Miriam S. Welgampola

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Since the first description of sound-evoked short-latency myogenic reflexes recorded from neck muscles, vestibular evoked myogenic potentials (VEMPs) have become an important part of the neuro-otological test battery. VEMPs provide a means of assessing otolith function: stimulation of the vestibular system with air-conducted sound activates predominantly(More)
A recent technique of assessing vestibular function, the vestibular-evoked myogenic potential (VEMP), is an otolith-mediated, short-latency reflex recorded from averaged sternocleidomastoid electromyography in response to intense auditory clicks delivered via headphones. Since their first description 10 years ago, VEMPs are now being used by investigators(More)
Vestibulospinal and vestibulocollic reflexes evoked by galvanic stimulation were studied in 20 normal volunteers. In an initial "baseline" study, subjects stood unsupported on a flat surface and a narrow base with their eyes shut and with their heads rotated to the left. The effects of vision, external support and increasing stance width were examined both(More)
HYPOTHESIS Optimum stimulus parameters for tone burst-evoked myogenic responses can be defined. These optimized responses will be similar to those evoked by clicks in the same subjects. BACKGROUND Loud tones give rise to myogenic responses in the anterior neck muscles, similar to click-evoked potentials, and are likely to be saccular in origin. METHODS(More)
OBJECTIVES To define normal values and examine the influence of ageing on vestibulocollic reflexes (VCR). METHODS Vestibulocollic responses to 100 dB (normal hearing level; NHL) clicks, forehead taps and galvanic stimulation were measured in 70 healthy adults aged 25-85 years. RESULTS Click- and galvanic-evoked responses were present bilaterally in all(More)
BACKGROUND Diagnosis of the superior canal dehiscence syndrome (SCDS) relies on symptoms such as sound- or pressure-induced vertigo or oscillopsia, demonstration of sound or pressure-evoked vertical/torsional eye movements, and the presence of a defect in the bony roof overlying the superior semicircular canal. Lowered thresholds for eliciting(More)
OBJECTIVE To determine the test-retest reliability and age-related trends of the cervical and ocular vestibular evoked myogenic potential (cVEMP and oVEMP, respectively) responses to air-conducted sound and bone-conducted vibration stimulation. STUDY DESIGN Prospective study. SETTING Tertiary referral center. PATIENTS Fifty-three healthy adults with(More)
OBJECTIVES It can be difficult to distinguish vestibular migraine (VM) from Menière's disease (MD) in its early stages. Using vestibular-evoked myogenic potentials (VEMPs), we sought to identify test parameters that would help discriminate between these two vestibular disorders. METHODS We first recorded ocular and cervical VEMPs (oVEMP/cVEMP) to(More)
The vestibular-evoked myogenic potential (VEMP) is a short-latency potential evoked through activation of vestibular receptors using sound or vibration. It is generated by modulated electromyographic signals either from the sternocleidomastoid muscle for the cervical VEMP (cVEMP) or the inferior oblique muscle for the ocular VEMP (oVEMP). These reflexes(More)
OBJECTIVE To examine the properties and potential clinical uses of myogenic potentials to bone conducted sound. METHODS Myogenic potentials were recorded from normal volunteers, using bone conducted tone bursts of 7 ms duration and 250-2000 Hz frequencies delivered over the mastoid processes by a B 71 clinical bone vibrator. Biphasic positive-negative(More)