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Acoustic neuroma and the contralateral ear: recovery of auditory brainstem response abnormalities after surgery

Published online by Cambridge University Press:  29 June 2007

J. A. J. Deans*
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne.
J. P. Birchall
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne.
A. D. Mendelow
Affiliation:
Department of Neurosurgery, General Hospital, Newcastle Upon Tyne.
*
Mr J. A. J. Deans, F.R.C.S., Department of Otolaryngology, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN.

Abstract

Auditory brainstem responses are an established technique in the diagnosis of acoustic neuroma. In several reports abnormalities are shown to occur in the contralateral ear.

That these abnormalities recover has been demonstrated, but only in terms of changes in inter-peak latency. In only one case has the waveform trace showing this been published. We present a case in which a highly abnormal wave form was obtained from the ear contralateral to a large acoustic neuroma. Following excision of the lesion, the waveform reverted to a normal pattern. The literature on the subject is reviewed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1990

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References

House, J. W., Brackmann, D. E. (1979) Brainstem audiometry in neurotologic diagnosis. Archives of Otolaryngology, 105: 305309.CrossRefGoogle ScholarPubMed
Lynn, G. E., Gilroy, J., Maulsby, R. L. (1980) Value of AEP for detection of brain stem compression in extra-axial posterior fossa tumours. Electroencephalography and Clinical Neurophysiology, 49: 1P15P.Google Scholar
Moffat, D. A., Baguley, D. M., Hardy, D. G., Tsui, Y. N. (1989) Contralateral auditory brainstem response abnormalities in acoustic neuroma. Journal of Laryngology and Olology, 103: 835838.CrossRefGoogle ScholarPubMed
Møller, A. R., Janetta, P. J. (1984) In Hearing Science (Berlin, C., Ed) pp. 1331. College Hill Press Inc. San Diego.Google Scholar
Møller, M. B, Møller, A. R. (1983) Brain stem auditory evoked potentials in patients with cerebellopontine angle tumours. Annals of Otology, Rhinology and Laryngology, 92: 645650.CrossRefGoogle Scholar
Musiek, F. E., Kibbe, K. (1986) Auditory brain stem response wave IV-V abnormalities from the ear opposite large cerebellopontine lesions. American Journal of Otology, 7: 253257.Google ScholarPubMed
Nodar, R. H., Kinney, S. E. (1980) The contralateral effects of large tumours on brainstem auditory evoked potentials. Laryngoscope, 90: 17621768.CrossRefGoogle Scholar
Selters, W. A., Brackmann, D. E. (1977) Acoustic tumour detection with brain stem electric response audiometry. Archives of Otolaryngology, 103: 181187.CrossRefGoogle Scholar
Shanon, E., Gold, S., Himelfarb, M. Z. (1981) Auditory brain stem responses in cerebellopontine angle tumours. Laryngoscope, 91: 254259.CrossRefGoogle Scholar
Wielaard, R., Kemp, B. (1979) Auditory brainstem evoked responses in brainstem compression due to posterior fossa turnours. Clinical Neurology and Neurosurgery, 81: 185193.Google Scholar
Zapulla, R. A., Greenblatt, E., Karmel, B. Z. (1982) The effects of acoustic neuromas on ipsilateral and contralateral brain stem auditory evoked responses during stimulation of the unaffected ear. American Journal of Otology, 4: 118122.Google Scholar