Download PDF
J Am Acad Audiol 2018; 29(05): 443-450
DOI: 10.3766/jaaa.17086
Articles
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ocular Vestibular Evoked Myogenic Potentials: Normative Findings in Children

Jeffery J. Kuhn
*   Otology/Neurotology, Bayview Physicians Group, Chesapeake, VA
,
Violette H. Lavender
†   Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
‡   Department of Otolaryngology, University of Cincinnati Academic Health Center, Cincinnati, OH
§   Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, OH
,
Lisa L. Hunter
†   Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
‡   Department of Otolaryngology, University of Cincinnati Academic Health Center, Cincinnati, OH
§   Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, OH
,
Stephanie E. McGuire
¶   The McGuire Hearing Center, Kettering, OH
,
Jareen Meinzen-Derr
†   Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
§   Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, OH
‖   Department of Pediatrics, University of Cincinnati Academic Health Center, Cincinnati, OH
,
Robert W. Keith
‡   Department of Otolaryngology, University of Cincinnati Academic Health Center, Cincinnati, OH
§   Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, OH
,
John H. Greinwald
†   Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
‡   Department of Otolaryngology, University of Cincinnati Academic Health Center, Cincinnati, OH
› Author Affiliations
Further Information

Publication History

Publication Date:
29 May 2020 (online)

   Permissions and Reprints

Abstract

Background:

To add to the limited body of literature on ocular vestibular evoked myogenic potential (oVEMP) responses in children and to assess a different montage for oVEMP recording.

Purpose:

To evaluate the characteristics of the oVEMP response in children and compare the results with that of a group of healthy adults.

Research Design:

Prospective descriptive study from a tertiary referral center.

Study Sample:

Twenty-two children (mean age = 6.3 yr, standard deviation = ±1.5, range = 3.5–8.9 yr) were recruited from families whose parent(s) were employed by the Cincinnati Children’s Hospital Medical Center (CCHMC). Pediatric participants were categorized by age into three groups for data analysis. The comparison adult group of ten participants were members of the employee staff at CCHMC.

Data Collection and Analysis:

Audiometric assessment was completed in all participants. The latency, amplitude, and threshold of the oVEMP responses were recorded using a modified electrode montage with reference at the chin and compared between the pediatric and adult participants.

Results:

All participants completed testing and had bilateral measurable oVEMP responses using a 105-dB nHL, 500-Hz tone burst stimulus. Comparison between right and left ears across all participants for each oVEMP characteristic found no statistically significant difference. oVEMP testing showed no significant differences with respect to latency, amplitude, interaural amplitude asymmetry, and threshold of response as a function of age.

Conclusions:

oVEMP responses for ages ≥3 did not differ from responses in adults.

Key Words

ocular evoked myogenic potentials - pediatric - vestibular

Portions of these data were presented via poster at Audiology Now! 2013.


 

