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Background <p>Meniere’s disease (MD) and Vestibular Migraine (VM) are two common causes of vertigo, but their clinical presentation can overlap, making differential diagnosis challenging. Cervical Vestibular Evoked Myogenic Potentials (cVEMP) at 500&#xa0;Hz and 1000&#xa0;Hz have been used extensively to characterise their parameters in these conditions for differential diagnosis. However, there is a lack of consistency in the pattern of abnormality across different studies. Therefore, current research aimed to assess cVEMP responses at multiple frequencies such as 500&#xa0;Hz, 750&#xa0;Hz, 1000&#xa0;Hz, and 2000&#xa0;Hz to determine if there are frequency-specific patterns that can aid in the differentiation of Meniere’s disease and vestibular migraine.</p> Results <p>Three groups of participants, healthy controls, MD and VM underwent cVEMP testing using 500&#xa0;Hz, 750&#xa0;Hz, 1000&#xa0;Hz and 2000&#xa0;Hz tone burst stimuli. Patients with MD showed significantly prolonged P<sub>13</sub> latency at 500&#xa0;Hz compared to patients with VM. Peak-to-peak amplitude showed significantly reduced amplitude in MD at all frequencies compared to VM. IFAR for MD showed significantly higher values at 1000/500&#xa0;Hz than VM.</p> Conclusions <p>Frequency-dependent cVEMP at 500&#xa0;Hz and 1000&#xa0;Hz are more useful in differentially diagnosing VM and MD.</p>

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Frequency-dependent cVEMP characteristics in meniere’s disease and vestibular migraine: a comparative study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月11日

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  • Tanvi Anand,
  • Sharda Sarda

摘要

Background

Meniere’s disease (MD) and Vestibular Migraine (VM) are two common causes of vertigo, but their clinical presentation can overlap, making differential diagnosis challenging. Cervical Vestibular Evoked Myogenic Potentials (cVEMP) at 500 Hz and 1000 Hz have been used extensively to characterise their parameters in these conditions for differential diagnosis. However, there is a lack of consistency in the pattern of abnormality across different studies. Therefore, current research aimed to assess cVEMP responses at multiple frequencies such as 500 Hz, 750 Hz, 1000 Hz, and 2000 Hz to determine if there are frequency-specific patterns that can aid in the differentiation of Meniere’s disease and vestibular migraine.

Results

Three groups of participants, healthy controls, MD and VM underwent cVEMP testing using 500 Hz, 750 Hz, 1000 Hz and 2000 Hz tone burst stimuli. Patients with MD showed significantly prolonged P13 latency at 500 Hz compared to patients with VM. Peak-to-peak amplitude showed significantly reduced amplitude in MD at all frequencies compared to VM. IFAR for MD showed significantly higher values at 1000/500 Hz than VM.

Conclusions

Frequency-dependent cVEMP at 500 Hz and 1000 Hz are more useful in differentially diagnosing VM and MD.