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J Korean Bal Soc > Volume 6(1); 2007 > Article
Journal of the Korean Balance Society 2007;6(1): 16-20.
초기 메니에르병에서 객관적 진단법의 민감도를 높이기 위한 전정유발근전위검사의 역할
, , , 최익준, 홍성광, 김지수, 구자원
서울대학교 의과대학 분당 서울대학교병원, 이비인후과학교실1, 신경과학교실2
Role of Vestibular Evoked Myogenic Potentials to Elevate the Sensitivity of Objective Tests in Early Meniere’s Disease
Ik Joon Choi, Sung Kwang Hong, Ji Soo Kim, Ja Won Koo
1Department of Otorhinolaryngology, Seoul National University College of medicine, Seoul National University Bundang Hospital, Seongnam, Korea. jwkoo99@snu.ac.kr
2Department of Neurology, Seoul National University College of medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Background and Objectives:   Diagnosis of Meniere’s disease (MD) is based on detailed medical history and audiometry in addition to electrocochleography (ECoG). However, the sensitivity of ECoG is rather low and the diagnosis seems to be rather obscure if the patient is evaluated after resolution of acute symptom, especially in early stage of disease without substantial hearing loss. In such cases, if a patient complains recurrent episodes within short term period, any objective result would be beneficial to initiate medical treatment such as diuretics. Since the saccule is the main target organ in MD, authors suppose vestibular evoked myogenic potential (VEMP) test combined with ECoG may elevate the diagnostic sensitivity in MD. Aim of study is to evaluate the possibility of this suggestion.
Materials and Method:  
Thirty-four patients of unilateral MD who have hearing loss less than 40 dB and onset of first attack within 1 year were included in this study. They underwent VEMP, caloric test and ECoG. Abnormal rates of each test and results of combination were analyzed according to the group of MD.
Patients with abnormal results in VEMP, ECoG and calorict tests were 29%, 15% and 35%, respectively. Patients showed abnormal results either in VEMP or ECoG were 41% in all MD and 72% in definite group.
To get higher objective evidence of cochleovestibu
Keywords: Menieres disease; Evoked potential; Electrocochleography
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