Hashimoto I, Ishiyama Y, Tozuka G
Arch Neurol. 1979 Mar;36(3):161-7. doi: 10.1001/archneur.1979.00500390079009.
Simultaneous bilateral recordings (C3 to A1 and C4 to A2) of brain stem auditory evoked responses have been studied in 67 supratentorial lesions, nine midbrain lesions, 21 intrinsic pontine lesions, and 23 extrinsic compressions of the pons. The responses in supratentorial lesions showed completely normal records. In midbrain lesions, wave V was specifically altered. As wave 1 has been shown to be a far-field seventh nerve potential, and wave V the midbrain potential, waves II to IV can be inferred to originate in the central auditory pathway between the seventh nerve and the midbrain. Alterations of waves II to IV correlated well with localization of pontine lesions, and asymmetric alterations of the bilaterally recorded responses were associated with unilateral lesions of the brain stem auditory pathway and/or lesions of the crossed auditory projections.
对67例幕上病变、9例中脑病变、21例桥脑实质病变和23例桥脑外压迫患者进行了脑干听觉诱发电位的双侧同步记录（C3至A1和C4至A2）。幕上病变的反应记录完全正常。在中脑病变中，V波有特异性改变。由于I波已被证明是远场第七神经电位，V波是中脑电位，因此可以推断II至IV波起源于第七神经和中脑之间的中枢听觉通路。II至IV波的改变与桥脑病变的定位密切相关，双侧记录反应的不对称改变与脑干听觉通路的单侧病变和/或交叉听觉投射的病变有关。
