Research in Vestibular Science

Jinil Kim

2 Articles

Clinical Application and Updates on Vestibular Evoked Myogenic Potential: Proposal for Future Development in Vestibulopathy: Myung-Whan Suh, Jinil Kim; Res Vestib Sci. 2018;17(3):71-78. Published online September 18, 2018; DOI: https://doi.org/10.21790/rvs.2018.17.3.71

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Both cervical vestibular evoked myogenic potential (cVEMP) and ocular VEMP (oVEMP) are irreplaceable tools in the current vestibular science, but they have many drawbacks. For example, the test-retest reliability of the asymmetry ratio is inadequate for both tests. The American Academy of Neurology noted that there is insufficient evidence to determine whether cVEMP and oVEMP can accurately identify vestibular function specifically related to the saccule/utricle. One of the most important factors underlying the variability of cVEMP seems to be the control of, and compensation for, baseline muscle contraction power. Reasons for variability in oVEMP include a poor signal to noise ratio, the angle of superior gaze, effective and controlled presentation of stimuli, intracranial pressure, and electrode location. Many of these shortcomings could be improved by further development of recording methods and devices. This article examines the reasons for the insufficient reliability of VEMP and proposes avenues for improvement of VEMP recording systems.

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Citations to this article as recorded by

Difference of Cervical Vestibular Evoked Myogenic Potentials between Bone-Conduction and Air-Conduction in Patients with Nonspecific Dizziness
Yong-Hwi An, Jung Ho Choi, Seung Yeon Jeon, Hyun Joon Shim
Research in Vestibular Science.2022; 21(4): 93. CrossRef
A Case of Patient with Acute Peripheral Vestibulopathy Involving Isolated Posterior Semicircular Canal
Sang Kwon Im, Mee Hyun Song, Ja Won Gu, Dae Bo Shim
Research in Vestibular Science.2019; 18(4): 128. CrossRef

Clinical Application and Updates on Vestibular Evoked Myogenic Potential: Proposal for Future Development in Vestibulopathy: Myung-Whan Suh, Jinil Kim; Received August 12, 2018 Accepted August 28, 2018 Published online August 28, 2018; [Accepted]

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Abstract: Both cervical vestibular evoked myogenic potential (cVEMP) and ocular VEMP (oVEMP) are irreplaceable tools in the current vestibular science, but they have many drawbacks. For example, the test–retest reliability of the asymmetry ratio is inadequate for both tests. The American Academy of Neurology noted that there is insufficient evidence to determine whether cVEMP and oVEMP can accurately identify vestibular function specifically related to the saccule/utricle. One of the most important factors underlying the variability of cVEMP seems to be the control of, and compensation for, baseline muscle contraction power. Reasons for variability in oVEMP include a poor signal to noise ratio, the angle of superior gaze, effective and controlled presentation of stimuli, intracranial pressure, and electrode location. Many of these shortcomings could be improved by further development of recording methods and devices. This article examines the reasons for the insufficient reliability of VEMP and proposes avenues for improvement of VEMP recording systems.

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