Electrophysiological predictors of hearing deterioration based on AEP monitoring during petroclival meningioma resection

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLEPSKI, Guilherme
dc.contributor.authorAREVALO, Analia
dc.contributor.authorROSER, Florian
dc.contributor.authorLIEBSCH, M.
dc.contributor.authorTATAGIBA, Marcos
dc.date.accessioned2021-06-17T13:57:53Z
dc.date.available2021-06-17T13:57:53Z
dc.date.issued2021
dc.description.abstractThe objective of this study was to calculate the risk of postsurgical hearing deterioration as a function of changes in the amplitude and latency of the most stable components (waves III and V) of the auditory evoked potential (AEP) during petroclival meningioma resection surgery. We retrospectively analyzed intraoperative AEP monitoring results and pre- and postsurgical hearing status in 40 consecutive patients who were surgically treated for petroclival meningiomas. Statistical analyses were conducted to identify the most sensitive and specific way to predict hearing dysfunction after surgery. Patients' mean age was 59 +/- 10 years, and 31 (77.5%) were women. Twelve (30%) patients presented with clinically detectable hearing impairment preoperatively. At the first postoperative assessment, four of those 12 patients reported subjective improvement, and eight reported hearing deterioration. Of those eight, four remained stable and four recovered hearing by the last assessment. Wave III latency reached its highest specificity (100%) and sensitivity (71.43%) atx = 143%. Wave V latency, on the other hand, reached its highest sensitivity (71%) and specificity (93%) atx = 124%. Finally, wave V amplitude reached its highest sensitivity (100%) and specificity (79%) atx = 74%. Intraoperative alterations of wave III latency and wave V amplitude seem to be highly sensitive and specific at predicting the risk of auditory dysfunction in patients undergoing petroclival meningioma resection and should be used to determine maximum resection with preservation of function.eng
dc.description.indexMEDLINEeng
dc.identifier.citationNEUROSURGICAL REVIEW, v.44, n.3, p.1601-1609, 2021
dc.identifier.doi10.1007/s10143-020-01350-y
dc.identifier.eissn1437-2320
dc.identifier.issn0344-5607
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/41016
dc.language.isoeng
dc.publisherSPRINGEReng
dc.relation.ispartofNeurosurgical Review
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGEReng
dc.subjectPetroclival meningiomaeng
dc.subjectAuditory evoked potentialeng
dc.subjectPredictors of hearing deteriorationeng
dc.subjectSkull baseeng
dc.subjectBrain tumoreng
dc.subjectIntraoperative monitoringeng
dc.subject.otherschwannomas acoustic neuromaseng
dc.subject.otherauditory-evoked-potentialseng
dc.subject.otherintradural suprameatal approacheng
dc.subject.otherposterior-fossa surgeryeng
dc.subject.otherfacial-nerve functioneng
dc.subject.otherbrain-stem responseseng
dc.subject.othervestibular schwannomaseng
dc.subject.othercerebellopontine angleeng
dc.subject.othersurgical-managementeng
dc.subject.otherpreservationeng
dc.subject.wosClinical Neurologyeng
dc.subject.wosSurgeryeng
dc.titleElectrophysiological predictors of hearing deterioration based on AEP monitoring during petroclival meningioma resectioneng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryAlemanha
hcfmusp.affiliation.countryEmirados Árabes Unidos
hcfmusp.affiliation.countryisoae
hcfmusp.affiliation.countryisode
hcfmusp.author.externalROSER, Florian:Eberhard Karls Univ Tubingen, Dept Neurosurg, Hoppe Seyler Str 3, D-72076 Tubingen, Germany; Cleveland Clin Abu Dhabi, Dept Neurosurg, Neurol Inst, Abu Dhabi, U Arab Emirates
hcfmusp.author.externalLIEBSCH, M.:Eberhard Karls Univ Tubingen, Dept Neurosurg, Hoppe Seyler Str 3, D-72076 Tubingen, Germany
hcfmusp.author.externalTATAGIBA, Marcos:Eberhard Karls Univ Tubingen, Dept Neurosurg, Hoppe Seyler Str 3, D-72076 Tubingen, Germany
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcGUILHERME ALVES LEPSKI
hcfmusp.contributor.author-fmusphcANALIA LEONORA AREVALO
hcfmusp.description.beginpage1601
hcfmusp.description.endpage1609
hcfmusp.description.issue3
hcfmusp.description.volume44
hcfmusp.origemWOS
hcfmusp.origem.pubmed32671694
hcfmusp.origem.scopus2-s2.0-85087958032
hcfmusp.origem.wosWOS:000548805100002
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUNITED STATESeng
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