Module 11
Pattern recognition trainer A random VEMP signature appears. Tick every finding you observe, then reveal. Each round is a fresh case drawn from the disease archetypes used elsewhere in this atlas — so the cases are infinite, but every one is medically realistic.
0 rounds0 perfect0 correct · 0 missed · 0 over-called
cVEMP Threshold 85 dBnHL Best response @ 500 Hz
0 10 20 30 40 50 Time (ms) Normal Affected ear Which findings are present? Reduced amplitude Amplitude well below the normal range, but a response is still present. Augmented amplitude Amplitude clearly above the normal range — the third-window signature. Absent response (one side) One side gives effectively no response (< 2 µV). Prolonged latency Peak latency delayed beyond normal — implies central (brainstem) conduction. Asymmetric (large L/R difference) Big difference between left and right (interaural asymmetry > 35–40%). Lowered threshold Response still present at low stimulus levels — extra energy admitted by a 'third window'. Frequency-tuning shift Best response shifted away from 500 Hz toward 1 kHz — characteristic of hydrops. Reveal diagnosis Skip this case
VEMP
An interactive teaching atlas of cervical and ocular vestibular evoked myogenic potentials (cVEMP / oVEMP). Content compiled from the AAN 2017 practice guideline (Fife et al.), Rosengren et al. 2019, Curthoys et al. 2025, and other peer-reviewed sources — companion to the VNG Atlas .
→ Full references & acknowledgements Built for
Medical students, ENT/Neurology/Audiology trainees, vestibular therapists, and clinicians who want to teach themselves the language of VEMP.
Concept & design
Dr Prahlada N.B
Karnataka ENT Hospital and Research Centre (R),
Please share your valuable feedback to: prahladnb@kenthospitals.com
Disclaimer
For educational purposes only. Not for clinical use. VEMP Atlas is an instructional resource intended to support learning about vestibular evoked myogenic potentials. Clinicians remain completely responsible for the interpretation of findings, the formulation of a differential diagnosis, and any clinical decision. Nothing in this application replaces individualized assessment, hands-on training, expert consultation, or established practice guidelines.
© 2026 Dr Prahlada N.B · Karnataka ENT Hospital and Research Centre (R) · Champions Educational and Medical Society (R) · Amogh Foundation