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The Relevance of Contralateral Recordings and Patient Disability to Assessment of Brain-Stem Auditory Evoked Potential Abnormalities in Multiple Sclerosis

The Relevance of Contralateral Recordings and Patient Disability to Assessment of Brain-Stem... Abstract • Brain-stem auditory evoked responses (BAER) were recorded in a group of 83 patients with a diagnosis of clinically definite or probable multiple sclerosis to assess the relevance of recording contralateral responses simultaneously with ipsilateral responses and to correlate patients disability with the detection of abnormalities. The contralateral responses generally mirrored the ipsilateral responses, but in seven patients the responses differed, mainly involving the presence or absence of wave V. However, contralateral recordings did not contribute significantly to the sensitivity of lesion detection, and their main value was to aid in the recognition of waves when they were not clearly seen in the ipsilateral recordings. The BAER abnormality rates were found to be significantly correlated with disability, and it is suggested that this is an important variable to consider when undertaking or comparing results of BAER studies in patients with multiple sclerosis. References 1. Barajas JJ: Evaluation of ipsilateral and contralateral brainstem auditory evoked potentials in multiple sclerosis patients . J Neurol Sci 1982;54:69-78.Crossref 2. Chiappa KH, Harrison JL, Brooks EB, et al: Brainstem auditory evoked responses in 200 patients with multiple sclerosis . Ann Neurol 1980;7:135-143.Crossref 3. Daugherty WT, Lederman RJ, Nodar RH, et al: Hearing loss in multiple sclerosis . Arch Neurol 1983;40:33-35.Crossref 4. Elidan J, Sohmer H, Gafni M, et al: Contribution of changes in click rate and intensity on diagnosis of multiple sclerosis by brainstem auditory evoked potentials . Acta Neurol Scand 1982;65:570-585.Crossref 5. Fischer C, Blanc A, Maugière F, et al: Apport des potentiels évoqués auditifs précoces au diagnostic neurologique . Rev Neurol 1981;137:229-240. 6. Green JB, Walcoff MR: Evoked potentials in multiple sclerosis . Arch Neurol 1982;39:696-697.Crossref 7. Hausler R, Levine RA: Brainstem auditory evoked potentials are related to interaural time discrimination in patients with multiple sclerosis . Brain Res 1980;191:589-594.Crossref 8. Hopf HC, Maurer K: Wave I of early auditory evoked potentials in multiple sclerosis . Electroencephalogr Clin Neurophysiol 1983;56:31-37.Crossref 9. Hutchinson M, Blandford S, Glynn D, et al: Clinical correlates of abnormal brain-stem auditory evoked responses in multiple sclerosis . Acta Neurol Scand 1984;69:90-95.Crossref 10. Jabbari B, Marsh EE, Gunderson CH: The site of the lesion in acute deafness of multiple sclerosis: Contribution of the brain stem auditory evoked potential test . Clin Electroencephalogr 1982;13:241-244. 11. Kayamori R, Dickins QS, Yamada T, et al: Brainstem auditory evoked potential and blink reflex in multiple sclerosis . Neurology 1984;34:1318-1323.Crossref 12. Khoshbin S, Hallett M: Multimodality evoked potentials and blink reflex in multiple sclerosis . Neurology 1981;31:138-144.Crossref 13. Kjaer M: Brain stem auditory and visual evoked potentials in multiple sclerosis . Acta Neurol Scand 1980;62:14-19.Crossref 14. Kjaer M: Variations of brain stem auditory evoked potentials correlated to duration and severity of multiple sclerosis . Acta Neurol Scand 1980;61:157-166.Crossref 15. Kofler B, Oberascher G, Pommer B: Brainstem involvement in multiple sclerosis: A comparison between brain-stem auditory evoked potentials and the acoustic stapedius reflex . J Neurol 1984;231:145-147.Crossref 16. Matathias O, Sohmer H, Biton V: Central auditory tests and auditory nerve-brainstem evoked potentials in multiple sclerosis . Acta Otolaryngol 1985;99:369-376.Crossref 17. Maurer K, Schafer E, Hopf HC, et al: The location of early auditory evoked potentials (EAEP) of acoustic nerve and brainstem demyelination in multiple sclerosis (MS) J Neurol 1980;223:43-58.Crossref 18. Mogensen F, Kristensen O: Auditory double click evoked potentials in multiple sclerosis . Acta Neurol Scand 1979;59:96-107.Crossref 19. Paludetti G, Ottaviani F, Gallai V, et al: Auditory brainstem responses (ABR) in multiple sclerosis . Scand Audiol 1985;14:27-34.Crossref 20. Prasher DK, Gibson WPR: Brainstem auditory evoked potentials: A comparative study of monaural vs binaural stimulation in the detection of multiple sclerosis . Electroencephalogr Clin Neurophysiol 1980;50:247-253.Crossref 21. Purves SJ, Low MD, Galloway J, et al: A comparison of visual, brainstem auditory, and somatosensory evoked potentials in multiple sclerosis . Can J Neurol Sci 1981;8:15-19. 