Abstract
Nineteen infants with posthaemorrhagic ventricular dilatation had auditory brain stem responses measured during the period of maximal ventricular dilatation. These showed various patterns ranging from normal, through various abnormalities, to complete absence of responses. When serial auditory brain stem responses were studied in parallel with the evolution of posthaemorrhagic ventricular dilatation it was seen that the abnormalities of auditory brain stem response usually resolved irrespective of the persistence or progression of ventricular dilatation. No correlation was found between cerebrospinal fluid pressure and prolonged interpeak intervals on the auditory brain stem response. In three patients with posthaemorrhagic ventricular dilatation improvement in the auditory brain stem response occurred when cerebrospinal fluid was withdrawn. Intermittent withdrawal of cerebrospinal fluid (by ventricular tap or lumbar puncture) in two of these infants was followed by improvement in the auditory brain stem response after a period of 24 hours (but not sooner). In one infant born at full term improvement in the auditory brain stem response was noted one week after shunting.
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- Dubowitz L. M., Dubowitz V., Goldberg C. Clinical assessment of gestational age in the newborn infant. J Pediatr. 1970 Jul;77(1):1–10. doi: 10.1016/s0022-3476(70)80038-5. [DOI] [PubMed] [Google Scholar]
- Fawer C. L., Dubowitz L. M., Levene M. I., Dubowitz V. Auditory brainstem responses in neurologically abnormal infants. Neuropediatrics. 1983 May;14(2):88–92. doi: 10.1055/s-2008-1059559. [DOI] [PubMed] [Google Scholar]
- Goodman S. J., Becker D. P. Vascular pathology of the brain stem due to experimentally increased intracranial pressure: changes noted in the micro-and macrocirculation. J Neurosurg. 1973 Nov;39(5):601–609. doi: 10.3171/jns.1973.39.5.0601. [DOI] [PubMed] [Google Scholar]
- Hill A., Volpe J. J. Seizures, hypoxic-ischemic brain injury, and intraventricular hemorrhage in the newborn. Ann Neurol. 1981 Aug;10(2):109–121. doi: 10.1002/ana.410100202. [DOI] [PubMed] [Google Scholar]
- Kaiser A. M., Whitelaw A. G. Cerebrospinal fluid pressure during post haemorrhagic ventricular dilatation in newborn infants. Arch Dis Child. 1985 Oct;60(10):920–924. doi: 10.1136/adc.60.10.920. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kraus N., Ozdamar O., Stein L., Reed N. Absent auditory brain stem response: peripheral hearing loss or brain stem dysfunction? Laryngoscope. 1984 Mar;94(3):400–406. doi: 10.1288/00005537-198403000-00019. [DOI] [PubMed] [Google Scholar]
- Levene M. I., Wigglesworth J. S., Dubowitz V. Cerebral structure and intraventricular haemorrhage in the neonate: a real-time ultrasound study. Arch Dis Child. 1981 Jun;56(6):416–424. doi: 10.1136/adc.56.6.416. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Little J. R., Larkins M. V., Lüders H., Hahn J. F., Erenberg G. Fusiform basilar artery aneurysm in a 33-month-old child. Neurosurgery. 1986 Oct;19(4):631–634. doi: 10.1227/00006123-198610000-00022. [DOI] [PubMed] [Google Scholar]
- Nagao S., Roccaforte P., Moody R. A. Acute intracranial hypertension and auditory brain-stem responses. Part 1: Changes in the aduitory brain-stem and somatosensory evoked responses in intracranial hypertension in cats. J Neurosurg. 1979 Nov;51(5):669–676. doi: 10.3171/jns.1979.51.5.0669. [DOI] [PubMed] [Google Scholar]
- Nagao S., Roccaforte P., Moody R. A. Acute intracranial hypertension and auditory brain-stem responses. Part 2: The effects of brain-stem movement on the auditory brain-stem responses due to transtentorial herniation. J Neurosurg. 1979 Dec;51(6):846–851. doi: 10.3171/jns.1979.51.6.0846. [DOI] [PubMed] [Google Scholar]
- Stein L., Ozdamar O., Kraus N., Paton J. Follow-up of infants screened by auditory brainstem response in the neonatal intensive care unit. J Pediatr. 1983 Sep;103(3):447–453. doi: 10.1016/s0022-3476(83)80426-0. [DOI] [PubMed] [Google Scholar]
- Volpe J. J. Neonatal intracranial hemorrhage. Pathophysiology, neuropathology, and clinical features. Clin Perinatol. 1977 Mar;4(1):77–102. [PubMed] [Google Scholar]
- de Vlieger M., Sadikoglu S., van Eijndhoven J. H., Ataç M. S. Visual evoked potentials, auditory evoked potentials and EEG in shunted hydrocephalic children. Neuropediatrics. 1981 Feb;12(1):55–61. doi: 10.1055/s-2008-1059639. [DOI] [PubMed] [Google Scholar]


