The recordability of two sonomotor responses in young normal subjects.

Background: It has been reported that up to 40% of patients over age 60 fail to generate a vestibular evoked myogenic potential (VEMP; Su et al, 2004). When this occurs it is difficult to determine whether the absent VEMP represents evidence of bilateral impairment of the vestibulocollic reflex path...

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Publicado en:Journal of the American Academy of Audiology Vol. 19; no. 7; pp. 542 - 548
Autores principales: McCaslin DL, Jacobson GP, Harry T
Formato: research tables/charts tracings Journal Article
Publicado: Thieme Medical Publishing Inc. Jul/Aug2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2008
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        atl: The recordability of two sonomotor responses in young normal subjects.
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        au:
          McCaslin DL
          Jacobson GP
          Harry T
        affil: Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences, Nashville, TN
      sug:
        subj:
          Acoustic Stimulation Methods
          Evoked Potentials, Auditory Physiology
          Muscle, Skeletal Innervation
          Neural Pathways Physiology
          Reflex, Acoustic Physiology
          Reliability
          Vestibular Nerve Physiology
          Vestibule, Labyrinth Physiology
          Adult
          Descriptive Research
          Electromyography Methods
          Female
          Male
          T-Tests
          Tennessee
          Waveforms
          Human
          Adult: 19-44 years
          Female
          Male
      ab: Background: It has been reported that up to 40% of patients over age 60 fail to generate a vestibular evoked myogenic potential (VEMP; Su et al, 2004). When this occurs it is difficult to determine whether the absent VEMP represents evidence of bilateral impairment of the vestibulocollic reflex pathway or a normal age-related variant (i.e., idiopathic absence). Purpose: The purpose of the present investigation was to determine whether both VEMPs and PAMs could be recorded reliably in a sample of neurologically and otologically intact young adults. If both could be obtained with high reliability in normal subjects, then the bilateral presence of PAM in the bilateral absence of VEMP, at least in younger patients, could be used to support the contention that the absent VEMP represented evidence of bilateral impairment. Research Design: A descriptive study. Study Sample: Attempts were made to record both the VEMP and a second sonomotor response, the postauricular muscle potential (PAM) from 20 young adults. Results: Results showed both the VEMP and the PAM were present in 90% of the ears. Both the VEMP and PAM responses were bilaterally absent for one subject. Also, the VEMP and PAM were unilaterally absent for two subjects. Subjects who generated VEMPs also generated a PAM in at least one ear. Conclusions: The present investigation represents an initial step in the determination of whether the presence of PAMs in the absence of VEMPs can be used as a method of validating the presence of an impairment affecting the vestibulocollic reflex pathway.
      pubtype: Academic Journal
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        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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