22. Robinson K, Rudge P: Auditory evoked responses in multiple sclerosis . Lancet 1975;1:1164-1166.Crossref 23. Robinson K, Rudge P: Abnormalities of the auditory evoked potentials in patients with multiple sclerosis . Brain 1977;100:19-40.Crossref 24. Robinson K, Rudge P: The stability of the auditory evoked potentials in normal man and patients with multiple sclerosis . J Neurol Sci 1978;36:147-156.Crossref 25. Robinson K, Rudge P: The use of the auditory evoked potential in the diagnosis of multiple sclerosis . J Neurol Sci 1980;45:235-244.Crossref 26. Sanders EACM, Reulen JPH, Hogenhuis LAH, et al: Brainstem involvement in multiple sclerosis: A clinical and electrophysiological study . Acta Neurol Scand 1985;71:54-61.Crossref 27. Shanon E, Gold S, Himelfarb MZ: Assessment of functional integrity of brain stem auditory pathways by stimulus stress . Audiology 1981;20:65-71.Crossref 28. Stockard JJ, Stockard JE, Sharbrough FW: Detection and localization of occult lesions with brainstem auditory responses . Mayo Clin Proc 1977;52:761-769. 29. Tackmann W, Strenge H, Barth R, et al: Auditory brain stem evoked potentials in patients with multiple sclerosis . Eur Neurol 1980;19:396-401.Crossref 30. Van Buggenhout E, Ketelaer P, Carton H: Success and failure of evoked potentials in detecting clinical and subclinical lesions in multiple sclerosis patients . Clin Neurol Neurosurg 1982;84:3-14.Crossref 31. Verma NP, Lynn GE: Auditory evoked responses in multiple sclerosis: Wave I abnormality . Arch Otolaryngol Head Neck Surg 1985;111:22-24.Crossref 32. Chiappa KH: Brainstem auditory evoked potentials: Interpretation , in Evoked Potentials in Clinical Medicine . New York, Raven Press, 1983, pp 144-202. 33. Rose AS, Ellison GW, Myers LW, et al: Criteria for the clinical diagnosis of multiple sclerosis . Neurology 1976;26:20-22.Crossref 34. Stockard JJ, Stockard JE, Sharbrough FW: Nonpathologic factors influencing brainstem auditory evoked potentials . Am J Electroencephalogr Technol 1978;18:177-209. 35. American Electroencephalographic Society: Guidelines for clinical evoked potential studies . J Clin Neurophysiol 1984;1:3-53.Crossref 36. Kurtzke JF: Clinical manifestations of multiple sclerosis , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, Elsevier Science Publishing Co Inc, 1970, Vol 9: Multiple Sclerosis and Other Demyelinating Diseases, pp 161-216. 37. Hughes JR, Fino J, Gagnon L: The importance of phase stimulus and the reference recording electrode in brain stem auditory evoked potentials . Electroencephalogr Clin Neurophysiol 1981;51:611-623.Crossref 38. Kevanishvili ZS: Sources of the human brainstem auditory evoked potential . Scand Audiol 1980;9:75-82.Crossref 39. Oh SJ, Kuba T, Soyer A, et al: Lateralization of brainstem lesions by brainstem auditory evoked potentials . Neurology 1981;31:14-18.Crossref 40. Parker DJ: Dependence of the auditory brainstem response on electrode location . Arch Otolaryngol Head Neck Surg 1981;107:367-371.Crossref 41. Prasher DK, Gibson WPR: Brainstem auditory evoked potentials: Significant latency differences between ipsilateral and contralateral stimulation . Electroencephalogr Clin Neurophysiol 1980;50:240-246.Crossref 42. Rosenhamer H, Holmkvist C: Bilaterally recorded auditory brainstem responses to monaural stimulation . Scand Audiol 1982;11:197-202.Crossref 43. Thornton ARD: Bilaterally recorded early acoustic responses . Scand Audiol 1975;4:173-181. 44. Hashimoto I, Ishiyama Y, Tozuka G: Bilaterally recorded brain stem auditory evoked responses: Their asymmetric abnormalities and lesions of the brain stem . Arch Neurol 1979;36:161-167.Crossref 45. Buchwald JS: Generators , in Moore EJ (ed): Bases of Auditory Brain-stem Evoked Responses . New York, Grune & Stratton, 1983, chap 7, pp 157-195. 46. Møller AR, Jannetta PJ: Interpretation of brainstem auditory evoked potentials: Results from intracranial recordings in humans . Scand Audiol 1983;12:125-133.Crossref 47. Caird D, Sontheimer D, Klinke R: Intraand extracranially recorded auditory evoked potentials in the cat . Electroencephalogr Clin Neurophysiol 1986;61:50-60.Crossref 48. Wada S-I, Starr A: Generation of auditory brainstem responses (ABRs): I. Effects of injection of a local anaesthetic (procaine HCl) into the trapezoid body of guinea pigs and cat . Electroencephalogr Clin Neurophysiol 1983;56:326-339.Crossref 49. Wada S-I, Starr A: Generation of auditory brainstem responses (ABRs): II. Effects of surgical section of the trapezoid body on the ABR in guinea pigs and cat . Electroencephalogr Clin Neurophysiol 1983;56:340-351.Crossref 50. Wada S-I, Starr A: Generation of auditory brainstem responses (ABRs): III. Effects of lesions of the superior olive, lateral lemniscus, and inferior colliculus on the ABR in guinea pig . Electroencephalogr Clin Neurophysiol 1983;56:352-366.Crossref 51. Scherg M, von Cramon D: A new interpretation of the generators of BAEP waves I-V: Results of a spatio-temporal dipole model . Electroencephalogr Clin Neurophysiol 1985;62:290-299.Crossref 52. Morest DK: Functional anatomy of the auditory system , in Moore EJ (ed): Bases of Auditory Brain-stem Evoked Responses . New York, Grune & Stratton, 1983, chap 3, pp 51-66. 53. Werge KS, Starr A: Binaural interaction in human auditory brainstem potentials . Arch Neurol 1981;38:572-580.Crossref 54. Harrison JM, Howe ME: Anatomy of the afferent auditory nervous system of mammals , in Keidel WD, Neff WD (eds): Handbook of Sensory Physiology . New York, Springer-Verlag NY Inc, 1979, vol 5, pp 283-336. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

