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ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Are cervical vestibular evoked myogenic potential (cVEMP) sensitive enough for the evaluation of patients with relapsing-remitting multiple sclerosis?

Pavlos Pavlidis, Sotirios Papagianopoulos, Haralampos Gouveris, Vasilis Spyridon Tseriotis, Anna-Rebekka Staufenberg, Dimitrios Kazis

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Pavlos PavlidisDepartment of Otorhinolaryngology / Head & Neck Surgery, University Medical Center Mainz, Mainz, Germany. papavlid@googlemail.com.ORCID http://orcid.org/0000-0002-6336-1335
Sotirios Papagianopoulos3rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Haralampos GouverisDepartment of Otorhinolaryngology / Head & Neck Surgery, University Medical Center Mainz, Mainz, Germany.
Vasilis Spyridon TseriotisLaboratory for Clinical Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Anna-Rebekka StaufenbergDepartment of Otorhinolaryngology / Head & Neck Surgery, University Medical Center Mainz, Mainz, Germany.
Dimitrios Kazis3rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) is a long-term neurological condition that impacts the brain and spinal cord. The infratentorial area houses the cerebellum and brainstem. Vestibular evoked myogenic potentials (VEMPs) are myogenic responses with short latency. Cervical vestibular evoked myogenic potential (cVEMP) represents a reflection of the vestibulocolic reflex.

methodsA total of 32 consecutive patients participated in the study (males, n = 12; females, n = 20). Cervical VEMP (cVEMP) were examined for latencies, conduction block, and amplitude asymmetry ratio, and the VEMP score was determined. MRI was examined for brainstem lesions collectively and individually for lesions in the pons, midbrain, and medulla oblongata. Their findings were compared to those of 32 healthy individuals.

resultsIn the research, 5 RRMS patients (2.1%) exhibited no reaction in the cVEMP test for both the right and left ear (as explained in Tables 1 and 2). The average latencies for P1 and N1 in the left ears of RRMS patients were notably greater than those in the control group, yielding p-values of 0.001 and 0.002, respectively. Nevertheless, there was no notable difference in the P1-N1 interval or mean amplitude of the left ear when comparing patients and controls (p > 0.05). Conversely, the P1 and N1 latencies, as well as the average P1-N1 interval for the patients' right ears, were notably greater than those of the control group, with p-values of 0.01, 0.001, and 0.004, respectively. Extended latencies for P1 and N1 were noted in 42 (65%) of the 64 RRMS ears and in 27 ears (42%), respectively.

conclusionVestibular evoked myogenic potential has a high sensitivity (70%) in MS patients, and VEMP could be recommended as a useful complementary neurophysiological method to evaluate the MS patients.

Indexed as

Multiple Sclerosis, Relapsing-RemittingVestibular Evoked Myogenic PotentialsAdultBrain StemFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedReaction TimeYoung AdultCourse of diseaseEvoked potentialsMultiple sclerosisSensitivityVestibular

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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.