Brainstem auditory and somatosensory evoked potentials in relation to clinical and neuroimaging findings in chiari type 1 malformation

Dulce Moncho, Maria Antonia Poca, Teresa Minoves, Alejandro Ferré, Kimia Rahnama, Juan Sahuquillo

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4 Citations (Scopus)


© 2015 by the American Clinical Neurophysiology Society.. Purpose: The aim of this study was to describe the abnormalities found in the recordings of evoked potentials (EPs), in particular those of brainstem auditory evoked potentials and somatosensory evoked potentials, in a homogeneous series of patients with Chiari type 1 malformation (CM-1) and study their relationship with clinical symptoms and malformation severity. CM-1 is characterized by cerebellar tonsils that descend below the foramen magnum and may be associated with EP alterations. However, only a small number of authors have described these tests in CM-1, and the patient groups studied to date have been small and heterogeneous. Methods: The clinical findings, neuroimages, and EP findings were retrospectively studied in a cohort of 50 patients with CM-1. Results: Seventy percent of patients had EP abnormalities (brainstem auditory evoked potential: 52%, posterior tibial nerve somatosensory evoked potential: 42%, and median nerve somatosensory evoked potential: 34%). The most frequent alteration was an increased central conduction time. Morphometric measurements differed between the normal and pathological groups, although no statistical significance was found when comparing these groups. Conclusions: A high percentage of patients with CM-1 show EP alterations regardless of their clinical or radiological findings, thus highlighting the necessity of performing these tests, especially in patients with few or no symptoms
Original languageEnglish
Pages (from-to)130-138
JournalJournal of Clinical Neurophysiology
Issue number2
Publication statusPublished - 1 Jan 2015


  • Brainstem auditory evoked potentials
  • Chiari type 1 malformation
  • Somatosensory evoked potentials
  • Study of the craniovertebral junction.
  • Syringomyelia


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