The Relevance of Contralateral Recordings and Patient Disability to Assessment of Brain-Stem Auditory Evoked Potential Abnormalities in Multiple Sclerosis

Archives of Neurology , Volume 44 (4) – Apr 1, 1987

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American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
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0003-9942
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1538-3687
DOI
10.1001/archneur.1987.00520160024009
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Abstract

Abstract • Brain-stem auditory evoked responses (BAER) were recorded in a group of 83 patients with a diagnosis of clinically definite or probable multiple sclerosis to assess the relevance of recording contralateral responses simultaneously with ipsilateral responses and to correlate patients disability with the detection of abnormalities. The contralateral responses generally mirrored the ipsilateral responses, but in seven patients the responses differed, mainly involving the presence or absence of wave V. However, contralateral recordings did not contribute significantly to the sensitivity of lesion detection, and their main value was to aid in the recognition of waves when they were not clearly seen in the ipsilateral recordings. The BAER abnormality rates were found to be significantly correlated with disability, and it is suggested that this is an important variable to consider when undertaking or comparing results of BAER studies in patients with multiple sclerosis. References 1. Barajas JJ: Evaluation of ipsilateral and contralateral brainstem auditory evoked potentials in multiple sclerosis patients . J Neurol Sci 1982;54:69-78.Crossref 2. Chiappa KH, Harrison JL, Brooks EB, et al: Brainstem auditory evoked responses in 200 patients with multiple sclerosis . Ann Neurol 1980;7:135-143.Crossref 3. Daugherty WT, Lederman RJ, Nodar RH, et al: Hearing loss in multiple sclerosis . Arch Neurol 1983;40:33-35.Crossref 4. Elidan J, Sohmer H, Gafni M, et al: Contribution of changes in click rate and intensity on diagnosis of multiple sclerosis by brainstem auditory evoked potentials . Acta Neurol Scand 1982;65:570-585.Crossref 5. Fischer C, Blanc A, Maugière F, et al: Apport des potentiels évoqués auditifs précoces au diagnostic neurologique . Rev Neurol 1981;137:229-240. 6. Green JB, Walcoff MR: Evoked potentials in multiple sclerosis . Arch Neurol 1982;39:696-697.Crossref 7. Hausler R, Levine RA: Brainstem auditory evoked potentials are related to interaural time discrimination in patients with multiple sclerosis . Brain Res 1980;191:589-594.Crossref 8. Hopf HC, Maurer K: Wave I of early auditory evoked potentials in multiple sclerosis . Electroencephalogr Clin Neurophysiol 1983;56:31-37.Crossref 9. Hutchinson M, Blandford S, Glynn D, et al: Clinical correlates of abnormal brain-stem auditory evoked responses in multiple sclerosis . Acta Neurol Scand 1984;69:90-95.Crossref 10. Jabbari B, Marsh EE, Gunderson CH: The site of the lesion in acute deafness of multiple sclerosis: Contribution of the brain stem auditory evoked potential test . Clin Electroencephalogr 1982;13:241-244. 