Skip to main content
Erschienen in: European Archives of Oto-Rhino-Laryngology 6/2018

27.04.2018 | Rhinology

Chronic inflammatory demyelinating polyneuropathy: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials

verfasst von: Giuseppe Magliulo, Giannicola Iannella, Alessandra Manno, Laura Libonati, Emanuela Onesti, Annarita Vestri, Danilo Alunni Fegatelli, Diletta Angeletti, Annalisa Pace, Giampiero Gulotta, Silvia Gagliardi, Maurizio Inghilleri

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate the possibility of vestibular damage in a group of patients suffering from chronic inflammatory demyelinating polyneuropathy (CIDP) using a diagnostic protocol including the caloric test, C-VEMPs and O-VEMPs.

Methods

Twenty patients suffering from CIDP (mean age 58.5 years, range 33–80 years; 4 women and 16 men) were investigated. To assess any eventual audio-vestibular involvement, all patients of the study underwent pure tone audiometry, Fitzgerald–Hallpike caloric vestibular test, C-VEMPs and O-VEMPs.

Results

In 11 patients with CIDP values of both O-VEMPs and C-VEMPs were either absent or abnormal. An absent trace at O-VEMPs testing occurred in 36% of these pathological patients, whereas an increase of n10 latency and amplitude was present in the other 64% .

