Intraoperative brainstem auditory evoked potentials: significant decrease in postoperative morbidity.

Published

Journal Article

Evoked potentials are commonly used for intraoperative monitoring of neural tissue under surgical threat despite the lack of unequivocal evidence demonstrating its effectiveness in preventing neural injury. This study retrospectively compares the auditory morbidity of posterior fossa microvascular decompressive surgery before and after the introduction of intraoperative brainstem auditory evoked potentials (BAEPs). All patients underwent a similar operative procedure performed by a single surgeon. The two groups were comparable with regards to age, sex, and indications for surgery. In the nonmonitored group, auditory morbidity had not declined with increasing experience of the surgeon. Ten of 152 patients (6.6%) suffered a profound hearing loss in the nonmonitored group. In the monitored group, none of 70 patients suffered a profound hearing loss. We attribute this significant decline (p = 0.02) in morbidity to the introduction of intraoperative BAEPs. We believe this to be the first demonstration of a significant decrease in operative morbidity directly associated with the use of intraoperative evoked potential monitoring.

Full Text

Duke Authors

Cited Authors

  • Radtke, RA; Erwin, CW; Wilkins, RH

Published Date

  • February 1989

Published In

Volume / Issue

  • 39 / 2 Pt 1

Start / End Page

  • 187 - 191

PubMed ID

  • 2915787

Pubmed Central ID

  • 2915787

International Standard Serial Number (ISSN)

  • 0028-3878

Digital Object Identifier (DOI)

  • 10.1212/wnl.39.2.187

Language

  • eng

Conference Location

  • United States