11. Kayamori R, Dickins QS, Yamada T, et al: Brainstem auditory evoked potential and blink reflex in multiple sclerosis . Neurology 1984;34:1318-1323.Crossref 12. Khoshbin S, Hallett M: Multimodality evoked potentials and blink reflex in multiple sclerosis . Neurology 1981;31:138-144.Crossref 13. Kjaer M: Brain stem auditory and visual evoked potentials in multiple sclerosis . Acta Neurol Scand 1980;62:14-19.Crossref 14. Kjaer M: Variations of brain stem auditory evoked potentials correlated to duration and severity of multiple sclerosis . Acta Neurol Scand 1980;61:157-166.Crossref 15. Kofler B, Oberascher G, Pommer B: Brainstem involvement in multiple sclerosis: A comparison between brain-stem auditory evoked potentials and the acoustic stapedius reflex . J Neurol 1984;231:145-147.Crossref 16. Matathias O, Sohmer H, Biton V: Central auditory tests and auditory nerve-brainstem evoked potentials in multiple sclerosis . Acta Otolaryngol 1985;99:369-376.Crossref 17. Maurer K, Schafer E, Hopf HC, et al: The location of early auditory evoked potentials (EAEP) of acoustic nerve and brainstem demyelination in multiple sclerosis (MS) J Neurol 1980;223:43-58.Crossref 18. Mogensen F, Kristensen O: Auditory double click evoked potentials in multiple sclerosis . Acta Neurol Scand 1979;59:96-107.Crossref 19. Paludetti G, Ottaviani F, Gallai V, et al: Auditory brainstem responses (ABR) in multiple sclerosis . Scand Audiol 1985;14:27-34.Crossref 20. Prasher DK, Gibson WPR: Brainstem auditory evoked potentials: A comparative study of monaural vs binaural stimulation in the detection of multiple sclerosis . Electroencephalogr Clin Neurophysiol 1980;50:247-253.Crossref 21. Purves SJ, Low MD, Galloway J, et al: A comparison of visual, brainstem auditory, and somatosensory evoked potentials in multiple sclerosis . Can J Neurol Sci 1981;8:15-19. 22. Robinson K, Rudge P: Auditory evoked responses in multiple sclerosis . Lancet 1975;1:1164-1166.Crossref 23. Robinson K, Rudge P: Abnormalities of the auditory evoked potentials in patients with multiple sclerosis . Brain 1977;100:19-40.Crossref 24. Robinson K, Rudge P: The stability of the auditory evoked potentials in normal man and patients with multiple sclerosis . J Neurol Sci 1978;36:147-156.Crossref 25. Robinson K, Rudge P: The use of the auditory evoked potential in the diagnosis of multiple sclerosis . J Neurol Sci 1980;45:235-244.Crossref 26. Sanders EACM, Reulen JPH, Hogenhuis LAH, et al: Brainstem involvement in multiple sclerosis: A clinical and electrophysiological study . Acta Neurol Scand 1985;71:54-61.Crossref 27. Shanon E, Gold S, Himelfarb MZ: Assessment of functional integrity of brain stem auditory pathways by stimulus stress . Audiology 1981;20:65-71.Crossref 28. Stockard JJ, Stockard JE, Sharbrough FW: Detection and localization of occult lesions with brainstem auditory responses . Mayo Clin Proc 1977;52:761-769. 29. Tackmann W, Strenge H, Barth R, et al: Auditory brain stem evoked potentials in patients with multiple sclerosis . Eur Neurol 1980;19:396-401.Crossref 30. Van Buggenhout E, Ketelaer P, Carton H: Success and failure of evoked potentials in detecting clinical and subclinical lesions in multiple sclerosis patients . Clin Neurol Neurosurg 1982;84:3-14.Crossref 31. Verma NP, Lynn GE: Auditory evoked responses in multiple sclerosis: Wave I abnormality . Arch Otolaryngol Head Neck Surg 1985;111:22-24.Crossref 32. Chiappa KH: Brainstem auditory evoked potentials: Interpretation , in Evoked Potentials in Clinical Medicine . New York, Raven Press, 1983, pp 144-202. 33. Rose AS, Ellison GW, Myers LW, et al: Criteria for the clinical diagnosis of multiple sclerosis . Neurology 1976;26:20-22.Crossref 34. Stockard JJ, Stockard JE, Sharbrough FW: Nonpathologic factors influencing brainstem auditory evoked potentials . Am J Electroencephalogr Technol 1978;18:177-209. 