Vestibular-Evoked Myogenic Potentials

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Cervical vestibular-evoked myogenic potentials (cVEMPs) are recorded from the sternocleidomastoid muscle using air conduction or bone conduction acoustic stimuli, skull taps, or transmastoid current. The diagnostic usefulness of the cVEMP has been examined for various peripheral and central vestibulopathies. Recent reports indicate that it is possible to record short-latency ocular vestibular-evoked myogenic potentials (oVEMPs) from surface electrodes below the eyes in response to air conduction and bone conduction stimuli. Both methods provide diagnostic information about otolith function. This article provides an overview of each method and highlights the similarities and differences. Several cases are presented to illustrate the relation between the results for cVEMPs and oVEMPs in patients with well-defined audiovestibular disorders.