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作 者:潘晓丽[1] 玄璿[1] 张楠楠[1] 张红霞[1]
机构地区:[1]中国医科大学附属盛京医院神经内科神经功能检查室,辽宁沈阳110004
出 处:《临床神经电生理学杂志》2009年第6期338-340,共3页Journal of Clinical Electroneurophysiology
摘 要:目的:探讨脑干听觉诱发电位(BAEP)在桥小脑角区肿瘤(CPAT)诊断及鉴别诊断中的应用价值。方法:对经手术和病理证实的资料完整的CPAT患者24例行BAEP检查。结果:24例患者中听力异常18例(75%),其中听神经鞘瘤16例(100%)异常,脑膜瘤3例中2例(67%)异常;5例胆脂瘤患者均无听力改变。BAEP异常21例(88%),主要为患侧Ⅰ、Ⅲ、Ⅴ波消失(67%),患侧Ⅰ、Ⅲ、Ⅴ波潜伏期(PL)延长(57%),对侧Ⅲ-Ⅴ波间期(IPL)大于Ⅰ-ⅢIPL(76%)。异常者中,听神经鞘瘤16例(100%)异常,胆脂瘤5例中2例(40%)异常,脑膜瘤3例中2例(67%)异常。结论:BAEP是一种敏感的检测方法,在CPAT的诊断及鉴别诊断中具有重要价值。Objective:To explore the value of braistem auditory evoked potential (BAEP)findings in patients with cerebellopontine angle tumor. Methods: Twenty-four patients with complete clinical data verified by operation and pathology were analyzed by BAEP. Results:The threshold of Wave V was higher in 18 Patients (75%):The abnormaiity rate of Wave V threshold was 100% in the patients with acoustic neuremas,67 % in the patients with meningiomas, no abnormality in the patients with hemangioblastomas. The abnormality rate of BAEP was 88% (21/24) , mainly showing disapperarance of ware Ⅰ,Ⅲ,Ⅴ (67%), prolongation of PL of Wave Ⅰ,Ⅲ and Ⅴ (57%), as well as prolongation of IPL of Wave Ⅲ,Ⅴ on the laterality without tumor(76 % ). The abnormality rate of BAEP was 100 % in the patients with acoustic neuremas, 40 % in the patients with hemangioblastomas, and 67% in the patients with meningiomas respectively. Conclusion: BAEP might be very sensitive, and be of great significance in the diagnosis and differential diagnosis of the cerebellopontine angle tumor.
关 键 词:桥小脑角区肿瘤(CPAT) 脑干听觉诱发电位(BAEP)
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