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NEUROLOGY 1988;38:1263
© 1988 American Academy of Neurology

Acoustic nerve conduction abnormalities in Guillain-Barré syndrome

Kevin R. Nelson, MD, Robin L. Gilmore, MD and Andrew Massey, MD

Department of Neurology, University of Kentucky Medical Center, Lexington, KY.

We recorded brainstem auditory evoked potentials (BAEPs) in two patients with Guillain-Barré syndrome (GBS). One patient was acutely deaf with total absence of BAEP waveforms indicative of acoustic nerve conduction block. Hearing improved during early convalescence, and there were prolonged wave I latencies. Normal BAEPs were recorded on recovery. A second patient had bilaterally prolonged wave I latencies. These BAEP findings suggest that acoustic nerve conduction abnormalities from demyelination may occur in GBS.

Address correspondence and reprint requests to Dr. Nelson, Department of Neurology MS 129, University of Kentucky Medical Center, Lexington, KY 40536-0084.

Dr. Gilmore is a recipient of CIDA 1 KO8 NS01005.

Presented in part at the Southern EEG Society Annual Meeting, March 19–22, 1986.

Received April 10, 1987. Accepted for publication in final form December 21, 1987.




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