CE-Chirp® ABR in cerebellopontine angle surgery neuromonitoring: technical assessment in four cases

Neurosurg Rev. 2015 Apr;38(2):381-4; discussion 384. doi: 10.1007/s10143-015-0609-3. Epub 2015 Feb 20.

Abstract

Continuous monitoring of wave V of auditory brainstem response (ABR), also called brainstem auditory evoked potential (BAEP), is the most common method used in intraoperative neuromonitoring (IONM) functionality of cochlear nerve during surgery in cerebellopontine angle (CPA). CE-Chirp® ABR represents a recent development of classical ABR. CE-Chirp® is a new acoustic stimulus used in newborn hearing testing, designed to provide enhanced neural synchronicity and faster detection of larger amplitude wave V. In four cases, CE-Chirp® ABR was performed during cerebellopontine angle (CPA) surgery. CE-Chirp® ABR represented a safe and effective method in neuromonitoring functionality of vestibulocochlear nerve. A faster neuromonitoring feedback to surgical equipe was possible with CE-Chirp ABR®.

MeSH terms

  • Acoustic Stimulation / methods
  • Adult
  • Aged
  • Cerebellopontine Angle / surgery*
  • Cochlear Nerve / surgery*
  • Evoked Potentials, Auditory, Brain Stem / physiology
  • Female
  • Hearing / physiology
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Intraoperative* / methods
  • Neuroma, Acoustic / surgery*