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Is the Auditory Brainstem Response Diagnostic for Vestibular Paroxysmia?
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Ju Han Lee, Sung-Kwang Hong, Hyung-Jong Kim, Hyo-Jeong Lee
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Res Vestib Sci. 2018;17(2):55-59. Published online June 15, 2018
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DOI: https://doi.org/10.21790/rvs.2018.17.2.55
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Abstract
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- Objectives
Vestibular paroxysmia (VP) of the eighth cranial nerve is characterized by recurrent auditory and vestibular disturbances when a proximal part of the eighth cranial nerve is continuously pressed by a vessel. A detailed history and several ancillary diagnostic tools, such as tinnitogram, caloric test, auditory brainstem response (ABR) and magnetic resonance imaging, are used for diagnosis of VP. Among them, although Møller criteria using ABR is a simple method, the previous study is insufficient. Therefore, this study aimed to evaluate ABR’s diagnostic value of VP.
Methods ABR records of the 14 patients (patient group) who were diagnosed with VP and 45 patients (as control) who were diagnosed with only tinnitus were reviewed retrospectively. We analyzed the differences in Møller criteria between 2 groups.
Results Mean age of the patient group was 52.9 years old and the control group was 55.4 years old. As compared with the control group, there were no significant differences of Møller 3 criteria contents (peak II wave amplitude<33% [35.7% vs. 15.5%, p=0.133], interpeak latency I–III ≥2.3 msec [42.8% vs. 35.5%, p=0.622]), Contralateral interpeak latency III–V ≥2.2 msec (0% vs. 4.4%, p=1.000) in patient group.
Conclusion There was no significant difference of ABR parameters according to the Møller criteria between patient and control groups.
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Citations
Citations to this article as recorded by
- Application of ABR in pathogenic neurovascular compression of the 8th cranial nerve in vestibular paroxysmia
Huiying Sun, Xu Tian, Yang Zhao, Hong Jiang, Zhiqiang Gao, Haiyan Wu Acta Neurochirurgica.2022; 164(11): 2953. CrossRef - The Effects of Different Reference Methods on Decision-Making Implications of Auditory Brainstem Response
Zhenzhen Liu, Xin Wang, Mingxing Zhu, Yuchao He, Lin Li, Li Chen, Weimin Huang, Zhilong Wei, Shixiong Chen, Yan Chen, Guanglin Li, Plácido R. Pinheiro Computational and Mathematical Methods in Medicine.2022; 2022: 1. CrossRef - The Effects of Random Stimulation Rate on Measurements of Auditory Brainstem Response
Xin Wang, Mingxing Zhu, Oluwarotimi Williams Samuel, Xiaochen Wang, Haoshi Zhang, Junjie Yao, Yun Lu, Mingjiang Wang, Subhas Chandra Mukhopadhyay, Wanqing Wu, Shixiong Chen, Guanglin Li Frontiers in Human Neuroscience.2020;[Epub] CrossRef
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Is the ABR diagnostic for Vestibular Paroxysmia?
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Ju Han Lee, Sung-Kwang Hong, Hyung-Jong Kim, Hyo-Jeong Lee
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Received April 9, 2018 Accepted June 3, 2018 Published online June 3, 2018
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[Accepted]
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Abstract
- Objectives
Vestibular paroxysmia (VP) of the eighth cranial nerve is characterized by recurrent auditory and vestibular disturbances when a proximal part of the eighth cranial nerve is continuously pressed by a vessel. A detailed history and several ancillary diagnostic tools, such as tinnitogram, caloric test, auditory brainstem response (ABR) and MRI, are used for diagnosis of VP. Among them, although Møller’s criteria using ABR is a simple method, the previous study is insufficient. Therefore, this study aimed to evaluate ABR’s diagnostic value of VP.
Methods
ABR records of the 14 patients (patient group) who were diagnosed with VP and 45 patients (as control) who were diagnosed with only tinnitus were reviewed retrospectively. We analyzed the differences in Møller’s criteria between two groups.
Results
Mean age of the patient group was 52.9 and the control group was 55.4. As compared with the control group, there were no significant differences of Møller’s three criteria contents (peak II wave amplitude<33% (35.7% vs. 15.5%, p=0.133), Interpeak latency I-III ≥ 2.3 ms (42.8% vs. 35.5%, p=0.622), Contralateral interpeak latency III-V ≥ 2.2 ms (0% vs. 4.4%, p=1.000) in patient group.
Conclusions
There was no significant difference of ABR parameters according to the Møller’s criteria between patient and control groups.
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