Vestibular Evoked Myogenic Potentials

An Interactive Teaching Atlas

A clinical‑editorial atlas for cVEMP and oVEMP — written for medical students, audiology and ENT trainees, and practising clinicians. Each module reads at three levels, with hand-drawn diagrams, an interactive waveform laboratory, and a peer-reviewed self-assessment.

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How to use this atlas

Choose a reading level in the sidebar — Foundation for a brief, plain-language overview, Trainee for the working level expected in clinical training, or Clinician for the deeper detail and evidence base used in practice. Your progress and notes are kept in your browser; nothing is uploaded.

Core modules

01
Introduction

What VEMPs measure, why they matter, and a brief history.

02
Anatomy & Physiology

Saccule, utricle, the two divisions of the vestibular nerve, and the reflex arcs.

03
Recording Technique

Stimuli, electrode placement, parameters, EMG correction, common pitfalls.

04
Normal Waveforms

Interactive wave simulator, normative ranges, the IAR explained.

Disease conditions

05.1
Superior Canal Dehiscence

Third-window VEMP signature — lowered threshold, augmented amplitude.

05.2
Ménière's Disease

Endolymphatic hydrops — reduced amplitudes and frequency-tuning shift.

05.3
Vestibular Neuritis

Topographic diagnosis: superior vs inferior vs total neuritis.

05.4
Vestibular Migraine

VEMP in vestibular migraine — common but heterogeneous abnormalities.

05.5
BPPV

Benign paroxysmal positional vertigo — utricular VEMP findings.

05.6
Vestibular Schwannoma

Sensitivity ~81%, specificity ~53% — adjunct to MRI work-up.

05.7
Multiple Sclerosis

Central demyelination — latency prolongation, even with normal MRI.

Study tools

06
Clinical cases

Bedside-style scenarios — vignette, tests, single-best-answer diagnosis, and a teaching point.

07
Self-Assessment

Question bank tagged by difficulty — Foundation, Trainee, Clinician.

08
Glossary

Definitions of every term used across the atlas.

09
References

Full peer-reviewed reference list.

10
Side-by-side comparison

Pick any two VEMP signatures and see them next to their normal references.

11
Pattern recognition trainer

Endless random cases — read the trace, mark the findings, reveal the diagnosis.

12
Your progress

A dashboard view of everything the atlas remembers locally — quizzes, decks, cases, bookmarks, time on each chapter.

13
What's new

Atlas changelog — features, content updates, fixes, in reverse chronological order.

Companion volume to the VNG Atlas. Information provided for educational use; not a substitute for clinical judgement.