気道刺激と骨導刺激, oVEMPとcVEMPを臨床の場でどのように使い分けるか?

• 岩崎 真一

  東京大学医学部耳鼻咽喉科

書誌事項

タイトル別名

• How to record cVEMPs and oVEMPs in response to air-conducted sound and bone-conducted vibration

抄録

Vestibular evoked myogenic potentials (VEMPs) recorded by surface electrodes have been used clinically to assess vestibular function. Cervical vestibular evoked myogenic potentials (cVEMPs), which are recorded from the sternocleidomastoid muscles (SCMs) in response to air-conducted sound (ACS) and bone-conducted vibrations (BCV) have been used to evaluate the functions of the saccule and the inferior vestibular nerve, since physiological and clinical studies have shown that cVEMPs recorded in response to air-conducted sound reflect the functions of the saccular afferents. Ocular vestibular evoked myogenic potentials (oVEMPs), which are recorded from beneath the eyes in response to ACS and BCV, have been considered to represent the vestibular functions mediated by the crossed-otolith ocular pathway. Recent clinical studies have suggested that both oVEMPs in response to ACS, and oVEMPs in response to BCV reflect the functions of the utricle and the superior vestibular nerve. In this paper, I shall explain how cVEMPs to ACS and BCV and oVEMPs to ACS and BCV should be recorded, and how to use these vestibular tests in clinical practice.

収録刊行物

• Ｅｑｕｉｌｉｂｒｉｕｍ　Ｒｅｓｅａｒｃｈ

  Ｅｑｕｉｌｉｂｒｉｕｍ　Ｒｅｓｅａｒｃｈ 72 (3), 198-203, 2013

  一般社団法人 日本めまい平衡医学会

キーワード

• vestibular evoked myogenic potential
• oVEMP
• cVEMP
• air-conducted sound
• bone-conducted vibration

詳細情報

• CRID: 1390001204948382976
• NII論文ID: 10031183113
• NII書誌ID: AN00001485
• DOI: 10.3757/jser.72.198
• ISSN: 1882577X
• ISSN: 03855716
• Web Site: https://search.jamas.or.jp/link/ui/2013329075
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可