Vestibular Evoked Myogenic Potentials in Vestibular Migraine

Do They Help Differentiating From Menière’s Disease?

Inoue, Aki MD
Egami, Naoya MD
Fujimoto, Chisato MD
Kinoshita, Makoto MD
Yamasoba, Tatsuya MD
Iwasaki, Shinichi MD

¹Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Tokyo, Japan
²Department of Otolaryngology-Head and Neck Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan

Shinichi Iwasaki, MD, Department of Otolaryngology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. Email: [email protected]

Annals of Otology, Rhinology & Laryngology 125(11):p 931-937, November 2016. | DOI: 10.1177/0003489416665192

Objective:

To investigate whether both cervical and ocular vestibular myogenic potentials (cVEMPs and oVEMPs) to air-conducted sound (ACS) and bone-conducted vibration (BCV) can help to differentiate vestibular migraine (VM) and Menière’s disease (MD).

Study Design:

Retrospective study.

Settings:

A tertiary referral center.

Subjects and Methods:

Twenty-eight patients with VM, 28 patients with definite unilateral MD, and 28 age-matched controls were included. Cervical VEMPs to 500 Hz ACS (cVEMPs-air) and 500 Hz BCV (cVEMPs-bone), oVEMPs to 500 Hz ACS (oVEMPs-air) and 500 Hz BCV (oVEMPs-bone), and caloric tests were performed. Results of these vestibular function tests were compared between the groups.

Results:

The prevalence of abnormality was significantly higher in VM than in controls only for the caloric test (P < .05). Asymmetry ratios (ARs) for cVEMPs-air and oVEMPs-air were significantly larger in VM than in controls (P < .05). Between VM and MD, the prevalence of abnormality was significantly different only for oVEMPs-air. The ARs for oVEMPs-air and caloric test asymmetries were significantly smaller in VM than in MD (P < .05).

Conclusions:

Among the vestibular function tests, oVEMPs-air may be most helpful for the differentiation of VM from MD as a group.