Skip to main content

Cases of Brainstem Auditory Evoked Potentials

  • Chapter
  • First Online:
Intraoperative Neurophysiological Monitoring in Hemifacial Spasm

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Guideline eleven: guidelines for intraoperative monitoring of sensory evoked potentials. Am Electroencephalogr Soc J Clin Neurophysiol 1994;11(1):77–87.

    Google Scholar 

  2. Society AE. Guideline eleven: guidelines for intraoperative monitoring of sensory evoked potential. J Clin Neurophysiol. 1994;11(1):77–87.

    Article  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  CAS  PubMed  Google Scholar 

  9. 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.

    Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. 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.

  12. 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.

  13. 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-1327-2_3

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-1326-5

  • Online ISBN: 978-981-16-1327-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics