AudiologyOnline Phone: 800-753-2160


Eli Lilly - Resonate Genetic Testing and Counseling - June 2025

Sensitivity of VEMP to Detect Endolymphatic Hydrops

R. Steven Ackley, PhD, CCC-A, FAAA

September 10, 2007

Share:

Question

Can you define the differences in sensitivity of procedures such as the Cochlear Hydrops Analysis Masking Procedure (CHAMP) and the VEMP in identifying endolymphatic hydrops versus cochlear hydrops?

Answer

Well, it's a good question. I don't think the VEMP at this point is as sensitive to endolymphatic hydrops of the saccule as electrocochleography and other methods that we have of identifying cochlear hydrops. I think VEMP needs some fine-tuning before it will identify saccular hydrops with maybe 75-80% sensitivity. Currently, the sensitivity of CHAMP is far superior to that of the standard VEMP analysis that is currently used in clinical and research practice.

Dr. Ackley is Director of Audiology at Gallaudet University and former department chair at the University of Northern Colorado and Associate Professor at Colorado State University prior to that. He had an electrophysiological assessment private practice in Colorado from 1987-2000, and he currently directs the Gallaudet Electrophysiology and Balance Center. He has done extensive research on vestibular evoked myogenic potential (VEMP) assessment of Deaf and hard-of-hearing subjects during his tenure at Gallaudet.


R. Steven Ackley, PhD, CCC-A, FAAA

Gallaudet University, Audiology Online Contributing Editor - Electrophysiology

Professor and Director, Audiology, Gallaudet University, Washington, DC Affiliate Professor, Department of Biology, Colorado State University, 1992-2003 Faculty Affiliate, Communication Disorders, University of Northern Colorado, 2000-2005 Language Fluency: American Sign Language;Advanced Rating (Gallaudet SCPI) Certification: CCC-A Education: 1983, Ph.D., University of Colorado, Communication Disorders 1972, M.Ed., Western Maryland College, Deaf Education 1968, B.S., Cornell College, Psychology Dr. Ackley is Director of Audiology at Gallaudet University and former department chair at the University of Northern Colorado and Associate Professor at Colorado State University prior to that. He had an electrophysiological assessment private practice in Colorado from 1987-2000, and he currently directs the Gallaudet Electrophysiology and Balance Center. He has done extensive research on vestibular evoked myogenic potential (VEMP) assessment of Deaf and hard-of-hearing subjects during his tenure at Gallaudet.


Related Courses

Grand Rounds: Cases in Medical Audiology, presented in partnership with The Ohio State University
Presented by Gail Whitelaw, PhD, Abigail Smiles, AuD, Breanna Langenek, BA, Devan Lander, BS, Hailey Long, BA, Theodora Bowman, BA
Recorded Webinar
AudiologyOnline

Presenters

Gail Whitelaw, PhDAbigail Smiles, AuDBreanna Langenek, BADevan Lander, BSHailey Long, BATheodora Bowman, BA
Course: #38797Level: Advanced1.5 Hours
  'The topics were good'   Read Reviews
This course focuses on cases that incorporate aspects of medical audiology and considerations for audiologists providing patient care in this population.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

eAudiology: Migraines in the Audiology Clinic - What You Need to Know
Presented by Sam Bittel, AuD
Recorded Webinar
American Academy of Audiology

Presenter

Sam Bittel, AuD
Course: #40097Level: Intermediate1 Hour
  'Detailed and helpful information'   Read Reviews
Migraine is a common neurological disorder with audiovestibular symptoms like tinnitus, hearing loss, and vertigo, requiring audiologists to understand its management. This webinar covers migraine mechanisms, management strategies, and their connection to ear disorders, providing practical information for clinical practice.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Audiology: Diabetes in Hearing & Balance Care
Presented by Kathy Dowd, AuD
Recorded Webinar
AudiologyOnline

Presenter

Kathy Dowd, AuD
Course: #34222Level: Intermediate1 Hour
  'Easy to understand and super helpful from an audiologist perspective'   Read Reviews
This presentation will examine the pathophysiology of diabetes on hearing and balance as well as audiology medical management of diabetes associated hearing and balance issues. The course will look at the research we know and do not know, patient care and interprofessional collaboration around diabetes care.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Auditory and Vestibular Complications and Legalities Following Head Injuries
Presented by Soumit Dasgupta, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Soumit Dasgupta, MD
Course: #38836Level: Advanced2 Hours
  'Interesting to hear pros/cons on medicolegal involvement'   Read Reviews
Audiovestibular system assessment and management are crucial in head injuries to improve a person’s life. This lecture discusses the pathomechanism, epidemiology, clinical features, and management of audiovestibular injuries following head injuries and the legal perspective with the author’s own extensive case series.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Mild TBI - The Not So Mild Effects
Presented by Liz Fuemmeler, AuD, FAAA, CCC-A, Julie Shoemake, MS, CCC-SLP, CBIS
Recorded Webinar
AudiologyOnline

Presenters

Liz Fuemmeler, AuD, FAAA, CCC-AJulie Shoemake, MS, CCC-SLP, CBIS
Course: #42948Level: Intermediate1.5 Hours
  'The presenter's were well prepared and concise'   Read Reviews
An overview of mild traumatic brain injury (mTBI)/concussion and its pathophysiology, with particular emphasis on diagnostic and rehabilitation tools utilized by SLPs and audiologists, is provided in this course. Impacts of mTBI on hearing, cognition, vision and the vestibular system, assessments performed by the two disciplines post-concussion, and treatments for cognition (including auditory processing disorder) are described.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.