Masseter Vestibular evoked myogenic potentials: A new tool to assess the vestibulomasseteric reflex pathway

IF 1.4 Q2 OTORHINOLARYNGOLOGY
Aishwarya Nagarajan, Sujeet Kumar Sinha
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引用次数: 0

Abstract

Purpose

This review article provides the readers with an in-depth insight in understanding and interpreting various research literatures on the masseter vestibular evoked myogenic potentials (mVEMP). The article also reviews the contemporary researches involving the clinical applications of the mVEMP.

Conclusions

Masseter VEMP is an evolving yet clinically promising neuro-otology test tool that has recently gained more research interest and is considered an additional tool to diagnose various vestibular disorders. Masseter VEMP assesses the functional integrity of the acoustic-masseteric and vestibulo-masseteric reflex pathways. The mVEMP could be used as a complementary test to evaluate the same peripheral generator as the cervical VEMP but a different central pathway i.e., vestibulo-trigeminal pathway. Various research studies that have experimented on parameters such as the effect of different electrode montages (zygomatic vs mandibular configurations), stimulation rates, filter settings and stimuli used to evoke mVEMP have been discussed in this article that could assist in the optimization of a comprehensive clinical protocol. The latency and the amplitude of mVEMP waveforms serve as significant parameters in differentiating normals from those of the clinical populations. Along with the cVEMPs and oVEMPs, mVEMP might help diagnose brainstem lesions in REM Sleep behaviour disorders, Multiple Sclerosis and Parkinson's disease. However, further studies are required to probe in this area of research.

按摩前庭诱发肌源性电位:评估前庭臀反射通路的新工具
目的 本综述文章为读者提供了深入了解和解读有关颌间肌前庭诱发肌源性电位(mVEMP)的各种研究文献的途径。文章还回顾了涉及 mVEMP 临床应用的当代研究。结论Masseter VEMP 是一种不断发展但临床前景广阔的神经otology 测试工具,最近获得了更多的研究兴趣,并被认为是诊断各种前庭疾病的额外工具。颌前肌电图可评估声-颌前肌和前庭-颌前肌反射通路的功能完整性。mVEMP 可作为一种补充测试,用于评估与颈椎 VEMP 相同的外周发生器,但不同的中央通路,即前庭-三叉神经通路。本文讨论了对不同电极组合(颧骨与下颌配置)、刺激率、滤波器设置和用于诱发 mVEMP 的刺激物的影响等参数进行试验的各种研究,这些研究有助于优化综合临床方案。mVEMP 波形的延迟和振幅是区分正常人和临床人群的重要参数。与 cVEMPs 和 oVEMPs 一样,mVEMP 可能有助于诊断快速眼动睡眠行为障碍、多发性硬化症和帕金森病的脑干病变。不过,在这一研究领域还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Otology
Journal of Otology Medicine-Otorhinolaryngology
CiteScore
2.70
自引率
0.00%
发文量
461
审稿时长
18 days
期刊介绍: Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.
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