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脑干听觉诱发电位在桥小脑角肿瘤中的应用(作者译)

[Using brainstem auditory evoked potentials in cerebellopontine angle tumors (author's transl)].

作者信息

Feblot P, Uziel A

出版信息

Ann Otolaryngol Chir Cervicofac. 1980 Oct-Nov;97(10-11):787-803.

PMID:6971069
Abstract

The brainstem electric responses on acoustic stimulation are recorded on 37 patients with verified cerebellopontine angle tumors. These responses are compared with those of 101 normal hearing young adults and those of 47 patients with cochlear hearing loss. The Interval between the latency of the first wawe (acoustic nerve) and the fifth (midbrain) or I-V delay is related to the lesion location. The I-V delay is increased in retro-cochlear hearing loss and not different of the normal in cochlear hearing loss. The delay variation is best seen by comparing the I-V delay for the two ears. The interaural I-V delay difference (ITI-V) is normally less than 0,3 msec and is greater than or equal to 0,35 ms in the tumor group. The use of ITI-V increases the reliability of the test. We have neither false positive nor false negative findings. We now use brainstem electric responses as a routine part of our office practice of neuro-otology.

摘要

对37例经证实患有桥小脑角肿瘤的患者进行了声刺激下的脑干电反应记录。将这些反应与101名听力正常的年轻成年人以及47例耳蜗性听力损失患者的反应进行比较。第一波(听神经)潜伏期与第五波(中脑)潜伏期之间的间隔或I-V间期与病变位置有关。I-V间期在蜗后性听力损失中增加,而在耳蜗性听力损失中与正常情况无差异。通过比较双耳的I-V间期,延迟变化最明显。双耳I-V间期差异(ITI-V)正常情况下小于0.3毫秒,在肿瘤组中大于或等于0.35毫秒。使用ITI-V提高了测试的可靠性。我们没有假阳性或假阴性结果。我们现在将脑干电反应作为我们神经耳科学门诊常规检查的一部分。

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