{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T20:55:43Z","timestamp":1793912143220,"version":"4.8.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2004,3,1]]},"abstract":"<jats:p>The vestibular evoked myogenic potential (VEMP) is a promising test of the descending vestibulocollic system. Our aim was to determine whether the VEMP can be applied to an older patient population and can detect lesions in descending vestibulospinal pathways. We also compared VEMP\n clinical performance with that of the standard caloric test. VEMP test performance was retrospectively analyzed in relation to clinical diagnosis and other vestibular test performance in 62 patients (age, 30\u201385 years) referred for vestibular testing to Mayo Clinic, Jacksonville, Florida.\n The VEMP was evoked using a 250 Hz tone burst. Results suggest age-related changes in VEMP amplitude and latency in this patient population. VEMP tests were sensitive to lesions not detected by electronystagmography. VEMP and caloric sensitivity and specificity were essentially equal (d\u2032\n = 1). Combining both tests improved sensitivity. However, VEMP false-positive rates hampered specificity. VEMP testing may be refined to improve false-positive rates and clinical utility. El potencial evocado miog\u00e9nico vestibular (VEMP) es una prueba promisoria para el sistema vest\u00edbulo-colicular\n descendente. Nuestro prop\u00f3sito fue determinar si los VEMP pueden ser aplicados a una poblaci\u00f3n de pacientes de mayor edad y si pueden detectar lesiones en la v\u00eda vestibuloespinal descendente. Tambi\u00e9n comparamos el desempe\u00f1o cl\u00ednico del VEMP con el\n de las pruebas cal\u00f3ricas convencionales. Se analiz\u00f3 retrospectivamente el desempe\u00f1o de la prueba de VEMP con relaci\u00f3n al diagn\u00f3stico cl\u00ednico y al rendimiento de otras pruebas vestibulares en 62 pacientes (edades: 30-85 a\u00f1os), referidos a la\n Cl\u00ednica Mayo en Jacksonville, Florida, para evaluaci\u00f3n vestibular. El VEMP fue evocado utilizando un burst tonal de 250 Hz. Los resultados sugieren cambios relacionados con la edad tanto en la amplitud como en la latencia del VEMP en esta poblaci\u00f3n de pacientes. Las pruebas\n de VEMP fueron sensibles a lesiones no detectadas por electronistagmograf\u00eda. La sensibilidad y la especificidad del VEMP y de las pruebas cal\u00f3ricas fue esencialmente igual (d\u2032 = 1). La combinaci\u00f3n de ambas pruebas mejor\u00f3 la sensibilidad. Sin embargo, la tasa\n de falsos positivos con VEMP afect\u00f3 la especificidad. La evaluaci\u00f3n por VEMP puede ser refinada para mejorar la tasa de falsos positivos y su utilidad cl\u00ednica.<\/jats:p>","DOI":"10.3766\/jaaa.15.3.3","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T23:54:28Z","timestamp":1208908468000},"page":"198-215","source":"Crossref","is-referenced-by-count":40,"title":["Clinical Experience with the Vestibular Evoked Myogenic Potential"],"prefix":"10.3766","volume":"15","author":[{"given":"David A.","family":"Zapala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert H.","family":"Brey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2004\/00000015\/00000003\/art00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:10:03Z","timestamp":1738797003000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.15.3.3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,3,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,3,1]]}},"alternative-id":["1050-0545(20040301)15:3L.198;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.15.3.3","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2004,3,1]]}}}