Conclusions

A specific diagnostic protocol including the caloric test, C-VEMPS, O-VEMPS, could be useful when employed for identifying vestibular damage in CIDP patients.
Literatur
1.
Zurück zum Zitat Latov N (2014) Diagnosis and treatment of chronic acquired demyelinating polyneuropathies. Nat Rev Neurol 10:435–446CrossRefPubMed Latov N (2014) Diagnosis and treatment of chronic acquired demyelinating polyneuropathies. Nat Rev Neurol 10:435–446CrossRefPubMed
2.
Zurück zum Zitat Nobile-Orazio E (2014) Chronic inflammatory demyelinating polyradiculoneuropathy and variants: where we are and where we should go. J Peripher Nerv Syst 19:2–13CrossRefPubMed Nobile-Orazio E (2014) Chronic inflammatory demyelinating polyradiculoneuropathy and variants: where we are and where we should go. J Peripher Nerv Syst 19:2–13CrossRefPubMed
3.
Zurück zum Zitat Said G (2006) Chronic inflammatory demyelinating polyneuropathy. Neuromuscul Disord 16:293–303CrossRefPubMed Said G (2006) Chronic inflammatory demyelinating polyneuropathy. Neuromuscul Disord 16:293–303CrossRefPubMed
4.
Zurück zum Zitat Reynolds J, Sachs G, Stavros K (2016) Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): clinical features, diagnosis, and current treatment strategies. R I Med J 99:32–35 Reynolds J, Sachs G, Stavros K (2016) Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): clinical features, diagnosis, and current treatment strategies. R I Med J 99:32–35
5.
Zurück zum Zitat Köller H, Schroeter M, Kieseier BC, Hartung HP (2005) Chronic inflammatory demyelinating polyneuropathy—update on pathogenesis, diagnostic criteria and therapy. Curr Opin Neurol 18:273–278CrossRefPubMed Köller H, Schroeter M, Kieseier BC, Hartung HP (2005) Chronic inflammatory demyelinating polyneuropathy—update on pathogenesis, diagnostic criteria and therapy. Curr Opin Neurol 18:273–278CrossRefPubMed
6.
Zurück zum Zitat Tatsumoto M, Misawa S, Kokubun N, et al (2015) Delayed facial weakness in Guillain-Barré and Miller Fisher syndromes. Muscle Nerve 51:811–814CrossRefPubMed Tatsumoto M, Misawa S, Kokubun N, et al (2015) Delayed facial weakness in Guillain-Barré and Miller Fisher syndromes. Muscle Nerve 51:811–814CrossRefPubMed
7.
Zurück zum Zitat Barohn RJ, Kissel JT, Warmolts JR, Mendell JR (1989) Chronic inflammatory demyelinating polyradiculoneuropathy. Clinical characteristics, course, and recommendations for diagnostic criteria. Arch Neurol 46:878–884CrossRefPubMed Barohn RJ, Kissel JT, Warmolts JR, Mendell JR (1989) Chronic inflammatory demyelinating polyradiculoneuropathy. Clinical characteristics, course, and recommendations for diagnostic criteria. Arch Neurol 46:878–884CrossRefPubMed
8.
Zurück zum Zitat Viala K, Maisonobe T, Stojkovic T (2010) A current view of the diagnosis, clinical variants, response to treatment and prognosis of chronic inflammatory demyelinating polyradiculoneuropathy. J Peripher Nerv Syst 15:50–56CrossRefPubMed Viala K, Maisonobe T, Stojkovic T (2010) A current view of the diagnosis, clinical variants, response to treatment and prognosis of chronic inflammatory demyelinating polyradiculoneuropathy. J Peripher Nerv Syst 15:50–56CrossRefPubMed
9.
Zurück zum Zitat Rubin M, Mackenzie CR (1996) Clinically and electrodiagnostically pure sensory demyelinating polyneuropathy. Electromyogr Clin Neurophysiol 36:145–149PubMed Rubin M, Mackenzie CR (1996) Clinically and electrodiagnostically pure sensory demyelinating polyneuropathy. Electromyogr Clin Neurophysiol 36:145–149PubMed
10.
Zurück zum Zitat Ayrignac X, Viala K, Koutlidis RM (2013) Sensory chronic inflammatory demyelinating polyneuropathy: an under-recognized entity? Muscle Nerve 48:727–32CrossRefPubMed Ayrignac X, Viala K, Koutlidis RM (2013) Sensory chronic inflammatory demyelinating polyneuropathy: an under-recognized entity? Muscle Nerve 48:727–32CrossRefPubMed
11.
Zurück zum Zitat Hengstman GJ, Schelhaas HJ, Zwarts MJ (2004) Auditory dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy. Neurology 62:1446–1448CrossRefPubMed Hengstman GJ, Schelhaas HJ, Zwarts MJ (2004) Auditory dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy. Neurology 62:1446–1448CrossRefPubMed
12.
Zurück zum Zitat Stojanovic VD, Doronjski AR, Spasojevic SD et al (2009) Chronic inflammatory demyelinating polyradiculoneuropathy, in an 8-year-old girl, complicated by deafness and kidney fibrosis. J Child Neurol 24:997–1000CrossRefPubMed Stojanovic VD, Doronjski AR, Spasojevic SD et al (2009) Chronic inflammatory demyelinating polyradiculoneuropathy, in an 8-year-old girl, complicated by deafness and kidney fibrosis. J Child Neurol 24:997–1000CrossRefPubMed
13.
Zurück zum Zitat Sivakumar K, Fife TD (2005) Autoimmune hearing loss in chronic inflammatory demyelinating polyneuropathy. Neurology 65:1673–1674CrossRefPubMed Sivakumar K, Fife TD (2005) Autoimmune hearing loss in chronic inflammatory demyelinating polyneuropathy. Neurology 65:1673–1674CrossRefPubMed
14.
Zurück zum Zitat Frohman EM, Tusa R, Mark AS, Cornblath DR (1996) Vestibular dysfunction in chronic inflammatory demyelinating polyneuropathy. Ann Neurol 39:529–535CrossRefPubMed Frohman EM, Tusa R, Mark AS, Cornblath DR (1996) Vestibular dysfunction in chronic inflammatory demyelinating polyneuropathy. Ann Neurol 39:529–535CrossRefPubMed
15.