35. American Electroencephalographic Society: Guidelines for clinical evoked potential studies . J Clin Neurophysiol 1984;1:3-53.Crossref 36. Kurtzke JF: Clinical manifestations of multiple sclerosis , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, Elsevier Science Publishing Co Inc, 1970, Vol 9: Multiple Sclerosis and Other Demyelinating Diseases, pp 161-216. 37. Hughes JR, Fino J, Gagnon L: The importance of phase stimulus and the reference recording electrode in brain stem auditory evoked potentials . Electroencephalogr Clin Neurophysiol 1981;51:611-623.Crossref 38. Kevanishvili ZS: Sources of the human brainstem auditory evoked potential . Scand Audiol 1980;9:75-82.Crossref 39. Oh SJ, Kuba T, Soyer A, et al: Lateralization of brainstem lesions by brainstem auditory evoked potentials . Neurology 1981;31:14-18.Crossref 40. Parker DJ: Dependence of the auditory brainstem response on electrode location . Arch Otolaryngol Head Neck Surg 1981;107:367-371.Crossref 41. Prasher DK, Gibson WPR: Brainstem auditory evoked potentials: Significant latency differences between ipsilateral and contralateral stimulation . Electroencephalogr Clin Neurophysiol 1980;50:240-246.Crossref 42. Rosenhamer H, Holmkvist C: Bilaterally recorded auditory brainstem responses to monaural stimulation . Scand Audiol 1982;11:197-202.Crossref 43. Thornton ARD: Bilaterally recorded early acoustic responses . Scand Audiol 1975;4:173-181. 44. Hashimoto I, Ishiyama Y, Tozuka G: Bilaterally recorded brain stem auditory evoked responses: Their asymmetric abnormalities and lesions of the brain stem . Arch Neurol 1979;36:161-167.Crossref 45. Buchwald JS: Generators , in Moore EJ (ed): Bases of Auditory Brain-stem Evoked Responses . New York, Grune & Stratton, 1983, chap 7, pp 157-195. 46. Møller AR, Jannetta PJ: Interpretation of brainstem auditory evoked potentials: Results from intracranial recordings in humans . Scand Audiol 1983;12:125-133.Crossref 47. Caird D, Sontheimer D, Klinke R: Intraand extracranially recorded auditory evoked potentials in the cat . Electroencephalogr Clin Neurophysiol 1986;61:50-60.Crossref 48. Wada S-I, Starr A: Generation of auditory brainstem responses (ABRs): I. Effects of injection of a local anaesthetic (procaine HCl) into the trapezoid body of guinea pigs and cat . Electroencephalogr Clin Neurophysiol 1983;56:326-339.Crossref 49. Wada S-I, Starr A: Generation of auditory brainstem responses (ABRs): II. Effects of surgical section of the trapezoid body on the ABR in guinea pigs and cat . Electroencephalogr Clin Neurophysiol 1983;56:340-351.Crossref 50. Wada S-I, Starr A: Generation of auditory brainstem responses (ABRs): III. Effects of lesions of the superior olive, lateral lemniscus, and inferior colliculus on the ABR in guinea pig . Electroencephalogr Clin Neurophysiol 1983;56:352-366.Crossref 51. Scherg M, von Cramon D: A new interpretation of the generators of BAEP waves I-V: Results of a spatio-temporal dipole model . Electroencephalogr Clin Neurophysiol 1985;62:290-299.Crossref 52. Morest DK: Functional anatomy of the auditory system , in Moore EJ (ed): Bases of Auditory Brain-stem Evoked Responses . New York, Grune & Stratton, 1983, chap 3, pp 51-66. 53. Werge KS, Starr A: Binaural interaction in human auditory brainstem potentials . Arch Neurol 1981;38:572-580.Crossref 54. Harrison JM, Howe ME: Anatomy of the afferent auditory nervous system of mammals , in Keidel WD, Neff WD (eds): Handbook of Sensory Physiology . New York, Springer-Verlag NY Inc, 1979, vol 5, pp 283-336.

Journal

Archives of NeurologyAmerican Medical Association

Published: Apr 1, 1987

References