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J Korean Bal Soc > Volume 6(2); 2007 > Article
Journal of the Korean Balance Society 2007;6(2): 207-213.
명확한 일측 메니에르병에서 이석기능검사 결과의 임상적 특징
정재윤, 김정범, 문태현, 정용원, 이정구
단국대학교 의과대학 이비인후-두경부외과학교실
Results of Otolithic Function Testing and Related Clinical Features in Unilateral Definite Meniere’s Disease
Jae Yun Jung, Jeong Beom Kim, Tae Hyun Moon, Yong Won Chung, Chung Ku Rhee
Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea. jjking@dankook.ac.kr
ABSTRACT
Background and Objectives:   The purpose of this study is to identify the typical pattern of otolithic function tests in unilateral definite Ménière’s disease patients. And we compared with clinical features and other tests results of patients who showed abnormal otolithic function tests.
Materials and Method:  
We reviewed 42 patients (29 patients are female and 13 patients are male) who were diagnosed as unilateral definite Ménière’s disease and underwent otolithic function tests in Hospital from December 2005 to April 2007.
Results:  
The patients who showed abnormal findings in vestibular evoked myogenic potential (VEMP) have suffered for longer period than the others. Those results of VEMP had positive correlation with summating potential/action potential (SP/AP) ratio. The average deviation of subjective visual vertical/ horizontal (SVV/SVH) were relatively higher in that disease patients than normal controls. There was no significant relation between VEMP results and other clinical features and result of other tests (caloric test and pure tone audiometry).
Conclusion:  
The longer prevalence period of Ménière’s disease is, the more susceptability of abnormal VEMP we can expect. In those, SVV/H can go out of normal range. Like a electrocochleography, otolithic function test could play a supportive role in diagnosing of Ménière’s disease.
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