Imbalance in a young adult with bilaterally delayed responses
A 29-year-old reports intermittent imbalance and a previous episode of transient visual blurring that recovered over weeks. VEMP testing shows responses present bilaterally but with P1 latencies prolonged on both sides; amplitudes are relatively preserved.
Affected earContralateral ear
Both traces are present with preserved amplitude but show prolonged P1 latency — a central conduction delay rather than a receptor lesion.
Prolonged latency with preserved amplitude, in a young adult with prior transient neurological symptoms, most suggests: