Brainstem auditory evoked responses (BAER)

Synonyms
BAER, auditory brainstem response (ABR), auditory evoked potential (AEP)

Brainstem auditory evoked responses are used to assess objective hearing ability. BAER makes it possible to measure acoustically evoked brainstem potentials.

Procedure

To generate brainstem auditory evoked responses, clicking sounds are delivered to the patient's ear via headphones. These potentials were formerly used as an aid in the diagnosis of Vestibular schwannomas. Their use in intraoperative neuromonitoring is limited and has largely been replaced by direct stimulation of the Vestibulocochlear nerve[^1].

Figure

Schematic representation of brainstem auditory evoked responses
Schematic representation of brainstem auditory evoked responses. P1 = distal vestibulocochlear nerve, P2 = proximal vestibulocochlear nerve or cochlear nucleus, P3 = lower pons, P4 = middle to upper pons, P5 = upper pons or inferior colliculus. Figure adapted from Greeberg's Handbook of Neurosurgery.

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