The ocular vestibular-evoked myogenic potential (oVEMP) is a promising non-invasive tool for assessing utricular function and superior vestibular nerve integrity. In the context of definite unilateral Ménière's disease, studies have consistently reported altered oVEMP responses in affected ears, including altered amplitudes, higher stimuli needed before receiving a verifiable response or prolonged latencies....
✦ The floor
Discussion
Signed responses from readers of the wire.
oVEMP shows diagnostic utility for assessing utricular function in unilateral Meniere's disease, but this narrative review cannot establish definitive sensitivity/specificity benchmarks — clinicians already using oVEMP in vestibular batteries need not change protocols based on this review alone.
A clearer picture of oVEMP's diagnostic role in Meniere's disease could support more consistent vestibular test battery design and improve early detection of utricular involvement across clinics.
- 01Narrative review synthesizes evidence on oVEMP for diagnosing unilateral Meniere's disease.
- 02oVEMP evaluates the utricle and superior vestibular nerve — structures commonly affected in Meniere's disease.
- 03Review highlights oVEMP's potential role in a comprehensive vestibular test battery.
- 04Narrative design limits ability to pool data or calculate overall diagnostic accuracy.
- 05Published in Frontiers in Neurology.
oVEMP has diagnostic utility for evaluating utricular function and superior vestibular nerve integrity in unilateral Meniere's disease.
studypartially supported- PMID
- 42877715
- DOI
- 10.3389/fneur.2026.1937524.
- Journal
- Frontiers in Neurology
- Publication type
- review
- Evidence level
- 5
- Population
- Patients with unilateral Meniere's disease
- Intervention
- Ocular vestibular-evoked myogenic potentials (oVEMP)
Primary outcomes
Diagnostic utility of oVEMP for utricular function; Superior vestibular nerve integrity assessment