Vestibular Evoked Myogenic Potentials in Infratentorial Infarction Patients

천막아래 뇌경색 환자에서 전정유발근육전위

  • Kim, Kwang-Ki (Department of Neurology, College of Medicine, Kangwon National University) ;
  • Lee, Seung Hwan (Department of Neurology, College of Medicine, Kangwon National University) ;
  • Won, Jun Yeon (Department of Otolaryngology, College of Medicine, Kangwon National University) ;
  • Seol, Ho Jun (Department of Neurosurgery, College of Medicine, Kangwon National University) ;
  • Kim, Sung Hun (Department of Neurology, College of Medicine, Kangwon National University)
  • 김광기 (강원대학교 의과대학 신경과학교실) ;
  • 이승환 (강원대학교 의과대학 신경과학교실) ;
  • 원준연 (강원대학교 의과대학 이빈이후과학교실) ;
  • 설호준 (강원대학교 의과대학 신경외과학교실) ;
  • 김성훈 (강원대학교 의과대학 신경과학교실)
  • Published : 2005.12.30

Abstract

Vestibular evoked myogenic potentials (VEMP) have been known to useful in documenting abnormality in patients with various vestibular disorders but the studies of VEMP in stroke patients are rare. We recorded VEMP in 17 consecutive patients with acute ischemic stroke in the brainstem lesions. All patients underwent magnetic resonance imaging and we compare VEMP results with the lesion documented by brain imaging. VEMP were defined to be abnormal when they were very asymmetrical (one is 2 times of more as large as the other), or absent in one side. VEMP abnormalities were found in 71%(12/17) of acute infarction patients with brainstem lesions. Most abnormalities found in the ipsilateral side of the lesion(9/12) but abnormalities in contralateral side of lesion were found in 25%(3/12) of patients.VEMP would be considered a useful complementary neurophysiological tool for the evaluation of brainstem dysfunction in acute stroke patients.

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