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

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art_LEPSKI_Electrophysiological_predictors_of_hearing_deterioration_based_on_AEP_2021.PDF (683.37 KB)
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2021
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
ROSER, Florian
LIEBSCH, M.
TATAGIBA, Marcos
Citação
NEUROSURGICAL REVIEW, v.44, n.3, p.1601-1609, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The 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.
Palavras-chave
Petroclival meningioma, Auditory evoked potential, Predictors of hearing deterioration, Skull base, Brain tumor, Intraoperative monitoring
URI
https://observatorio.fm.usp.br/handle/OPI/41016
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/26