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Acoustic neurinoma: what news in 2011  ? Docteur Catherine de Waele, MD PhD Service ORL, H ôpitâl  Salpetriere CESEM, CNRS, Paris Descartes Service ORL,H ôpital Américain
VIII acoustic neurinoma ,[object Object],[object Object]
VIII acoustic neurinoma ,[object Object],[object Object],[object Object],[object Object]
Acoustic neurinoma ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
VEMP papers
Utricle and utricular nerve  Ocular VEMPs  Sacculus and saccular nerve  Cervical VEMPs
Cervical VEMPs : the saccular nerve ,[object Object],[object Object],100 µV P13 N23
P13-N23 potentials result from the activation of  inhibitory  paucisynaptic saculo-spinal pathways.
Ocular VEMPs: the utricular nerve ,[object Object],[object Object],[object Object],[object Object]
VEMP recordings at the level of the contralateral eye  Air-conducted STB or clicks delivered via earphones BCV STB by bone vibration using a minivibrator  STB 500 Hz  95 dB
Fz stimulation  Mastoid stimulation
Mastoid BCV oVEMPs AC STB oVEMPs Fz BCV oVEMPs
n1-p1 potentials result from from the activation of  excitatory  paucisynaptic utriculo-ocular pathways.
[object Object],[object Object],[object Object],[object Object],oVEMP cVEMP Propriétés oVEMP versus cVEMP n1 p1
oVEMP Absence of oVEMP cVEMP Presence of cVEMP P13 N23 Exemple 10 uV 10 ms 50 uV 10 ms
Conclusion ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Curthoys IS. A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli. Clin. Neurophysiol. 2010;121(2):132-44 . Chiarovano E, Zamith F, Vidal PP, de Waele C. Ocular and cervical VEMPs: A study of 74 patients suffering from peripheral vestibular disorders. Clin Neurophysiol. 2011 Feb 7

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Acoustic neuroma

  • 1. Acoustic neurinoma: what news in 2011 ? Docteur Catherine de Waele, MD PhD Service ORL, H ôpitâl Salpetriere CESEM, CNRS, Paris Descartes Service ORL,H ôpital Américain
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  • 7. Utricle and utricular nerve Ocular VEMPs Sacculus and saccular nerve Cervical VEMPs
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  • 9. P13-N23 potentials result from the activation of inhibitory paucisynaptic saculo-spinal pathways.
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  • 11. VEMP recordings at the level of the contralateral eye Air-conducted STB or clicks delivered via earphones BCV STB by bone vibration using a minivibrator STB 500 Hz 95 dB
  • 12. Fz stimulation Mastoid stimulation
  • 13. Mastoid BCV oVEMPs AC STB oVEMPs Fz BCV oVEMPs
  • 14. n1-p1 potentials result from from the activation of excitatory paucisynaptic utriculo-ocular pathways.
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  • 16. oVEMP Absence of oVEMP cVEMP Presence of cVEMP P13 N23 Exemple 10 uV 10 ms 50 uV 10 ms
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  • 19. Curthoys IS. A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli. Clin. Neurophysiol. 2010;121(2):132-44 . Chiarovano E, Zamith F, Vidal PP, de Waele C. Ocular and cervical VEMPs: A study of 74 patients suffering from peripheral vestibular disorders. Clin Neurophysiol. 2011 Feb 7