Cervical and ocular vestibular evoked myogenic potentials in Behcet’s disease

Abstract Objective To investigate vestibular evoked myogenic potentials combined with audiologic status in Behcet’s disease (BD) and to compare the results with normal healthy subjects. Methods Cervical vestibular evoked myogenic potential (cVEMP) test, ocular vestibular evoked myogenic potential (o...

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Bibliographic Details
Published in:American journal of otolaryngology 2015-07, Vol.36 (4), p.503-508
Main Authors: Bayram, Ali, MD, Doğan, Murat, MD, Koç, Ali, MD, Kalkan, Mehmet, MD, Akçadağ, Alper, PhD, Özcan, İbrahim, MD
Format: Article
Language:English
Subjects:
Acoustic Stimulation
Adolescent
Adult
Age
Audiometry, Pure-Tone
Behcet Syndrome - diagnosis
Behcet Syndrome - physiopathology
Electrodes
Electromyography
Family medical history
Female
Hearing loss
Hospitals
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Nervous system
NMR
Nuclear magnetic resonance
Otolaryngology
Surgery
Vestibular Evoked Myogenic Potentials - physiology
Vestibule, Labyrinth - physiopathology
Young Adult
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Summary:Abstract Objective To investigate vestibular evoked myogenic potentials combined with audiologic status in Behcet’s disease (BD) and to compare the results with normal healthy subjects. Methods Cervical vestibular evoked myogenic potential (cVEMP) test, ocular vestibular evoked myogenic potential (oVEMP) test, Dix–Hallpike test, conventional pure tone audiometry (cPTA) and high frequency audiometry (HFA), and 226 and 1000 Hz tympanometry were performed to each subject of the study. Cranial magnetic resonance imaging (MRI) with contrast enhancement was also performed to evaluate the central nervous system (CNS) in patients with BD. Results VEMP parameters including the mean peak latencies of p13-n23 and n10-p15, AR values and thresholds were not statistically different both in cVEMP and oVEMP between the BD and control groups. Except for 250 Hz, mean audiological thresholds were significantly higher in the BD group. Five of the 20 patients had pathological cranial MRI findings that may be compatible with central nervous system involvement. Conclusion To our knowledge, the present study is the first report investigating oVEMP and cVEMP responses combined with MRI findings in patients with BD. The presence of high frequency hearing loss is a common finding in BD and HFA may help early detection of hearing loss in patients with BD when combined with cPTA.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2015.03.004