+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Assessment of brainstem damage by the auditory brainstem response in acute severe head injury



Assessment of brainstem damage by the auditory brainstem response in acute severe head injury



Journal of Neurology, Neurosurgery, and Psychiatry 43(11): 1005-1011



In 64 cases suffering from severe head injury (Glasgow coma scale: less than seven- the auditory brainstem responses (FARs) recorded at the vertex, which are thought to be volumet conducted far-field potentials reflecting the sequential electrical activities of the auditory afferen) system in the brainstem, were recorded in the neurosurgical intensive care room immediately after admission. The alterations in the responses were compared with the types of primary injury, neurological signs., CT findings and outcome following treatment. Based on the results obtained, it is concluded that the FAR is a useful indicator for predicting the effects of treatment on brainstem damage in patients with severe head injury, and that it provides more reliable information about the function of the brainstem than the neurological signs or CT findings. Moreover, it also offers a diagnostic method for primary brainstem injury. Three cases or primary brainstem injury without lesions in the supratentorial region were diagnosed by means of combined CT and FAR recording.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 042329001

Download citation: RISBibTeXText

PMID: 7441277

DOI: 10.1136/jnnp.43.11.1005


Related references

Over-complete discrete wavelet transformation of the normal auditory brainstem response improves prediction of outcome following severe acute closed head injury. Audiology and Neuro-Otology 11(4): 249-258, 2006

Improving the prediction of outcome in severe acute closed head injury by using discriminant function analysis of normal auditory brainstem response latencies and amplitudes. Journal of Neurosurgery 97(5): 1062-1069, 2002

Auditory brainstem abnormalities in experimental and clinical acute severe head injury. Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology 36(1): 83-88, 1983

Role of auditory brainstem responses in the prognosis of coma due to severe acute closed head injury. Indian Journal of Otolaryngology and Head & Neck Surgery 43(1): 5-8, 1991

Assessment of outcome prediction in severe brain damage patients with brainstem auditory evoked response. No Shinkei Geka. Neurological Surgery 14(11): 1325-1332, 1986

An assessment of outcome prediction in patients with severe brain damage with auditory brainstem response and blink reflex. No Shinkei Geka. Neurological Surgery 13(10): 1077-1085, 1985

Brainstem auditory evoked response and vestibulo-ocular reflex in severe head injury patients. A prospective study of 60 cases. Acta Neurochirurgica 87(1-2): 40-43, 1987

Brainstem auditory evoked potentials in severe head injury. Indian Journal of Otolaryngology and Head & Neck Surgery 46(1): 14-16, 1994

Prediction of outcome and clinical deficit in severe head injury by somatosensory brainstem auditory and middle latency auditory evoked potentials. Australian & New Zealand Journal of Medicine 18(3 SUPPL 2): 483, 1988

Auditory brainstem response and temporal bone and brainstem pathology in brainstem death, with special reference to autolysis of red blood cells. Acta Oto-Laryngologica 115(2): 183-186, 1995

Optimal denoising of brainstem Auditory Evoked Response (BAER) for automatic peak identification and brainstem assessment. Conference Proceedings 1: 1723-1726, 2007

Effects of acute brainstem compression on auditory brainstem response in the guinea pig. Zhonghua Yi Xue Za Zhi 61(11): 643-650, 1999

Development of auditory pathway evaluated by auditory brainstem response report 2. changes in auditory brainstem response waveform detection rates among low birth weight infants. Audiology Japan 28(3): 271-276, 1985

Auditory brainstem response findings in the late phase of head injury. Seminars In Hearing: 261-266, 1987

Brainstem auditory evoked potentials and somatosensory evoked potentials in assessment of comatose children after severe head injury. Journal of the Neurological Sciences 150(SUPPL ): S213, 1997