Occasional Finding Of Neurological Disorders During Children Hearing Loss Evaluation Using The Abr

One of the most important applications of the Brainstem evoked response audiometry (ABR) is in the evaluation of hearing loss in children. Today the ABR is also indicated in the screening of cochleovestibular syndromes to detect retrocochlear lesions, to monitor patients in a coma (brain death), in monitoring the brainstem during skull base surgery, etc. Among the many BERA qualities, is its capacity to evaluate the neurophysiologic integrity of the auditory brainstem pathway. In doing so, sometimes while evaluating hearing function in children we are faced with ABR waves that suggest the presence of retrocochlear lesions (trace asymmetry, increased interpeak intervals), many times confirmed through image studies. These cases are seen as occasional findings of neurologic disorders during children hearing loss evaluation. In this study we report 2 cases of neurologic disorders diagnosed with the use of the ABR to evaluate hearing loss in children. © Revista Brasileira de Otorrinolaringologia. All Rights reserved.733424428Jewett, D.L., Romano, M.N., Williston, J.S., Human auditory evoked potentials: Possible brain stem components detected on the scalp (1970) Science, 167 (924), pp. 1517-1518Starr, A., Hamilton, A.E., Correlation between confirmed sites of neurological lesions and abnormalities of far-field auditory brainstem responses (1976) Electroencephalogr Clin Neurophysiol, 41 (6), pp. 595-608Levine, R.A., Gardner, J.C., Fullerton, B.C., Stufflebeam, S.M., Carlisle, E.W., Furst, M., Effects of multiple sclerosis brainstem lesions on sound lateralization and brainstem auditory evoked potentials (1993) Hear Res, 68 (1), pp. 73-88Moller, A.R., Jannetta, P.J., Auditory evoked potentials recorded intracranially from the brain stem in man (1982) Exp Neurol, 78 (1), pp. 144-157Hashimoto, I., Ishiyama, Y., Yoshimoto, T., Nemoto, S., Brain-stem auditory-evoked potentials recorded directly from human brain-stem and thalamus (1981) Brain, 104 (PART 4), pp. 841-859Anson, B., Donaldson, J., (1981) Surgical anatomy of the temporal bone, , 3rd ed. Philadelphia: W.B. Saunders;Sousa LCA, Piza MRT, Costa SS. Poster: Brainstem Evoked Auditory Potential (ABR) in Neurology and Neurosurgery: 99th Meeting of the American Academy of Otolaryngology- Head and Neck Surgery. New Orleans, USA, Setembro1995Sousa, L.C.A., Piza, M.R.T., Costa, S.S., Diagnosis of Menières Disease: Routine and Extended Tests (2002) Otolaryngol Clin North Am, , JuneMarangos, N., Maier, W., Merz, R., Laszig, R., Brainstem response in cerebellopontine angle tumors (2001) Otol Neurotol, 22 (1), pp. 95-99Haapaniemi, J., Laurikainen, E., Jahansson, R., Rinne, T., Varpula, M., Audiovestibular findings and location of na acoustic neuroma (2000) Eur Arch Otorhinolaryngol, 257 (4), pp. 237-241Costa, S.S., Sousa, L.C.A., Cruz, O.L.M., Colli, B.O., Andrade, M.J., Rollin, G.A.F.S., Schwannoma vestibular: Apresentação atípica (1995) J Bras Neurosurg, 6 (2), pp. 41-48Sousa LCA, Piza MRT, Costa SS, Ferez M, Colli BO. Electrophysiologic Monitoring (ABR) of Coma Status,: 99th Meeting of the American Academy of Otolaryngology. Head and Neck Surgery, New Orleans, USA1995Coser, P.L., Menon, A.D., Electrophysiological study of auditory pathways and the vestibular system in tumor pathology of the 8th cranial nerve and of the cerebellopontile angle (1981) Rev Laryngol Otol Rhinol (Bord), 102 (5-6), pp. 239-24