J Neurol Surg B Skull Base 2013; 74(05): 274-278
DOI: 10.1055/s-0033-1348024
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Interaural Difference of Wave V Predicting Postoperative Hearing in Gardner–Robertson Class II Acoustic Neuroma Patients

Noritaka Aihara
1   Department of Neurosurgery, Nagoya City University Medical School, Nagoya, Japan
,
Shingo Murakami
2   Department of Otolaryngology, Nagoya City University Medical School, Nagoya, Japan
,
Keiji Takemura
2   Department of Otolaryngology, Nagoya City University Medical School, Nagoya, Japan
,
Kazuo Yamada
1   Department of Neurosurgery, Nagoya City University Medical School, Nagoya, Japan
› Institutsangaben
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Publikationsverlauf

07. Juni 2012

07. April 2013

Publikationsdatum:
13. Juni 2013 (online)

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Abstract

Patients with acoustic neuroma classified in Gardner and Robertson (GR) Class II should be considered to have useful hearing, and patients classified in Class III should be considered to have not-useful hearing. Therefore, it is important for acoustic neuroma surgery to distinguish between postoperative GR Class II and Class III patients by brainstem auditory evoked potentials (BAEPs). We evaluate which BAEP parameter is the best for predicting postoperative GR Class II or III in 36 preoperative GR Class II patients with unilateral acoustic neuroma. Delay in wave V latency, reduction ratio in wave V amplitude, and interaural difference of wave V (IT5) are evaluated by a receiver-operating characteristic (ROC) curve in this study. IT5 is the best distinguishing parameter between postoperative Class II and Class III. IT5 below 1.12 millisecond (msec) should be a good marker to preserve postoperative useful hearing. Thus, comparing the latency of wave V on both sides is important, and surgeons would be able to make more informed decisions during surgery by checking IT5 on BAEPs.