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NEUROLOGY 1981;31:1429
© 1981 American Academy of Neurology

Prognostic importance of brainstem auditory evoked responses after asphyxia

Kurt E. Hecox, M.D., Ph.D. and Barbara Cone, Ph.D.

Department of Neurology, University of Wisconsin, Clinical Health Science Center, and the Waisman Center on Mental Retardation and Human Development (Dr. Hecox), Madison, WI, and Arizona State University (Dr. Cone), Department of Speech and Hearing Sciences, Tempe, AZ.

Address correspondence and reprint requests to Dr. Hecox, Department of Neurology, University of Wisconsin, Clinical Health Science Center, 600 Highland Avenue, Madison, WI 53706.

Brainstem auditory evoked responses were recorded after acute asphyxia in 126 infants, ages birth through 18 months. Of these, 21 had markedly abnormal amplitude ratios, and all infants with abnormal amplitude ratios had severe neurologic handicaps. An abnormal amplitude ratio predicts long-term neurologic sequelae of acute asphyxia in infants. Normal amplitude ratios did not, however, ensure normal neurologic outcome; 10 infants with normal responses were severely handicapped.




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