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首页> 外文期刊>European archives of oto-rhino-laryngology: Official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) >Clinical significance of cervical and ocular vestibular evoked myogenic potentials in benign paroxysmal positional vertigo: a meta-analysis
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Clinical significance of cervical and ocular vestibular evoked myogenic potentials in benign paroxysmal positional vertigo: a meta-analysis

机译：颈椎和眼部前庭诱发肌原遗传势症的临床意义良性阵发性位置眩晕：META分析

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Purpose As the pathological cause of benign paroxysmal positional vertigo (BPPV), the dislocation or degeneration of otoconia in the utricle and saccule is suggested. Vestibular evoked myogenic potential (VEMP) could reflect otolithic dysfunction due to these etiologies of BPPV. The aim of this study was to validate the clinical significance of cervical (c) and ocular (o) VEMP in BPPV by a meta-analysis of previous articles. Methods Articles related to BPPV with data on cVEMP and oVEMP were collected. The following keywords were used to search PubMed and Scopus for English language articles: benign paroxysmal positional vertigo or BPPV and vestibular evoked myogenic potential or VEMP. Results The p13 latency in cVEMP and n1 latency in oVEMP were slightly but significantly prolonged in BPPV patients compared to control patients. AR in oVEMP of BPPV patients also showed higher value than that of control patients. However, the n23 latency and AR in cVEMP and p1 latency in oVEMP showed no significant difference between BPPV and control patients. Furthermore, latencies in VEMPs also showed no significant difference between an affected and a non-affected ear in BPPV patients. Conclusions Our results indicated that otolith dysfunction of BPPVs was detected by latencies in VEMPs, and AR in oVEMP more sensitively reflects the difference between affected and non-affected ears in BPPV patients. The otolith dysfunction of BPPV might be induced by the systemic condition. However, the differences of latencies between BPPV patients and control patients were too small to use VEMPs as a prognostic predictor.
机译：目的是作为良性阵发性位置眩晕（BPPV）的病理原因，提出了Utticle和Saccule中耳鼻喉炎的脱位或退化。前庭诱发的肌原遗传潜力（VEMP）可以反映由于BPPV的这些病因引起的右转功能障碍。本研究的目的是通过先前文章的META分析验证宫颈（C）和眼睛（O）VEMP在BPPV中的临床意义。方法收集与BPPV相关的文章，具有CVEMP和OVEMP数据。以下关键词用于搜索百衰生和Scopus的英语语言文章：良性阵发性位置眩晕或BPPV和前庭诱发肌原源性或vemp。结果与对照患者相比，在BPPV患者中，卵子P1潜伏期和N1潜伏期的p13潜伏期略微延长，但与对照患者相比，BPPV患者显着延长。在BPPV患者的ovemp中也表现出比对照患者更高的价值。然而，在OVEMP中的CVEMP和P1等待时间中的N23潜伏期和AR在BPPV和控制患者之间没有显着差异。此外，vemps中的潜伏期也显示出BPPV患者的受影响和非受影响的耳朵之间没有显着差异。结论我们的结果表明，通过vemps的延迟检测到BPPV的卵沫功能障碍，ovemp中的AR更敏感地反映了BPPV患者受影响和非受影响的耳朵之间的差异。 BPPV的障碍功能障碍可能是通过全身状况引起的。然而，BPPV患者和对照患者之间的潜伏期差异太小而无法使用VEMP作为预后预测因子。

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