Abstract
We have dealt with the actual case of BAEP test occurring in the operating room in detail. For easy understanding, various figures, BAEP stack wave, and BAEP wave are described in detail. First, cochlear nerve damage was classified as mild, moderate, severe, and critical with the BAEP waveform. Second, the BAEP waveform was explained by classifying it into a phase in which a change occurs in a temporal concept. Third, by classifying the warning criteria into six steps, a clear answer was presented as to whether the change in wave V latency or the change in amplitude is important. Fourth, a prewarning sign prior to the warning sign was presented to discriminate significant BAEP changes in advance. Fifth, intraoperative BAEPs were transient loss, but there were cases of hearing loss after surgery. Conversely, intraoperative BAEPs were permanent loss, but the patient’s hearing was normal after surgery was examined in detail. Sixth, the relationship between the cause of occurrence and the waveform during surgery was described for the delayed BAEP loss phenomenon that occurs after the main procedure and the dizziness complications that occur after surgery.
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References
Guideline eleven: guidelines for intraoperative monitoring of sensory evoked potentials. Am Electroencephalogr Soc J Clin Neurophysiol 1994;11(1):77–87.
Society AE. Guideline eleven: guidelines for intraoperative monitoring of sensory evoked potential. J Clin Neurophysiol. 1994;11(1):77–87.
Joo BE, Park S, Cho KR, Kong DS, Seo DW, Park K. Real-time intraoperative monitoring of brainstem auditory evoked potentials during microvascular decompression for hemifacial spasm. J Neurosurg. 2016;125:1061–7. https://doi.org/10.1016/j.clinph.2017.12.032.
Park SK, Joo B, Lee S, Lee JA, Hwang JH, Kong DS, Seo DW, Park K, Lee HT. The critical warning sign of real-time brainstem auditory evoked potentials during microvascular decompression for hemifacial spasm. Clin Neurophysiol. 2018;129(5):1097–102. https://doi.org/10.1016/j.clinph.2017.12.032.
Thirumala PD, Carnovale G, Habeych ME, Crammond DJ, Balzer JR. Diagnostic accuracy of brainstem auditory evoked potentials during microvascular decompression. Neurology. 2014;83(19):1747–52. https://doi.org/10.1212/WNL.0000000000000961.
Little JR, Lesser RP, Lueders H, Furlan AJ. Brain stem auditory evoked potentials in posterior circulation surgery. Neurosurgery. 1983;12(5):496–502. https://doi.org/10.1227/00006123-198305000-00003.
Sumito Sato MY, Koizumi H, Onozawa Y, Shimokawa N, Kawashima E, Fujii K. Neurophysiological mechanisms of conduction impairment of the auditory nerve during Cerebellopontine angle surgery. Clin Neurophysiol. 2009;120(2):329–35. https://doi.org/10.1016/j.clinph.2008.11.005.
Sindou M, Fobé JL, Ciriano D, Fischer C. Hearing prognosis and intraoperative guidance of brainstem auditory evoked potential in microvascular decompression. Laryngoscope. 1992;102(6):678–82. https://doi.org/10.1288/00005537-199206000-00014.
Sang-Ku Park M, Joo B-E, Kwon J, Kim M, Lee S, Lee J-A, Park K. The prewarning sign of brainstem auditory evoked potentials during microvascular decompression surgery for hemifacial spasm. Clin Neurophysiol. 2020;Acceptance letter;23:2020.
Lee MH, Lee S, Park SK, Lee JA, Park K. Delayed hearing loss after microvascular decompression for hemifacial spasm. Acta Neurochir. 2019;161(3):503–8. https://doi.org/10.1007/s00701-018-3774-7.
American Academy of Otolaryngology-Head and Neck Surgery Foundation I. Committee on hearing and equilibrium guidelines for the evaluation of hearing preservation in acoustic neuroma (vestibular schwannoma). Otolaryngol Head Neck Surg. 1995;113(3):179–80. https://doi.org/10.1016/S0194-5998(95)70101-X.
AmericanAcademy of Otolaryngology-Head and Neck Surgery Foundation. Committee on hearing and equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg. 1995;113(3):186–7. https://doi.org/10.1016/S0194-5998(95)70103-6.
Joo BE, Park S, Lee MH, Lee S, Lee JA, Park K. Significance of wave I loss of brainstem auditory evoked potentials during microvascular decompression surgery for hemifacial spasm. Clin Neurophysiol. 2020;131(4):809–15. https://doi.org/10.1016/j.clinph.2019.12.409.
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Park, SK., Joo, BE., Park, K. (2021). Cases of Brainstem Auditory Evoked Potentials. In: Intraoperative Neurophysiological Monitoring in Hemifacial Spasm. Springer, Singapore. https://doi.org/10.1007/978-981-16-1327-2_3
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DOI: https://doi.org/10.1007/978-981-16-1327-2_3
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