{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:49:40Z","timestamp":1792176580679,"version":"4.4.0"},"reference-count":70,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NEUROSURGERY","NEUROS"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Intraoperative monitoring of brainstem auditory evoked potentials (BAEPs) has been implemented to reduce the risk of hearing impairment during microvascular decompression for hemifacial spasm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To evaluate intraoperative monitoring of BAEPs during microvascular decompression in patients with hemifacial spasm for predicting the risk of hearing impairment after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This prospective study included 100 patients. BAEPs were recorded for all patients. We established a scoring system for the changes in wave I amplitude, I-III interpeak latency, and wave V amplitude and latency. For each change, total points were calculated, and a score out of 6 was assigned to every patient. We classified the patients based on the points scored into 3 risk groups: low-risk (0-3), medium-risk (4-5), and high-risk (6). Further, the correlation between the score and the hearing outcome was evaluated to detect the incidence and degree of hearing impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Eighty-seven patients scored 0 to 3, 10 scored 4 to 5, and 3 scored 6. The degree of hearing impairment was proportionate to the score recorded at the end of surgery, and patients in the low-risk group showed no impairment; medium-risk group, deterioration of maximum 2 grades according to World Health Organization classification of hearing impairment; and high-risk group, deterioration of 3 to 4 grades.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Intraoperative monitoring of BAEPs evaluated through our scoring system was valuable in predicting hearing impairment after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuros\/nyx111","type":"journal-article","created":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T15:12:14Z","timestamp":1498662734000},"page":"834-843","source":"Crossref","is-referenced-by-count":22,"title":["A New Score to Predict the Risk of Hearing Impairment After Microvascular Decompression for Hemifacial Spasm"],"prefix":"10.1227","volume":"81","author":[{"given":"Ahmed","family":"El Damaty","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Cairo Uni-versity, Cairo, Egypt"},{"name":"Department of Neurosurgery, Greifswald University Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Rosenstengel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Greifswald University Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Matthes","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Greifswald University Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Baldauf","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Greifswald University Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Dziemba","sequence":"additional","affiliation":[{"name":"Depa-rtment of ENT, Head and Neck Surgery, Greifswald University of Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Hosemann","sequence":"additional","affiliation":[{"name":"Depa-rtment of ENT, Head and Neck Surgery, Greifswald University of Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry W S","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Greifswald University Medicine, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,11]]},"reference":[{"issue":"2","key":"bib1-20231011","doi-asserted-by":"crossref","first-page":"254","DOI":"10.3171\/jns.1991.74.2.0254","article-title":"Intraoperative 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