Ocular vestibular evoked myogenic potential in benign paroxysmal positional vertigo: a systematic review





Vestibular evoked myogenic potential; Ocular vestibular evoked myogenic potential; Utricle; Benign paroxysmal positional vertigo.


The ocular vestibular evoked myogenic potential is reflected from extraocular muscles in response to high intensity sounds. The ocular VEMP evaluates the superior vestibular pathway and the contralateral ascending pathway, through the vestibulo-ocular reflex. Characterized by brief episodes of vertigo, nausea and / or nystagmus of positioning with a change in head position, BPPV is caused by the inappropriate presence of floating statocony particles from the utricular macula in the endolymph of the semicircular canal (s) (es) ) or bonded to the dome of the same (s). The present study aims to verify whether the latency and amplitude values ​​of the oVEMP components are different in patients with BPPV when compared to normal adults. The study is a systematic review, where it sought to investigate the latency and amplitude values ​​of oVEMP in BPPV and control group, researched in the following databases: PubMed, ScienceDirect, VHL (lilacs), SciELO, Scopus, Circumpolar Health Bibliographic Database, Embase, Web of Science and Cochrane Central Register of Controlled Trials (CENTRAL). In addition to the gray literature bases: OpenGrey, DissOnline, The New York Academy of Medicine, ClinicalEvidence.com and ClinicalTrials.gov. In the studies it is observed that the latency averages n1 and p1 in individuals with healthy BPPV and control did not show differences between yes, characterizing as normal responses. Meanwhile, the amplitude data n1 and p1 in individuals with BPPV was lower when compared to the control group. The findings point to the relevance of the approach and validate the study, since the results of the degree of latency and amplitude may suggest changes triggered by BPPV. Therefore, the oVEMP test is the most efficient to evaluate cases with BPPV.


Akin, F. W., et al. (2011). The effect of age on the vestibular evoked myogenic potential and sterno-cleidomastoid muscle tonic electromyogram level. Ear Hear, 32:617-22. Doi: 10.1097/ AUD.0b013e318213488.

Colebatch, J. G., & Halmagyi G. M., (1992). Vestibular evoked potentials in human cervical muscles before and after unilateral vestibular deferentation. Neurology, 42 (8):1635–6. https://doi.org/10.1212/WNL.42.8.1635.

Colebatch, J. G., et al., (1994). Myogenic potentials generated by a click-evoked vestibulocolic reflex. J Neurol Neurosurg Psychiatry. J Neurol Neurosurg Psychiatry, 57(2):190–197. 10.1136/jnnp.57.2.190.

Chihara Y. et al. (2009). Ocular vestibular-evoked myogenic potentials (oVEMPs) require extraocular muscles but not facial or cochlear nerve activity. Clin Neurophysiol. 120(3):581-7. http://dx.doi.org/10.1016/j. clinph.2008.12.030.

David, R., et al. (2002). Potenciais miogênico evocados vestibulares (VEMP): uma revisão bibliográfica. Rev. Bras. Otorrinolaringol, 68(1), 113-117. https://doi.org/10.1590/S0034-72992002000100020.

Felipe, L., et al. (2012). Potencial evocado miogênico vestibular. Arq. Int. Otorrinolaringol., 16(1), 103-107. https://doi.org/10.7162/S1809-48722012000100015

Galvão, M. C. B., (2019) Revisão sistemática da literatura: conceituação, produção e publicação. LOGEION: Filosofia da informação, 6(1), 57-73. https://doi.org/10.21728/logeion.2019v6n1.p57-73

Ganança, F. F., et al. (2010). Quedas em idosos com vertigem posicional paroxística benigna. Braz J Otorhinolaryngol., 76(1), 113-20. https://doi.org/10.1590/S1808-86942010000100019.

Hong. S. M., et al. (2008). Vestibular evoked myogenic potentials in patients with benign paroxysmal positional vertigo involving each semicircular canal. Am J Otolaryngol 29 (3): 184-187. 10.1016/j.amjoto.2007.07.004.

Niraj & Barman (2018). Inter-frequency amplitude ratio of oVEMP for differentiating Meniere’s disease from BPPV: clinical validation using a double-blind approach. International Journal of Audiology, Índia. 10.1080/14992027.2018.1529440

Moher, D., et al. (2009). Preferred reporting items for systematic reviews and meta-analyses: the prisma statement. PLoS Med, 6(7). 10.1371/journal.pmed.1000097.

