Evidence map›Paper›PMID 32494851›Full record

ArticleJournal of neurology2020

Vestibular evoked myogenic potentials in vestibular migraine and Menière's disease: cVEMPs make the difference.

Julia Dlugaiczyk, Maximilian Habs, Marianne Dieterich

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Audio-vestibular Findings in a Patient with Pelizaeus- Merzbacher Disease.The journal of international advanced otology · 2024
    Article
  4. Review
  5. Augmented ocular vestibular-evoked myogenic potentials in postural orthostatic tachycardia syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Vestibular Migraine.Current neurology and neuroscience reports · 2022
    Review
  10. Article
  11. Update on diagnosis and differential diagnosis of vestibular migraine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
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

3 authors at 3 institutions in 1 country.

Julia DlugaiczykGerman Center for Vertigo and Balance Disorders, University Hospital, Ludwig-Maximilians-Universität, Marchioninistrasse 15, 81377, Munich, Germany. julia.dlugaiczyk@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7693-9127
Maximilian HabsDepartment of Neurology, University Hospital, Ludwig-Maximilians-Universität, Munich, Germany.
Marianne DieterichGerman Center for Vertigo and Balance Disorders, University Hospital, Ludwig-Maximilians-Universität, Marchioninistrasse 15, 81377, Munich, Germany.
German Center for Lung Research · DELudwig-Maximilians-Universität München · DEMunich Cluster for Systems Neurology · DE

Funding

Bundesministerium für Bildung und Forschung 01 EO 1401
6 · The paper itself

Abstract

objectiveVestibular evoked myogenic potentials (VEMPs) have been suggested as biomarkers in the differential diagnosis of Menière's disease (MD) and vestibular migraine (VM). The aim of this study was to compare the degree of asymmetry for ocular (o) and cervical (c) VEMPs in large cohorts of patients with MD and VM and to follow up the responses. STUDY

designRetrospective study in an interdisciplinary tertiary center for vertigo and balance disorders.

methodscVEMPs to air-conducted sound and oVEMPs to bone-conducted vibration were recorded in 100 patients with VM and unilateral MD, respectively. Outcome parameters were asymmetry ratios (ARs) of oVEMP n10p15 and cVEMP p13n23 amplitudes, and of the respective latencies (mean ± SD).

resultsThe AR of cVEMP p13n23 amplitudes was significantly higher for MD (0.43 ± 0.34) than for VM (0.26 ± 0.24; adjusted p = 0.0002). MD-but not VM-patients displayed a higher AR for cVEMP than for oVEMP amplitudes (MD 0.43 ± 0.34 versus 0.23 ± 0.22, p < 0.0001; VM 0.26 ± 0.14 versus 0.19 ± 0.15, p = 0.11). Monitoring of VEMPs in single patients indicated stable or fluctuating amplitude ARs in VM, while ARs in MD appeared to increase or remain stable over time. No differences were observed for latency ARs between MD and VM.

conclusionsThese results are in line with (1) a more common saccular than utricular dysfunction in MD and (2) a more permanent loss of otolith function in MD versus VM. The different patterns of o- and cVEMP responses, in particular their longitudinal assessment, might add to the differential diagnosis between MD and VM.

Indexed as

Meniere DiseaseMigraine DisordersVestibular Evoked Myogenic PotentialsHumansRetrospective StudiesVertigoMenière’s diseaseSacculeUtricleVestibular evoked myogenic potentialsVestibular migraine

Identifiers

PMID32494851
PMCPMC7718204
OpenAlexW3029811787

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Registered trials

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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.