Zurück zum Zitat Hearing loss: terminology and classification (1998) Joint Committee of the American Speech-Language-Hearing Association and the Council on Education of the Deaf. ASHA Suppl 40:22–23 Hearing loss: terminology and classification (1998) Joint Committee of the American Speech-Language-Hearing Association and the Council on Education of the Deaf. ASHA Suppl 40:22–23
16.
Zurück zum Zitat Magliulo G, Gagliardi S, CiniglioAppiani M, Iannella G, Re M (2014) Vestibular neurolabyrinthitis: a follow-up study with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Ann Otol Rhinol Laryngol. 123:162–173CrossRefPubMed Magliulo G, Gagliardi S, CiniglioAppiani M, Iannella G, Re M (2014) Vestibular neurolabyrinthitis: a follow-up study with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Ann Otol Rhinol Laryngol. 123:162–173CrossRefPubMed
17.
Zurück zum Zitat Magliulo G, Iannella G, Gagliardi S, Re M (2015) A 1-year follow-up study with C-VEMPs, O-VEMPs and video head impulse testing in vestibular neuritis. Eur Arch Otorhinolaryngol 272:3277–3281CrossRefPubMed Magliulo G, Iannella G, Gagliardi S, Re M (2015) A 1-year follow-up study with C-VEMPs, O-VEMPs and video head impulse testing in vestibular neuritis. Eur Arch Otorhinolaryngol 272:3277–3281CrossRefPubMed
18.
Zurück zum Zitat Murofushi T (2016) Clinical application of vestibular evoked myogenic potential (VEMP). Auris Nasus Larynx 43:367–376CrossRefPubMed Murofushi T (2016) Clinical application of vestibular evoked myogenic potential (VEMP). Auris Nasus Larynx 43:367–376CrossRefPubMed
19.
Zurück zum Zitat Rosengren SM, Welgampola MS, Colebatch JG (2010) Vestibular evoked myogenic potentials: past, present and future. Clin Neurophysiol 121:636–51CrossRefPubMed Rosengren SM, Welgampola MS, Colebatch JG (2010) Vestibular evoked myogenic potentials: past, present and future. Clin Neurophysiol 121:636–51CrossRefPubMed
20.
Zurück zum Zitat Magliulo G, Iannella G, Gagliardi S et al (2015) Retinitis pigmentosa: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Otol Neurotol 36:273–276CrossRefPubMed Magliulo G, Iannella G, Gagliardi S et al (2015) Retinitis pigmentosa: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Otol Neurotol 36:273–276CrossRefPubMed
21.
Zurück zum Zitat Magliulo G, Iannella G, Gagliardi S et al (2015) Usher’s syndrome: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Otol Neurotol 36:1421–1427CrossRefPubMed Magliulo G, Iannella G, Gagliardi S et al (2015) Usher’s syndrome: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Otol Neurotol 36:1421–1427CrossRefPubMed
22.
Zurück zum Zitat Magliulo G, Gagliardi S, Ciniglio Appiani M, Iannella G, Gagliardi M (2012) Selective vestibular neurolabyrinthitis of the lateral and superior semicircular canal ampulla and ampullary nerves. Ann Otol Rhinol Laryngol 121:640–644CrossRefPubMed Magliulo G, Gagliardi S, Ciniglio Appiani M, Iannella G, Gagliardi M (2012) Selective vestibular neurolabyrinthitis of the lateral and superior semicircular canal ampulla and ampullary nerves. Ann Otol Rhinol Laryngol 121:640–644CrossRefPubMed
23.
Zurück zum Zitat Orhan G, Böhm F, Paulus W (2016) Treatment of chronic inflammatory polyneuropathy may improve associated hearing loss: a case report and review of the literature. Muscle Nerve 53:828–829CrossRefPubMed Orhan G, Böhm F, Paulus W (2016) Treatment of chronic inflammatory polyneuropathy may improve associated hearing loss: a case report and review of the literature. Muscle Nerve 53:828–829CrossRefPubMed
24.
Zurück zum Zitat Knopp M, Leese RJ, Martin-Lamb D, Rajabally YA (2014) Optic and auditory pathway dysfunction in demyelinating neuropathies. Acta Neurol Scand 1:53–57CrossRef Knopp M, Leese RJ, Martin-Lamb D, Rajabally YA (2014) Optic and auditory pathway dysfunction in demyelinating neuropathies. Acta Neurol Scand 1:53–57CrossRef
25.
Zurück zum Zitat Magliulo G, Iannella G, Gagliardi S et al (2017) Usher’s syndrome type II: a comparative study of genetic mutations and vestibular system evaluation. Otolaryngol Head Neck Surg 157:853–860CrossRefPubMed Magliulo G, Iannella G, Gagliardi S et al (2017) Usher’s syndrome type II: a comparative study of genetic mutations and vestibular system evaluation. Otolaryngol Head Neck Surg 157:853–860CrossRefPubMed
26.
Zurück zum Zitat Brantberg K (2009) Vestibular evoked myogenic potentials (VEMPs): usefulness in clinical neurotology. Semin Neurol 29:541–547CrossRefPubMed Brantberg K (2009) Vestibular evoked myogenic potentials (VEMPs): usefulness in clinical neurotology. Semin Neurol 29:541–547CrossRefPubMed
27.
Zurück zum Zitat Magliulo G, Parrotto D, Gagliardi S, Cuiuli G, Novello C (2008) Vestibular evoked periocular potentials in Meniere’s disease after glycerol testing. Ann Otol Rhinol Laryngol 117:800–804CrossRefPubMed Magliulo G, Parrotto D, Gagliardi S, Cuiuli G, Novello C (2008) Vestibular evoked periocular potentials in Meniere’s disease after glycerol testing. Ann Otol Rhinol Laryngol 117:800–804CrossRefPubMed
Metadaten
Titel
Chronic inflammatory demyelinating polyneuropathy: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials
verfasst von
Giuseppe Magliulo
Giannicola Iannella
Alessandra Manno
Laura Libonati
Emanuela Onesti
Annarita Vestri
Danilo Alunni Fegatelli
Diletta Angeletti
Annalisa Pace
Giampiero Gulotta
Silvia Gagliardi
Maurizio Inghilleri
Publikationsdatum
27.04.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 6/2018
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-4981-9

Weitere Artikel der Ausgabe 6/2018

European Archives of Oto-Rhino-Laryngology 6/2018 Zur Ausgabe

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.