The auditory brain stem response in patients with brain stem or cochlear pathology

Frank E. Musiek, Wei Wei Lee

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Objective: The purpose of this study was to determine the value, based on true-positive and false-positive rates, of various auditory brain stem response (ABR) indices in discriminating patients with brain stem lesions from patients with cochlear lesions. Design: A factorial design was used in this retrospective study. Receiver operating characteristics (ROC) curves were constructed to analyze the performance of 32 patients with brain stem lesions and 33 patients with cochlear involvement for the absolute latency of wave V; the 1-111, 111-V, and I-V interwave intervals; the interaural latency difference and the V/I amplitude ratio. Analyzed in the same manner were four combinations of ABR indices. Results: Based on the ROC curves, the clinically most valuable index was the I-V interval, but overall the individual indices showed only moderate sensitivity to brain stem pathology. By combining several indices, the sensitivity to brain stem involvement was improved. However, as expected, the overall false-positive rate also increased. Conclusions: There is a diagnostic advantage to using more than one ABR index in evaluating patients suspected of having brain stem involvement.

Original languageEnglish (US)
Pages (from-to)631-636
Number of pages6
JournalEar and hearing
Volume16
Issue number6
DOIs
StatePublished - Dec 1995

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing

Fingerprint Dive into the research topics of 'The auditory brain stem response in patients with brain stem or cochlear pathology'. Together they form a unique fingerprint.

Cite this