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Brainstem Auditory Evoked Potentials
05 November 2004
Diagrams
Anatomical-electrophysiological correlation
Typical BAEP
BAEP shown in
all montages
Anatomical correlations
|
Wave |
Location |
|
I |
Auditory nerve |
|
II |
Cochlear nucleus |
|
III |
Superior olive |
|
IV |
Lateral lemnisci |
|
V |
Inferior colliculus |
Montage
|
Channel 1 |
Ai-CZ |
|
Channel 2 |
Ac-CZ |
|
Channel 3 |
Ai-Ac |
|
Channel 4 |
Inion-CZ |
Ai & Ac refer to earlobe ipsilateral
and contralateral to the ear being stimulated respectively.
Reference Values
|
Wave |
Mean |
Range |
|
Wave I |
1.62 |
1.26-1.98 |
|
Wave II |
2.80 |
2.23-3.37 |
|
Wave III |
3.75 |
3.24-4.26 |
|
Wave IV |
4.84 |
4.15-5.53 |
|
Wave IV/V |
5.27 |
4.61-5.93 |
|
Wave V |
5.62 |
4.93-6.31 |
|
I-V (Age<60)
I-V (Age<60) |
|
Female |
Male |
|
<4.60 |
<4.65 |
|
<4.70 |
<4.75 |
|
|
I-III |
2.63 |
|
I-IV/V |
4.32 |
|
III-V |
2.31 |
Interpretation
|
Abnormal I-III IPL |
This abnormality suggests the
presence of a conduction defect in the brainstem auditory system between the
eighth nerve close to the cochlea and the lower pons. |
|
Abnormal III-V IPL |
This abnormality suggests the
presence of a conduction defect in the brainstem auditory system between the
lower pons and the midbrain. |
|
I absent & III-V is normal |
Wave I (the eighth nerve
activation potential) could not be recorded. This is usually due to a
peripheral hearing disorder. Because of this, the state of conduction in the
brainstem auditory pathway between peripheral eighth nerve and lower pons
could not be determined. Lower pons to midbrain conduction was normal. |
|
IV or V absent or of abnormally
low amplitude |
This abnormality suggests the
presence of a conduction defect in the brainstem auditory system rostral to
the lower pons. |
|
Absent II, III, IV and V with
normal I |
This abnormality indicates a
significant lack of function in brainstem auditory tracts. |
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