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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 37(5); 1994 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(5): 885-9.
Clinical Significance of SP/AP Ratio of Electrocochleography in Meniere's Disease-Transtympanic Method
Eui Kyung Goh, MD
Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea
메니에르병환자에서 고실내유도법에 의한 전기와우도의 SP/AP의 임상적 의의
고의경
부산대학교 의과대학 이비인후과학교실
ABSTRACT

The transtympanic electrocochleography was performed in the clinically defined Meniere's disease group and normal control group to evaluate significance of the summating potential/action potential amplitude ratio(SP/AP). And abnormal SP/AP ratio was compared to results of the intravenous glycerol test in the Meniere's group. The mean of the SP/AP ratio was significantly different between 2 groups, with 0.263 in the normal group and 0.462 in the Meniere's group. The ratio was efficient diagnostic measure of Meniere's diseases with 70.3% and 95.2% in sensitivity and specificity respectively. The sensitivity of the intravenous glycerol test was taken in 63.0% of the Meniere's group compared to 70.3% demonstrating abnormal SP/AP. The results suggest that SP/AP ratio in transtympanic electrocochleography can be a good indicator to diagnose Meniere's disease.

Keywords: ElectrocochleographySummating potentialMeniere's diseaseGlycerol test.
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