Auditory middle latency responses in patients with intracranial space-occupying lesions

J Neurosurg Sci. 1993 Jun;37(2):77-81.

Abstract

Auditory middle latency responses (MLRs) and auditory brainstem responses (ABRs) were investigated pre- and postoperatively in three patients operated on of intracranial tumor (craniopharyngioma in cases 1 and 2, left-temporal cystic astrocytoma in case 3). In each case examined, preoperative MLRs were informative in evaluating the damage to supratentorial neural structures owing to the tumor; furthermore, they allowed a precious evaluation of the functional integrity of these structures after surgery. Likewise, in case 2 the ABRs indicated a brainstem injury secondary to overzealous manipulation of the right temporal lobe. Finally, in case 3, the most prominent complex of the MLRs, ie Na-Pa, was abnormal both before and after intervention; indeed, in pre- and postoperative MLRs, Na could be identified in both ears, whereas Pa was greatly reduced in amplitude or absent: this finding would seem to suggest that Na and Pa have different generator sites.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Astrocytoma / diagnostic imaging
  • Astrocytoma / physiopathology
  • Astrocytoma / surgery*
  • Brain Neoplasms / diagnostic imaging
  • Brain Neoplasms / physiopathology
  • Brain Neoplasms / surgery*
  • Craniopharyngioma / diagnostic imaging
  • Craniopharyngioma / physiopathology
  • Craniopharyngioma / surgery*
  • Evoked Potentials, Auditory*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Photic Stimulation
  • Temporal Lobe*
  • Time Factors
  • Tomography, X-Ray Computed