  • REFERENCES

  • Akin FW, Murnane OD. 2001; Vestibular evoked myogenic potentials: preliminary report. J Am Acad Audiol 12 (09) 445-452 quiz 491.
    PubMedGoogle Scholar
  • Chang CH, Yang TL, Wang CT, Young YH. 2007; Measuring neck structures in relation to vestibular evoked myogenic potentials. Clin Neurophysiol 118 (05) 1105-1109
    CrossrefPubMedGoogle Scholar
  • Chihara Y, Iwasaki S, Ushio M, Murofushi T. 2007; Vestibular-evoked extraocular potentials by air-conducted sound: another clinical test for vestibular function. Clin Neurophysiol 118 (12) 2745-2751
    CrossrefPubMedGoogle Scholar
  • Chou CH, Hsu WC, Young YH. 2012; Ocular vestibular-evoked myogenic potentials via bone-conducted vibration in children. Clin Neurophysiol 123 (09) 1880-1885
    CrossrefPubMedGoogle Scholar
  • Hsu YS, Wang SJ, Young YH. 2009; Ocular vestibular-evoked myogenic potentials in children using air conducted sound stimulation. Clin Neurophysiol 120 (07) 1381-1385
    CrossrefPubMedGoogle Scholar
  • Huang YC, Yang TL, Young YH. 2012; Feasibility of ocular vestibular-evoked myogenic potentials (oVEMPs) recorded with eyes closed. Clin Neurophysiol 123 (02) 376-381
    CrossrefPubMedGoogle Scholar
  • Inoue A, Iwasaki S, Ushio M, Chihara Y, Fujimoto C, Egami N, Yamasoba T. 2013; Effect of vestibular dysfunction on the development of gross motor function in children with profound hearing loss. Audiol Neurootol 18 (03) 143-151
    CrossrefPubMedGoogle Scholar
  • Janky KL, Shepard N. 2009; Vestibular evoked myogenic potential (VEMP) testing: normative threshold response curves and effects of age. J Am Acad Audiol 20 (08) 514-522
    Article in Thieme ConnectPubMedGoogle Scholar
  • Kelsch TA, Schaefer LA, Esquivel CR. 2006; Vestibular evoked myogenic potentials in young children: test parameters and normative data. Laryngoscope 116 (06) 895-900
    PubMedGoogle Scholar
  • Lee SK, Cha CI, Jung TS, Park DC, Yeo SG. 2008; Age-related differences in parameters of vestibular evoked myogenic potentials. Acta Otolaryngol 128 (01) 66-72
    CrossrefPubMedGoogle Scholar
  • Lin KY, Hsu YS, Young YH. 2010; Brainstem lesion in benign paroxysmal vertigo children: evaluated by a combined ocular and cervical vestibular-evoked myogenic potential test. Int J Pediatr Otorhinolaryngol 74 (05) 523-527
    CrossrefPubMedGoogle Scholar
  • Murofushi T, Nakahara H, Yoshimura E, Tsuda Y. 2011; Association of air-conducted sound oVEMP findings with cVEMP and caloric test findings in patients with unilateral peripheral vestibular disorders. Acta Otolaryngol 131 (09) 945-950
    CrossrefPubMedGoogle Scholar
  • Picciotti PM, Fiorita A, Di Nardo W, Calò L, Scarano E, Paludetti G. 2007; Vestibular evoked myogenic potentials in children. Int J Pediatr Otorhinolaryngol 71 (01) 29-33
    CrossrefPubMedGoogle Scholar
  • Piker EG, Jacobson GP, McCaslin DL, Hood LJ. 2011; Normal characteristics of the ocular vestibular evoked myogenic potential. J Am Acad Audiol 22 (04) 222-230
    Article in Thieme ConnectPubMedGoogle Scholar
  • Rine RM, Cornwall G, Gan K, LoCascio C, O’Hare T, Robinson E, Rice M. 2000; Evidence of progressive delay of motor development in children with sensorineural hearing loss and concurrent vestibular dysfunction. Percept Mot Skills 90 3 Pt 2 1101-1112
    CrossrefPubMedGoogle Scholar
  • Rine RM, Wiener-Vacher S. 2013; Evaluation and treatment of vestibular dysfunction in children. NeuroRehabilitation 32 (03) 507-518
    CrossrefPubMedGoogle Scholar
  • Rosengren SM, Aw ST, Halmagyi GM, Todd NP, Colebatch JG. 2008; Ocular vestibular evoked myogenic potentials in superior canal dehiscence. J Neurol Neurosurg Psychiatry 79 (05) 559-568
    CrossrefPubMedGoogle Scholar
  • Rosengren SM, McAngus Todd NP, Colebatch JG. 2005; Vestibular-evoked extraocular potentials produced by stimulation with bone-conducted sound. Clin Neurophysiol 116 (08) 1938-1948
    CrossrefPubMedGoogle Scholar
  • Sandhu JS, George SR, Rea PA. 2013; The effect of electrode positioning on the ocular vestibular evoked myogenic potential to air-conducted sound. Clin Neurophysiol 124 (06) 1232-1236
    CrossrefPubMedGoogle Scholar
  • Sheykholeslami K, Megerian CA, Arnold JE, Kaga K. 2005; Vestibular-evoked myogenic potentials in infancy and early childhood. Laryngoscope 115 (08) 1440-1444
    CrossrefPubMedGoogle Scholar
  • Singh NK, Barman A. 2015; Efficacy of ocular vestibular-evoked myogenic potential in identifying posterior semicircular canal benign paroxysmal positional vertigo. Ear Hear 36 (02) 261-268
    CrossrefPubMedGoogle Scholar
  • Su HC, Huang TW, Young YH, Cheng PW. 2004; Aging effect on vestibular evoked myogenic potential. Otol Neurotol 25 (06) 977-980
    CrossrefPubMedGoogle Scholar
  • Thabet EM. 2014; Ocular vestibular evoked myogenic potentials n10 response in autism spectrum disorders children with auditory hypersensitivity: an indicator of semicircular canal dehiscence. Eur Arch Otorhinolaryngol 271 (05) 1283-1288
    CrossrefPubMedGoogle Scholar
  • Thomas MLA, Fitzpatrick D, McCreery R, Janky KL. 2017; Big stimulus, little ears: safety in administering vestibular-evoked myogenic potentials in children. J Am Acad Audiol 28 (05) 395-403
    Article in Thieme ConnectPubMedGoogle Scholar
  • Todd NP, Rosengren SM, Aw ST, Colebatch JG. 2007; Ocular vestibular evoked myogenic potentials (OVEMPs) produced by air- and bone-conducted sound. Clin Neurophysiol 118 (02) 381-390
    CrossrefPubMedGoogle Scholar
  • Tseng CL, Chou CH, Young YH. 2010; Aging effect on the ocular vestibular-evoked myogenic potentials. Otol Neurotol 31 (06) 959-963
    CrossrefPubMedGoogle Scholar
  • Valente M. 2007; Maturational effects of the vestibular system: a study of rotary chair, computerized dynamic posturography, and vestibular evoked myogenic potentials with children. J Am Acad Audiol 18 (06) 461-481
    Article in Thieme ConnectPubMedGoogle Scholar
  • Wang SJ, Hsieh WS, Young YH. 2013; Development of ocular vestibular-evoked myogenic potentials in small children. Laryngoscope 123 (02) 512-517
    CrossrefPubMedGoogle Scholar
  • Welgampola MS, Colebatch JG. 2001; Characteristics of tone burst-evoked myogenic potentials in the sternocleidomastoid muscles. Otol Neurotol 22 (06) 796-802
    CrossrefPubMedGoogle Scholar
  • Welgampola MS, Myrie OA, Minor LB, Carey JP. 2008; Vestibular-evoked myogenic potential thresholds normalize on plugging superior canal dehiscence. Neurology 70 (06) 464-472
    CrossrefPubMedGoogle Scholar
  • Zuniga MG, Davalos-Bichara M, Schubert MC, Carey JP, Janky KL. 2014; Optimizing ocular vestibular evoked myogenic potential testing for superior semicircular canal dehiscence syndrome: electrode placement. Audiol Neurootol 19 (04) 239-247
    CrossrefPubMedGoogle Scholar