Evidence map›Paper›PMID 31396689›Full record

ArticleJournal of neurology2019

Cervical myogenic potentials and controlled postural responses elicited by a prototype vestibular implant.

Angelica Perez Fornos, Raymond van de Berg, Stéphane Armand, Samuel Cavuscens, Maurizio Ranieri, Céline Crétallaz, Herman Kingma, Jean-Philippe Guyot, Nils Guinand

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04918745 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

VertiGO! - Get up and GO! With the Vestibular Implant

TypeinterventionalSponsorMaastricht University Medical CenterRan2021 to 2029Enrolled13ConditionsBilateral Vestibular LossArmsCochlear Vestibular Implant (CVI)
NCT05246553 naunknown statusnot on this map

Electrical Stimulation of the Peripheral Vestibular System in Order to Develop a Vestibular Implant

TypeinterventionalSponsorNils GuinandRan2011 to 2023Enrolled52ConditionsVestibular Disorder, Bilateral Vestibulopathy, Bilateral Vestibular LossArmsElectrical stimulation of the vestibular system, Electrical stimulation of the auditory system, Bilateral vestibulopathy Patients (BV), Unilateral vestibulopathy Patients (UV)
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Vestibular implant stimulation can improve self-motion perception.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  2. Vestibular electrode position stability over time.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  3. Article
  4. Review
  5. Optimizing vestibular implant electrode positioning using fluoroscopy and intraoperative CT imaging.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Vestibular prosthesis: from basic research to clinics.Frontiers in integrative neuroscience · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. New Frontiers in Managing the Dizzy Patient.Otolaryngologic clinics of North America · 2021
    Review
  16. An Implanted Vestibular Prosthesis Improves Spatial Orientation in Animals with Severe Vestibular Damage.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  17. Article
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Angelica Perez FornosDivision of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Raymond van de BergDivision of Balance Disorders, Department of ENT, Maastricht University Medical Centre, Maastricht, The Netherlands.
Stéphane ArmandWilly Taillard Laboratory of Kinesiology, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Samuel CavuscensDivision of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Maurizio RanieriDivision of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Céline CrétallazDivision of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Herman KingmaDivision of Balance Disorders, Department of ENT, Maastricht University Medical Centre, Maastricht, The Netherlands.
Jean-Philippe GuyotDivision of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Nils GuinandDivision of Otorhinolaryngology Head and Neck Surgery, Geneva University Hospitals and University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland. Nils.Guinand@hcuge.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gaze stabilization and postural control are two key functions of the vestibular system. In consequence, oscillopsia and chronic imbalance are the two main complaints of patients presenting with a severe bilateral vestibular function loss. The vestibular implant is emerging as a promising treatment for this group of patients whose quality of life is significantly impaired. Although the final aim of the vestibular implant should be to restore vestibular function as a whole, until now the research has focused mainly on the restoration of the vestibulo-ocular reflex to improve gaze stabilization. In this study, we aimed to explore whether the vestibulo-collic and vestibulo-spinal pathways could be activated and controlled with the electrical stimuli provided by our vestibular implant prototype. This was first explored and demonstrated with recordings of electrically elicited cervical vestibular evoked myogenic potentials (ecVEMPs). ecVEMPs with characteristics similar to the classical acoustically elicited cervical vestibular evoked myogenic potentials (cVEMPs) were successfully evoked in five out of the eight tested patients. Amplitudes of the electrically elicited N-P complex varied, ranging from 44 to 120 µV. Mean latencies of the N and P waves were of 9.71(± 1.17) ms and 17.24 ms (± 1.74), respectively. We also evaluated the possibility of generating controlled postural responses using a stepping test. Here, we showed that controlled and consistent whole-body postural responses can be effectively obtained with rapid changes in the "baseline" (constant rate and amplitude) electrical activity delivered by the vestibular implant in two out of the three tested subjects. Furthermore, obtained amplitude of body rotations was significantly correlated with the intensity of stimulation and direction of body rotations correlated with the side of the delivered stimulus (implanted side). Altogether, these data suggest that the vestibular implant could also be used to improve postural control in patients with bilateral vestibulopathy.

Indexed as

Electrodes, ImplantedAgedBilateral VestibulopathyFemaleHumansMaleMiddle AgedPostural BalanceProsthesis ImplantationReflex, Vestibulo-OcularVestibular Evoked Myogenic PotentialsVestibule, LabyrinthBilateral vestibulopathycVEMPsPostural controlStepping testUnterberger/Fukuda testVestibular implantVestibulo-spinal reflex

Identifiers

PMID31396689
PMCPMC6722147

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.