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Brain Stem Auditory Evoked ResponsesStudies of Waveform Variations in 50 Normal Human Subjects
Keith H. Chiappa, MD;
Karen J. Gladstone;
Robert R. Young, MD
Arch Neurol. 1979;36(2):81-87.
Abstract
Brain stem auditory evoked responses (BAERs) were recorded in 50 normal adult subjects at various click rates. Attention was paid to absolute latencies, interwave latencies, interear interwave latencies, absolute amplitudes, and various amplitude ratios. The variability of waves VI and VII suggests that the clinical utility of these waves is restricted—their absence is not necessarily due to a CNS lesion. The wave IV-V complex appears with six different patterns and wave III with two different patterns. These variations must therefore be considered normal; none should be misconstrued as indicative of disease of the CNS. Repeated studies over a period of two to nine months showed no statistically significant changes in amplitude or latency measurements with the passage of time. Knowledge of these normal values and their variations, as a precondition for establishing criteria for abnormality, is essential to the interpretation of BAERs in clinical situations.
Author Affiliations
From the Robert S. Schwab Computer Facility, Clinical Neurophysiology Laboratory, Department of Neurology, Harvard Medical School, and the Massachusetts General Hospital, Boston.
Footnotes
Accepted for publication March 19, 1978.
Reprint requests to EEG Laboratory, Massachusetts General Hospital, Boston, MA 02114 (Dr Chiappa).
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