Asymmetric vestibular evoked myogenic potentials in unilateral Meniere patients

Vestibular evoked myogenic potentials (VEMPs) were measured in 22 unilateral MeniSre patients with monaural and binaural stimulation with 250 and 500 Hz tone bursts. For all measurement situations significantly lower VEMP amplitudes were on average measured at the affected side compared to the unaffected side. Unilateral MeniSre patients have, in contrast to normal subjects, asymmetric VEMPs, indicating a permanently affected vestibular (most likely otolith) system at the side of hearing loss. The diagnostic value of VEMP amplitude asymmetry measurement in individual patients is low, because of the large overlap of the VEMP amplitude asymmetry range for unilateral MeniSre patients with that for normal subjects.