ENT · Vertigo and Balance — Advanced (VEMP, Videonystagmography, Central vs Peripheral)

Cervical VEMP (cVEMP) tests the integrity of which vestibular structure?

  • A Utricle and superior vestibular nerve
  • B Horizontal semicircular canal
  • C Superior semicircular canal
  • D Saccule and inferior vestibular nerve
Correct answer: D. Saccule and inferior vestibular nerve

Explanation

cVEMP is an inhibitory myogenic potential recorded from the ipsilateral sternocleidomastoid muscle in response to loud sound stimuli; it reflects the vestibulo-collic reflex pathway: saccule → inferior vestibular nerve → lateral vestibular nucleus → accessory nucleus → SCM. Ocular VEMP (oVEMP) tests the utricle via the superior vestibular nerve. The semicircular canals are tested by caloric and rotation chair tests.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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