Electrically evoked auditory brainstem response monitoring of auditory brainstem implant integrity during facial nerve tumor surgery.
Evoked potentials identified as electrically evoked auditory brainstem responses (EABRs) have been recorded from a patient in response to electrical stimulation of the cochlear nucleus via an auditory brainstem implant. Recording such EABRs during surgery for removal of an ipsilateral facial nerve tumor provided a means to monitor the integrity of the implant. The presence of stable EABRs similar to those obtained before surgery indicated that the lead wires had not been severed and that the implanted electrodes had not been dislodged. EABR recording may also be useful for assisting with positioning the stimulating electrodes during initial implantation surgery, by verifying that stimulation can activate the auditory system.
Waring
M D
MD
House Ear Institute, Los Angeles, CA 90057.
D000758:Anesthesia; D001831:Body Temperature; D003054:Cochlear Implants / Q000592:standards*; D003390:Cranial Nerve Neoplasms / Q000601:surgery*; D003638:Deafness / Q000209:etiology / Q000628:therapy; D016057:Evoked Potentials, Auditory, Brain Stem; D005155:Facial Nerve Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D009464:Neuroma, Acoustic / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011930:Reaction Time