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World J Clin Pediatr. Jan 9, 2022; 11(1): 61-70
Published online Jan 9, 2022. doi: 10.5409/wjcp.v11.i1.61
Vestibular function for children with insulin dependent diabetes using cervical vestibular evoked myogenic potentials testing
Sherifa Ahmed Hamed, Kotb Abbas Metwalley, Hekma Saad Farghaly, Amira Mohamed Oseily
Sherifa Ahmed Hamed, Department of Neurology and Psychiatry, Assiut University Hospitals, Assiut 71516, Egypt
Kotb Abbas Metwalley, Hekma Saad Farghaly, Department of Pediatrics, Assiut University Hospitals, Assiut 71516, Egypt
Amira Mohamed Oseily, Department of ENT (Auditory Unit), Assiut University Hospitals, Assiut 71516, Egypt
Author contributions: Hamed SA, Metwalley KA and Farghaly HS carried out the clinical evaluation of participants, design of the study, statistical analyses and manuscript drafting; Oseily AM carried out the audiology and vestibular evaluations and participated in study design, statistical analyses and drafting the manuscript; all authors read and approved the final manuscript.
Institutional review board statement: The study protocol was approved by the local research ethics committee of Faculty of medicine, Assiut University, Assiut, Egypt, No. AUFM_PED_232/2019.
Informed consent statement: Parents/guardians provided their written informed consent for participation of their children in the study.
Conflict-of-interest statement: The authors declared no conflict of interest.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sherifa Ahmed Hamed, MD, Professor, Department of Neurology and Psychiatry, Assiut University Hospital, Floor # 7, Room # 4, P.O.Box, Assiut 71516, Egypt. hamedsherifa@aun.edu.eg
Received: January 6, 2021
Peer-review started: January 6, 2021
First decision: June 5, 2021
Revised: July 17, 2021
Accepted: November 15, 2021
Article in press: November 15, 2021
Published online: January 9, 2022
Processing time: 365 Days and 8.6 Hours
Core Tip

Core Tip: Vestipulopathies are common complications of diabetes. The vestibular system is crucial for early normal motor and mental developments. Vestibular evoked myogenic potential testing is objective, noninvasive, inexpensive, rapid and reliable. It is used to assess the function of otolith organs (saccule and utricle) of the inner ear. The otolith organs register forces related to linear acceleration and static tilt to the gravitational axis. Cervical vestibular evoked myogenic potential is vestibulo-collic reflex record from neck muscles in response to acoustic stimulation. It provides information about type 1 hair cells in saccular macula, inferior vestibular nerve, vestibular nuclei, lateral and medial vestibulospinal tracts and accessory nerve nuclei. This study aimed to evaluate saccular function in children with type 1 diabetes and predictors of its abnormalities.