Munoz, E. A., (2016). Potenciais evocados vestibulares miogênicos. RevCubMed Mil, 45(1), 10.7162/S1809-48722012000100015

Murofushi, T., et al. (1999). Short tone burst-evoked myogenic potentials on the sternocleidomastoid muscle: are these potentials also of vestibular origin? Arch. Otolaryngol. Head Neck Surg., 125(6), 660-4. 10.1001/archotol.125.6.660

Murofushi, T., et al. (1996). Absent vestibular evoked myogenic potentials in vestibular neurolabyrinthitis: an indicator of inferior vestibular nerve involvement? Arch Otolaryngol Head Neck Surg., 122(8), 845-8, 10.1001/archotol.1996.01890200035008.

Pereira, et al. (2015). Cervical vestibular evoked myogenic potentials in children. Braz J Otorhinolaryngol., 81(4), 358-362. https://doi.org/10.1016/j.bjorl.2014.08.019

Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. UFSM, NTE.

Quitschal, F. M., et al.(2014). Evaluation of postural control in unilateral vestibular hypofunction. Braz J Otorhinolaryngol., 80(4), 339-345. https://doi.org/10.1016/j.bjorl.2014.05.015

Rosengren, et al. (2005). Vestibular evoked extraocular potentials produced by stimulation with sound driven by bones. Clin Neurophysiol, 116 (8):1938 – 48. 10.1016/j.clinph.2005.03.019

Rosengren, S. M., Todd, N. P. M., & Colebatch, J. G. (2005). Vestibular evoked extraocular potentials produced by stimulation with sound conducted by the bones. Clin Neurophysiol. 116 (8):1938 – 48. 10.1016/j.clinph.2005.03.019

Silva, T. R., et al. (2019). Applications of vestibular evoked myogenic potentials: systematic literature review. AudiolCommun Res., 24, 2037. https://doi.org/10.1590/2317-6431-2018-2037.

Silva, A. L. S., et al. (2011). Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines. Brazilian Journal of Otorhinolaryngology, São Paulo, 77(2), 191-200. https://doi.org/10.1590/S1808-86942011000200009

Seo Toru, et al. (2013). Detection of utricular dysfunction using ocular vestibular evokedmyogenic potential in patients with benign paroxysmalpositional vertigo. Neurosci. Lett, 29 (550): 12-16 http://dx.doi.org/10.1016/j.neulet.2013.06.041.

Singh, N. K. & Barman, A.(2015). Efficacy of cervical and ocular vestibular-evoked myogenic potentials in evaluation of benign paroxysmal positional vertigo of posterior semicircular canal. Eur Arch Otorhinolaryngol. 10.1007/s00405-015-3867-3.

Singh, N. K. & Barman, A. (2014). Efficacy of Ocular Vestibular-Evoked Myogenic Potential in Identifying Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo. Ear Hear. 10.1097/AUD.0000000000000097.

Singh, N. K & Barman, A. (2016). Utility of the Frequency Tuning Measure of oVEMP in Differentiating Meniere’s Disease from BPPV. Department of Audiology, 27(9):764-777. 10.3766/jaaa.15141

Taminato, M., et al.(2015). Prevalência de infecção em transplante renal de doador vivo versus falecido: revisão sistemática e metanálise. RevEscEnferm USP, 49(3), 509-514. https://doi.org/10.1590/S0080-623420150000300020

Todd, N. P. M. et al (2007). Ocular vestibular evoked myogenic potentials (OVEMPs) produced by sound conducted by air and bones. Clin Neurophysiol, 118(2): 381 – 90. 10.1016/j.clinph.2006.09.025.

Von Brevern, et al. (2006) Utricular Dysfunction in Patients with Benign Paroxysmal Positional Vertigo. Otologia e Neurotologia, 27 (1): 92 - 96. 10.1097 / 01.mao.0000187238.56583.9b.

Weber, K. P. & Rosengren, S. M. (2015). Clinical utility of ocular vestibular evoked myogenic potentials (oVEMPs). Zurich Open Repository and Archive, 15(5):22. 10.1007/s11910-015-0548-y

Yin, R. K. (2015). O Estudo de caso. Bookman.



How to Cite

CARVALHO, K. M.; MACAMBIRA, Y. K. S. .; FARIAS, R. R. S. de . Ocular vestibular evoked myogenic potential in benign paroxysmal positional vertigo: a systematic review. Research, Society and Development, [S. l.], v. 10, n. 1, p. e43110111969, 2021. DOI: 10.33448/rsd-v10i1.11969. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11969. Acesso em: 25 feb. 2021.



Review Article