Mayhew I G, Washbourne J R
Animal Health Trust, Newmarket, Suffolk.
Br Vet J. 1992 Jul-Aug;148(4):315-27. doi: 10.1016/0007-1935(92)90084-E.
The Brainstem Auditory Evoked Potential (BAEP) is a recording of the electrical activity of the brainstem following an acoustic stimulation. Up to seven peaks may be identified within 10 ms, and are labelled I to VII. The first five of these peaks are of most clinical importance, and in normal horses, peaks I, III and V are always present at stimulus intensities of 70-100 dB. Repeated sampling of clinically normal subjects at different stimulus intensities has enabled mean latency values to be determined for the ipsilateral and contralateral peaks I, III and V, and also for the interpeak latencies (IPLs) at each intensity. The maximum, normal, absolute latency for ipsilateral peak I was 1.86 ms, for peak III, 3.53 ms and for peak V, 5.52 ms. The equivalent contralateral values were 2.50 ms, 4.44 ms and 5.59 ms. The maximum, normal, contralateral IPL for I-III was 1.78 ms, that for III-V was 2.26 ms and for I-V was 3.76 ms. The maximum, normal, contralateral IPLs were 2.17 ms for I-III, 1.41 ms for III-V and 3.32 ms for I-V. If a peak or peaks are absent or delayed, or the IPL is greater than expected, the patient can be determined to have abnormal brainstem or auditory nerve conduction. The amplitudes of peaks I and V were measured, and the ratio of amplitudes was determined, to find the normal V:I values. At a stimulus intensity of 100 dB, the ipsilateral ratio was 0.49 +/- 0.19, and the contralateral value 1.49 +/- 0.48. Dispersal values were also calculated, by dividing the height of the III-V complex by its duration. For a stimulus intensity of 100 dB, the ipsilateral dispersal value was 0.416 +/- 0.104 microV/ms, and the contralateral value of 0.473 +/- 0.074 microV/ms. A range of normal values for both V:I ratio and dispersal were calculated. Height, weight and inter-aural distance were measured, and the relationship of the various peaks and IPLs to these variables was ascertained by statistical analysis. For the ipsilateral values, the correlation between the latency of wave V, and III-V and I-V IPLs and weight were significant (P less than 0.01). Significant correlations were found between weight and the latency of contralateral waves III (P less than 0.05) and V (P less than 0.05) and the I-III (P less than 0.01) and I-V (P less than 0.001) IPLs.(ABSTRACT TRUNCATED AT 400 WORDS)
脑干听觉诱发电位(BAEP)是对听觉刺激后脑干电活动的记录。在10毫秒内可识别出多达七个波峰,标记为I至VII。其中前五个波峰具有最重要的临床意义,在正常马匹中,波峰I、III和V在70 - 100分贝的刺激强度下总是存在。在不同刺激强度下对临床正常受试者进行重复采样,已能够确定同侧和对侧波峰I、III和V的平均潜伏期值,以及每个强度下的峰间潜伏期(IPL)。同侧波峰I的最大正常绝对潜伏期为1.86毫秒,波峰III为3.53毫秒,波峰V为5.52毫秒。相应的对侧值分别为2.50毫秒、4.44毫秒和5.59毫秒。I - III的最大正常对侧IPL为1.78毫秒,III - V为2.26毫秒,I - V为3.76毫秒。I - III的最大正常对侧IPL为2.17毫秒,III - V为1.41毫秒,I - V为3.32毫秒。如果一个或多个波峰缺失或延迟,或者IPL大于预期,则可确定患者脑干或听觉神经传导异常。测量波峰I和V的幅度,并确定幅度比,以得出正常的V:I值。在100分贝的刺激强度下,同侧比值为0.49±0.19,对侧值为1.49±0.48。还通过将III - V复合波的高度除以其持续时间来计算离散值。对于100分贝的刺激强度,同侧离散值为0.416±0.104微伏/毫秒,对侧值为0.473±0.074微伏/毫秒。计算了V:I比值和离散值的一系列正常范围。测量了身高、体重和耳间距,并通过统计分析确定了各个波峰和IPL与这些变量之间的关系。对于同侧值,波峰V的潜伏期、III - V和I - V IPL与体重之间的相关性显著(P小于0.01)。发现体重与对侧波峰III(P小于0.05)和V(P小于0.05)的潜伏期以及I - III(P小于0.01)和I - V(P小于0.001)的IPL之间存在显著相关性。(摘要截断于400字)