Objectives/hypothesis: To determine if vestibular potentials could be elicited with electrical stimulation from cochlear implants.
Study Design: Prospective cohort study.
Methods: Vestibular responsiveness to electrical stimulation from cochlear implants was assessed via vestibular evoked myogenic potential (VEMP) testing in 53 pediatric and young adult patients.
Results: Thirty-one participants (58%) showed at least one vestibular potential in response to acoustic stimulation; 33 (62%) had an electrically evoked vestibular response. A cervical VEMP (cVEMP) was present in 45 of the 96 tested ears (47%) in response to acoustic stimulation, and in 34 ears (35%) with electrical stimulation. An ocular VEMP (oVEMP) was elicited acoustically in 25 ears (26%) and electrically in 34 (35%) ears. In the ears with absent responses to acoustic stimuli, electrically evoked cVEMPs and oVEMPs were present in 14 (27%) and 18 (25%) ears, respectively. Electric VEMPs demonstrated shorter latencies than acoustic VEMPs (P < .01). Whereas an increased prevalence of VEMPs was seen at high stimulation levels (P < .01), there was no difference between prevalence proportions with basal (electrode 3) or apical (electrode 20) stimulation (P > .05).
Conclusions: VEMPs can be elicited with electrical stimulation in a proportion of children with cochlear implants, demonstrating current spread from the cochlea to the vestibular system. The presence of electric VEMPs in acoustically nonresponsive ears, along with the shorter latencies of electrically driven VEMPs, suggests that electrical current can bypass the otoliths and directly stimulate vestibular neural elements.
Level Of Evidence: 4. Laryngoscope, 2016 127:E75-E81, 2017.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/lary.26037 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Magnetic vector field mapping of the stimulated abductor digiti minimi muscle with optically pumped magnetometers.
Biomed Phys Eng Express
January 2025
Children's Hospital of Eastern Switzerland, Claudiusstrasse 6, St.Gallen, 9006, SWITZERLAND.
Mapping the myomagnetic field of a straight and easily accessible muscle after electrical stimulation using triaxial optically pumped magnetometers (OPMs) to assess potential benefits for magnetomyography (MMG). Approach: Six triaxial OPMs were arranged in two rows with three sensors each along the abductor digiti minimi (ADM) muscle. The upper row of sensors was inclined by 45° with respect to the lower row and all sensors were aligned closely to the skin surface without direct contact.
View Article and Find Full Text PDFAdvancements in Wound Bed Preparation of Chronic Wounds.
Surg Technol Int
January 2025
Dr. Phillip Frost Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Chronic wounds are notoriously challenging to heal as they are often halted in their normal healing process. The concept of TIME (Tissue, Inflammation/Infection, Moisture imbalance, Epithelial edge advancement) has been widely utilized in clinical practice to prepare wound beds and promote healing, particularly in longstanding wounds. Traditional methods of wound bed preparation are often inadequate in healing chronic wounds or they may not be tolerated by patients.
View Article and Find Full Text PDFWhite matter connections within the central sulcus subserving the somato-cognitive action network.
Brain
January 2025
Section of Neurosurgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, 03756, USA.
The somato-cognitive action network (SCAN) consists of three nodes interspersed within Penfield's motor effector regions. The configuration of the somato-cognitive action network nodes resembles the one of the 'plis de passage' of the central sulcus: small gyri bridging the precentral and postcentral gyri. Thus, we hypothesize that these may provide a structural substrate of the somato-cognitive action network.
View Article and Find Full Text PDFA first morphological and electrophysiological characterization of Fañanas cells of the mouse cerebellum.
J Physiol
January 2025
Université Paris Cité, CNRS, Saints-Pères Paris Institute for the Neurosciences, Paris, France.
Fañanas cells (FCs) are cerebellar glia of unknown function. First described more than a century ago, they have been almost absent from the scientific literature ever since. Here, we combined whole-cell, patch clamp recordings, near-UV laser photolysis, dye-loading and confocal imaging for a first characterization of FCs in terms of their morphology, electrophysiology and glutamate-evoked currents.
View Article and Find Full Text PDFUnlabelled: Electric fields used in clinical trials with transcranial direct current stimulation (tDCS) are small, with magnitudes that have yet to demonstrate measurable effects in preclinical animal models. We hypothesized that weak stimulation will nevertheless produce sizable effects, provided that it is applied concurrently with behavioral training, and repeated over multiple sessions. We tested this here in a rodent model of dexterous motor-skill learning.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!