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Die Ableitung zervikaler und okulärer vestibulär evozierter myogener Potenziale

Teil 1: Anatomie, Physiologie, Methodik und Normalbefunde

verfasst von: PD Dr. L.E. Walther, K. Hörmann, O. Pfaar

Erschienen in: HNO | Ausgabe 10/2010

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Zusammenfassung

Die klinische Bedeutung der vestibulär evozierten myogenen Potenziale (VEMP) hat in den letzten Jahren zugenommen. VEMP sind inzwischen ein fester Bestandteil neurootologischer Untersuchungen zur Einschätzung des Funktionszustands der Otolithenorgane. Diese sind empfindlich auf niederfrequente akustische Stimuli. Bei einer Reizung kommt es zur Aktivierung der Rezeptoren in Sacculus und Utriculus. Über reflektorische Verbindungen können so myogene Potenziale unter der Voraussetzung einer tonischen Aktivierung der entsprechenden Muskeln erfasst werden. Der vestibulocollische (sacculucollische) Reflex verläuft von den Otolithenorganen über zentrale Verschaltungen zum ipsilateralen M. sternocleidomastoideus. Myogene Potenziale können hier mittels der sog. zervikalen VEMP (cVEMP) abgeleitet werden. Der vestibulooculäre Reflex kreuzt nach kontralateral zu extraokulären Augenmuskeln. Okuläre VEMP (oVEMP) werden periokulär, vorzugsweise über dem M. obliquus inferior abgeleitet. Für die Stimulation werden überschwellige Luftleitungsreize und vibratorische Knochenleitungsstimuli eingesetzt.

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Titel: Die Ableitung zervikaler und okulärer vestibulär evozierter myogener Potenziale
Teil 1: Anatomie, Physiologie, Methodik und Normalbefunde
verfasst von: PD Dr. L.E. Walther
K. Hörmann
O. Pfaar
Publikationsdatum: 01.10.2010
Verlag: Springer-Verlag
Erschienen in: HNO / Ausgabe 10/2010
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI: https://doi.org/10.1007/s00106-010-2183-x

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Die Ableitung zervikaler und okulärer vestibulär evozierter myogener Potenziale

Teil 1: Anatomie, Physiologie, Methodik und Normalbefunde

Zusammenfassung

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

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