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作者观察单侧听神经瘤79例对侧听觉脑干电反应(ABR),发现64例(81%)对侧ABR正常、13例(16.4%)对侧ABR潜伏期异常、另2例(2.6%)虽对侧听力尚好但未引出持续存在的反应波。对侧ABR异常包括全部波缺如2例;波Ⅰ~Ⅲ正常、波Ⅲ~Ⅴ异常5例;波Ⅰ~Ⅲ异常、波Ⅲ~Ⅴ正常7例;仅存在波Ⅴ且潜伏期延长1例。轴位CT断层所示肿瘤大小与对侧ABR异常之间有一定联系,其中瘤体大的(>2.5cm)25.6%对侧ABR异常;中等大(1.0~2.5cm)14%对侧ABR异常;瘤体
The authors observed the contralateral auditory brainstem response (ABR) in 79 patients with unilateral acoustic neuroma. Abnormal ABR was found in 64 (81%) contralateral patients, 13 (16.4%) in the contralateral ABR, and 2 (2.6% Although the contralateral hearing is good but did not lead to the persistence of reactive waves. The contralateral ABR abnormalities included 2 cases of complete wave abnormity, normal wave Ⅰ ~ Ⅲ, abnormal wave Ⅲ ~ Ⅴ in 5 cases, abnormal wave Ⅰ ~ Ⅲ, normal wave Ⅲ ~ Ⅴ in 7 cases, only wave Ⅴ and latency 1 case. There was a relationship between tumor size and contralateral ABR abnormalities in axial CT scan, with 25.6% contralateral ABR in large (> 2.5cm) tumor, moderate ABR (1.0-2.5cm) in 14% contralateral ABR ; Tumor