Electrophysiological predictors of hearing deterioration based on AEP monitoring during petroclival meningioma resection.
Adult
Aged
Cranial Fossa, Posterior
Evoked Potentials, Auditory
/ physiology
Female
Hearing
/ physiology
Hearing Loss
/ diagnosis
Hearing Tests
/ methods
Humans
Male
Meningeal Neoplasms
/ physiopathology
Meningioma
/ physiopathology
Middle Aged
Monitoring, Intraoperative
/ methods
Neurosurgical Procedures
/ adverse effects
Predictive Value of Tests
Retrospective Studies
Skull Base Neoplasms
/ physiopathology
Auditory evoked potential
Brain tumor
Intraoperative monitoring
Petroclival meningioma
Predictors of hearing deterioration
Skull base
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
08
04
2020
accepted:
08
07
2020
revised:
09
06
2020
pubmed:
17
7
2020
medline:
30
6
2021
entrez:
17
7
2020
Statut:
ppublish
Résumé
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%) at x = 143%. Wave V latency, on the other hand, reached its highest sensitivity (71%) and specificity (93%) at x = 124%. Finally, wave V amplitude reached its highest sensitivity (100%) and specificity (79%) at x = 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.
Identifiants
pubmed: 32671694
doi: 10.1007/s10143-020-01350-y
pii: 10.1007/s10143-020-01350-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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