These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Detailed analysis of intraoperative changes monitoring brain stem acoustic evoked potentials.
    Author: Schramm J, Mokrusch T, Fahlbusch R, Hochstetter A.
    Journal: Neurosurgery; 1988 Apr; 22(4):694-702. PubMed ID: 3259682.
    Abstract:
    A series of 31 neurosurgical procedures in the posterior fossa monitored intraoperatively with ipsilateral brain stem acoustic evoked potentials (BAEPs) is analyzed for intraoperative potential changes. The evaluation of patients included pre- and postoperative BAEP recordings and pure tone audiometry. The series included 25 tumors, 4 neurovascular decompressions, 1 basilar artery aneurysm, and 1 arteriovenous malformation. Two intraoperative findings correlated significantly with a postoperative decrease in hearing: an amplitude reduction of more than 50% for Waves I to V and the loss of one of the waves, even if it was a wave that first appeared intraoperatively. We could attribute no significance to reversible or irreversible latency increases for all waves. The transient loss of one of the peaks followed by its reappearance was also insignificant with regard to postoperative hearing. A good prognostic sign was the intraoperative appearance of a peak undetectable on the preoperative recordings. These findings suggest that in intraoperative BAEP monitoring the observation of amplitude reduction is more important than that of latency increases. The surgeon should be informed when an amplitude reduction of more than 50% occurs before the peak is lost totally, as it is impossible to predict whether this peak will reappear intraoperatively.
    [Abstract] [Full Text] [Related] [New Search]