Thirty years with cervical vestibular myogenic potentials: a critical review on its origin

Myogenic potentials generated by acoustic stimulation of the vestibular system have been reported since 1964. This examination became better known as cervical vestibular evoked myogenic potentials (cVEMPs) and gained increasing clinical application since the nineties. Since its discovery, the saccul...

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Main Authors: Jonas Bruun Kjærsgaard, Dan Dupont Hougaard, Herman Kingma
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1502093/full
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author Jonas Bruun Kjærsgaard
Jonas Bruun Kjærsgaard
Dan Dupont Hougaard
Dan Dupont Hougaard
Herman Kingma
Herman Kingma
author_facet Jonas Bruun Kjærsgaard
Jonas Bruun Kjærsgaard
Dan Dupont Hougaard
Dan Dupont Hougaard
Herman Kingma
Herman Kingma
author_sort Jonas Bruun Kjærsgaard
collection DOAJ
description Myogenic potentials generated by acoustic stimulation of the vestibular system have been reported since 1964. This examination became better known as cervical vestibular evoked myogenic potentials (cVEMPs) and gained increasing clinical application since the nineties. Since its discovery, the saccule has been conceived as the most likely vestibular end-organ driving these myogenic potentials of the neck. As findings from both animal and human studies for a long time uniformly provided evidence supporting this theory, cVEMP assessment has become synonymous with evaluation of saccular and inferior vestibular nerve function. This review of the basic evidence supporting this conclusion, questions if cVEMP may be considered as being predominantly or even exclusively driven by the activation of any single vestibular end-organ. We conclude that the results of this review show that contributions from the crista ampullaris of all three ipsilateral semicircular canals, as well as the ipsilateral utricle cannot be ruled out in clinically conducted cVEMP assessments.
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spelling doaj-art-7a60e65a4c74436d9c0beef96f814f7b2025-01-22T05:19:49ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.15020931502093Thirty years with cervical vestibular myogenic potentials: a critical review on its originJonas Bruun Kjærsgaard0Jonas Bruun Kjærsgaard1Dan Dupont Hougaard2Dan Dupont Hougaard3Herman Kingma4Herman Kingma5Department of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, DenmarkDepartment of Clinical Medicine, Aalborg University, Aalborg, DenmarkDepartment of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, DenmarkDepartment of Clinical Medicine, Aalborg University, Aalborg, DenmarkDepartment of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, DenmarkDepartment of Clinical Medicine, Aalborg University, Aalborg, DenmarkMyogenic potentials generated by acoustic stimulation of the vestibular system have been reported since 1964. This examination became better known as cervical vestibular evoked myogenic potentials (cVEMPs) and gained increasing clinical application since the nineties. Since its discovery, the saccule has been conceived as the most likely vestibular end-organ driving these myogenic potentials of the neck. As findings from both animal and human studies for a long time uniformly provided evidence supporting this theory, cVEMP assessment has become synonymous with evaluation of saccular and inferior vestibular nerve function. This review of the basic evidence supporting this conclusion, questions if cVEMP may be considered as being predominantly or even exclusively driven by the activation of any single vestibular end-organ. We conclude that the results of this review show that contributions from the crista ampullaris of all three ipsilateral semicircular canals, as well as the ipsilateral utricle cannot be ruled out in clinically conducted cVEMP assessments.https://www.frontiersin.org/articles/10.3389/fneur.2024.1502093/fullcVEMPvestibular evoked myogenic potentials (VEMP)vestibulocollic reflexsacculusutriculusspecificity
spellingShingle Jonas Bruun Kjærsgaard
Jonas Bruun Kjærsgaard
Dan Dupont Hougaard
Dan Dupont Hougaard
Herman Kingma
Herman Kingma
Thirty years with cervical vestibular myogenic potentials: a critical review on its origin
Frontiers in Neurology
cVEMP
vestibular evoked myogenic potentials (VEMP)
vestibulocollic reflex
sacculus
utriculus
specificity
title Thirty years with cervical vestibular myogenic potentials: a critical review on its origin
title_full Thirty years with cervical vestibular myogenic potentials: a critical review on its origin
title_fullStr Thirty years with cervical vestibular myogenic potentials: a critical review on its origin
title_full_unstemmed Thirty years with cervical vestibular myogenic potentials: a critical review on its origin
title_short Thirty years with cervical vestibular myogenic potentials: a critical review on its origin
title_sort thirty years with cervical vestibular myogenic potentials a critical review on its origin
topic cVEMP
vestibular evoked myogenic potentials (VEMP)
vestibulocollic reflex
sacculus
utriculus
specificity
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1502093/full
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