Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Apr;25(2):98-103.
doi: 10.7874/jao.2020.00486. Epub 2021 Jan 19.

Can Narrow Band Chirp Stimulus Shake the Throne of 500 Hz Tone Burst Stimulus for Cervical Vestibular Myogenic Potentials?

F Ceyda Akin Ocal  1 , Ceren Karacayli  2 , Volkan Kenan Coban  1 , Bulent Satar  3
Affiliations

Can Narrow Band Chirp Stimulus Shake the Throne of 500 Hz Tone Burst Stimulus for Cervical Vestibular Myogenic Potentials?

F Ceyda Akin Ocal et al. J Audiol Otol. 2021 Apr.

Abstract

Background and objectives: The aim of the study was to compare effects of tone-burst (TB) and narrow-band (NB) Claus Elberling (CE)-chirp stimuli on amplitude, latency and interaural asymmetry ratio (IAR) of cervical vestibular evoked myogenic potentials (cVEMP) in healthy individuals.

Subjects and methods: The study included 50 healthy volunteers. cVEMP procedure was carried out using 500 Hz TB and NB-CE-chirp stimulus (360-720 Hz, up-chirp) in random order. cVEMP were recorded at 100 dB nHL. For each ear and each stimulus, P1 latency, N1 latency and P1N1 amplitude were measured. IAR was also calculated.

Results: Mean age was 26.66±9.48 years. cVEMP's in response to both TB and NB CE-chirp stimuli were obtained in all subjects. No statistically significant difference in P1 latency, N1 latency, and P1N1 amplitude was found between the right and left ears for both TB and NB CE-chirp stimuli (p>0.05). In both sides, P1 and N1 latencies were significantly shorter in NB CE-chirp stimulation compared to TB stimulation (p=0.000). In both sides, no statistically significant difference was found in P1N1 amplitude between two types of stimuli (p>0.05).

Conclusions: The chirp stimulus produces robust but earlier cVEMP than TB does. This largest series study on NB chirp cVEMP shows that NB chirp is a good and new reliable alternative.

Keywords: Amplitude; Cervical vestibular evoked myogenic potentials; Latency; Stimulus; Vertigo; Vestibular diseases.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Tone-burst (top) and chirp (bottom) cervical vestibular evoked myogenic potentials.
See this image and copyright information in PMC

References

    1. Fife TD, Colebatch JG, Kerber KA, Brantberg K, Strupp M, Lee H, et al. Practice guideline: cervical and ocular vestibular evoked myogenic potential testing: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology. Neurology. 2017;89:2288–96. - PMC - PubMed
    1. Wu HJ, Shiao AS, Yang YL, Lee GS. Comparison of short tone burst-evoked and click-evoked vestibular myogenic potentials in healthy individuals. J Chin Med Assoc. 2007;70:159–63. - PubMed
    1. Cheng PW, Huang TW, Young YH. The influence of clicks versus short tone bursts on the vestibular evoked myogenic potentials. Ear Hear. 2003;24:195–7. - PubMed
    1. Rauch SD. Vestibular evoked myogenic potentials. Curr Opin Otolaryngol Head Neck Surg. 2006;14:299–304. - PubMed
    1. Isaradisaikul S, Navacharoen N, Hanprasertpong C, Kangsanarak J. Cervical vestibular-evoked myogenic potentials: norms and protocols. Int J Otolaryngol. 2012;2012:913515. - PMC - PubMed

LinkOut - more resources