Acoustic neuroma surgery: Absent auditory brainstem response does not contraindicate attempted hearing preservation

1999 ◽  
Vol 109 (6) ◽  
pp. 904-910 ◽  
Author(s):  
Joseph B. Roberson ◽  
Lance E. Jackson ◽  
James R. Mcauley
Keyword(s):  
Acoustic Neuroma ◽  
Auditory Brainstem Response ◽  
Hearing Preservation ◽  
Auditory Brainstem ◽  
Acoustic Neuroma Surgery ◽  
Brainstem Response

Hearing Preservation and Improvement of Auditory Brainstem Response Findings after Acoustic Neuroma Surgery

1994 ◽  
Vol 114 (sup511) ◽  
pp. 40-46 ◽  
Author(s):  
Masaru Aoyagi ◽  
Masashi Yokota ◽  
Tadashi Nakamura ◽  
Hitoshi Tojima ◽  
Yoshinori Kim ◽  
...  
Keyword(s):  
Acoustic Neuroma ◽  
Auditory Brainstem Response ◽  
Hearing Preservation ◽  
Auditory Brainstem ◽  
Acoustic Neuroma Surgery ◽  
Brainstem Response

scholarly journals Normal Auditory Brainstem Response in Patients with Acoustic Neuroma

1989 ◽  
Vol 99 (1) ◽  
pp. 10???14 ◽  
Author(s):  
Steven A. Telian ◽  
Paul R. Kileny ◽  
John K. Niparko ◽  
John L. Kemink ◽  
Malcolm D. Graham
Keyword(s):  
Acoustic Neuroma ◽  
Auditory Brainstem Response ◽  
Auditory Brainstem ◽  
Brainstem Response

Normal audiologic presentations in patients with acoustic neuroma: An evaluation using strict audiologic parameters

2000 ◽  
Vol 122 (2) ◽  
pp. 157-162 ◽  
Author(s):  
Daniel D. Magdziarz ◽  
Richard J. Wiet ◽  
Elizabeth A. Dinces ◽  
Lois C. Adamiec
Keyword(s):  
Acoustic Neuroma ◽  
Auditory Brainstem Response ◽  
Auditory Brainstem ◽  
Normal Hearing ◽  
Speech Discrimination ◽  
Preoperative Test ◽  
Brainstem Response ◽  
Vestibular Symptoms ◽  
Interaural Differences ◽  
High Level

Although several studies have previously reported on patients presenting with “normal” audiologic parameters in acoustic neuroma, the present study is, to our knowledge, the first to exclusively examine in detail cases involving exceptionally stringent objective audiometric features. Of 369 patients with acoustic neuroma who were operated on between April 1980 and April 1997 by our group, 10 had strictly normal hearing, defined as follows: (1) pure-tone average < 20 dB; (2) speech discrimination score > 90%; and (3) interaural differences < 10 dB at every hertz level. A high level of audiologic functioning was found to significantly lower the sensitivity of auditory brainstem response in the detection of acoustic neuroma. Magnetic resonance imaging was the only preoperative test exhibiting 100% sensitivity in this setting. Thus, a high level of clinical suspicion appears warranted in any case involving unexplained unilateral audio-vestibular symptoms—including those instances in which strictly normal hearing parameters exist and are associated with negative auditory brainstem response findings.

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