Tokano H, Kitamura K (2001) Postoperative vestibular-evoked myogenic potentials in cases with vestibular schwannomas. Acta Otolaryngol  121:490–493

    Google Scholar 

  28. Al-Sebeih K, Zeitouni A (2002) Vestibular-evoked myogenic potentials as a test of otolith function. Med Princ Pract 11:136–140

    Google Scholar 

  29. Takegoshi H, Murofushi T (2003) Effect of white noise on vestibular evoked myogenic potentials. Hear Res 176:59–64

    Google Scholar 

  30. Kondrachuk AV (2000) Computer simulation of the mechanical stimulation of the saccular membrane of bullfrog. Hear Res 143:130–138

    Google Scholar 

  31. Arts HA, Adams ME, Telian SA, El-Kashlan H, Kileny PR (2009)Reversible electrocochleographic abnormalities in superior canal dehiscence. Otol Neurotol 30:79–86

  32. Modugno GC, Brandolini C, Cappello I, Pirodda A (2004) Bilateral dehiscence of the bony cochlear basal turn. Arch Otol Head Neck Surg 130:1427–1429

    Google Scholar 

  33. Gopen Q, Zhou G, Poe D, Kenna M, Jones D (2010) Posterior semicircular canal dehiscence: first reported case series. Otol Neurotol 31:339–344

    Google Scholar 

  34. Zhou G, Gopen Q, Kenna MA (2008) Delineating the hearing loss in children with enlarged vestibular aqueduct. Laryngoscope 118:2062–2066

    Google Scholar 

  35. Kerr AG (2005) Assessment of vertigo. Ann Acad Med Singapore 34:285–288

    Google Scholar 

  36. Perez N, Rama-Lopez J (2003) Head-impulse and caloric tests in patients with dizziness. Otol Neurotol 24:913–917

    Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, China

    Bo-Chen Wang, Yong Liang, Xiao-Long Liu, Jing Zhao, You-Li Liu, Yan-Fei Li, Wei Zhang & Qi Li

  2. Department of Otolaryngology-Head and Neck Surgery, The First People’s Hospital of Foshan City, Foshan, Guangdong, China

    Bo-Chen Wang

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  1. Bo-Chen Wang
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  2. Yong Liang
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  3. Xiao-Long Liu
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  4. Jing Zhao
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  5. You-Li Liu
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  6. Yan-Fei Li
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  7. Wei Zhang
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  8. Qi Li
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Correspondence to Yong Liang.

Additional information

B.-C. Wang and Y. Liang contributed equally to this work.

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Wang, BC., Liang, Y., Liu, XL. et al. Comparison of chirp versus click and tone pip stimulation for cervical vestibular evoked myogenic potentials. Eur Arch Otorhinolaryngol 271, 3139–3146 (2014). https://doi.org/10.1007/s00405-013-2724-5

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  • DOI: https://doi.org/10.1007/s00405-013-2724-5

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