ABR hearing test

Short-latency auditory evoked potentials (SLEPs) – This is a painless diagnostic procedure that allows you to assess the functional state of the auditory system. The method is used to identify hearing disorders, determine their level and location. The duration of the examination is 1 hour.
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Features of KSVP research

CVEP is a key method in objective audiometry. With its help, otolaryngologists accurately determine the location of hearing loss in both adults and children, including newborns. Using sounds of different frequencies or clicks, doctors stimulate the hearing, then record the reaction using special electrodes. They are placed on the patient's head: one on the top of the head, the second near the ears, and the third on the forehead for grounding. Stimuli are delivered through headphones, which ensures accurate measurements.

KSVP allows you to identify hearing impairment by analyzing changes in the reaction to sound. For example, delay or absence of certain components may indicate an acoustic neuroma or demyelination in multiple sclerosis.

Important! Also, KSVP remains sensitive even when taking medications and if you are in a coma. Thanks to this, the technique is indispensable in neurology and otolaryngology for assessing the condition of patients in critical conditions.

This method is safe and free of discomfort during the procedure. The procedure requires specialized equipment and a highly qualified doctor who correctly performs the study and correctly interprets the results.

Features of KSVP research

Indications for the study

  • If the newborn is underweight (below 2600 g)
  • In case of hypoxia (lack of oxygen) during childbirth
  • For severe jaundice that negatively affects the auditory nerve
  • For rubella, syphilis and other infectious diseases suffered by the mother during pregnancy
  • When taking certain medications during pregnancy
  • Children who have been in the NICU for more than two days have a high risk of hearing loss

General information about the procedure

Contraindications for hearing CVEP

Auditory evoked potential testing is suitable for patients of any age, without restrictions. The only contraindication is the presence of wax plugs in the ears. Before starting ASVP diagnosis in both children and adults, an otolaryngologist must conduct an examination. If wax plugs are detected, the doctor carefully removes them, after which he prescribes CSVP.

Preparation for research

Before performing auditory tests, it is important that the child sleeps during the examination. To do this, parents need to adjust their baby’s daily routine as follows:

  1. The evening before the test, try to put your child to bed later than usual
  2. On the morning of the examination, wake up your baby earlier than usual
  3. On the way to the hospital, make sure your child doesn't fall asleep. Keep him occupied with conversations, games or observing the environment
  4. Bring food with you, especially if your baby is no longer breastfed. Feed him before starting the test. Food helps you fall asleep quickly
  5. Take with you a favorite toy or blanket that your child is used to. This will help him fall asleep faster
  6. Upon arrival at the clinic, make sure that the child is awake. He should fall asleep after being examined by a doctor

Following these simple recommendations significantly increases the chances that your baby will sleep the required amount of time. Then the doctor will be able to obtain the most accurate results of the study. If the child is unable to sleep, the data obtained may be distorted, making the diagnosis less effective.

How is the study of KSVP carried out?

The process of conducting a KSVP study consists of the following stages:

  1. Preparation. The patient should take a comfortable position, preferably lying down, with his eyes closed. The doctor excludes any physical activity to avoid unreliable results
  2. Installation of equipment and location of electrodes. Their location may vary, but a typical scheme involves installing one electrode near each ear and two on the frontal part. To ensure a reliable electrical connection to the skin and to minimize resistance, the doctor uses a special gel
  3. Presenting acoustic stimuli. To influence the subject's hearing, in-ear or external headphones are used that transmit audio signals. In some cases, bone guides or equipment are used to adjust cochlear implants. The choice of stimulation technique depends on the purpose of the test and the characteristics of a particular case
  4. Recording data. Modern equipment synchronized with a computer is used to record short auditory evoked potentials. It allows you to accurately monitor the response of the audio system to sound influences

Important! The duration of testing can vary from 10 to 90 minutes, depending on the tasks assigned to the study and the specifics of its implementation.

Any motor reactions, state of wakefulness, as well as crying or screaming of the child can significantly affect the accuracy of the results.

Decoding the results of the KSVP

After completion of CVSP hearing, the patient immediately receives the results. They include a text description, a graphical display and a doctor's report.

Analysis of the results of auditory evoked potentials in children and adults includes several aspects:

  • The presence of a reaction to sound. Checks whether the patient responds to sound stimuli
  • Hearing threshold. The doctor determines the minimum sound level that is still perceived by hearing
  • The shape of the waves on the graph. The characteristic features of the graphic image of the response wave are assessed
  • Peak amplitude. The maximum values reached by the waves on the chart are measured
  • Interpeak intervals. The doctor analyzes the time between individual wave peaks, which helps estimate the speed of transmission of the sound signal

The study of CVEP effectively identifies various hearing impairments, including:

  • Conductive hearing loss of any origin
  • Auditory neuropathy spectrum disorder
  • Sensorineural hearing loss associated with damage to the outer hair cells, including cases where it affects only one ear

It is mandatory to take into account the age norm with which the doctor compares the obtained indicators.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

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