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Writer's pictureLovedeep Kholia

Brainstem Evoked Response Audiometry (BERA): Unraveling the Brain’s Acoustic Symphony

BERA test of an infant
BERA test of an infant

Brainstem Evoked Response Audiometry (BERA), also known as Auditory Brainstem Response (ABR), is a remarkable diagnostic tool that allows us to explore the intricate neural pathways responsible for hearing. Let’s delve into the world of BERA and understand its significance in assessing auditory function.

What Is BERA?

BERA is an objective test that examines the transmission of electrical waves from the VIIIth cranial nerve (the auditory nerve) to the brainstem. It provides valuable insights into the integrity of these neural pathways and helps diagnose various auditory disorders.

How Does BERA Work?

  1. Electrode Placement:

  • You lie comfortably on a reclining chair or bed.

  • Electrodes are strategically placed on your scalp and earlobes.

  1. Stimulus Presentation:

  • Clicks or specific audio tones are delivered to your ears.

  • These sounds evoke electrical responses in the auditory system.

  1. Brainwave Recording:

  • BERA records the brain’s response to these stimuli.

  • The measured waves occur within the first 10 milliseconds after the auditory stimulus onset.

  1. Interpreting the Waves:

  • BERA evaluates several parameters:

  • Amplitude: Reflects the number of neurons firing.

  • Latency: Indicates the speed of transmission.

  • Interpeak Latency: Measures the time between peaks.

  • Interaural Latency: Compares wave V latency between ears.

Clinical Applications of BERA:

  1. Hearing Threshold Estimation:

  • BERA helps determine hearing sensitivity.

  • Useful for both adults and infants.

  1. Diagnosing Auditory Pathologies:

  • Detects abnormalities related to the brainstem.

  • Identifies conditions like tumors, central hypoventilation syndrome, and CNS pathology.

  1. Monitoring Auditory Function:

  • Essential during surgeries involving the auditory nerve or brainstem.

  • Evaluates the impact of treatments on neural pathways.

In Summary:

BERA unravels the brain’s acoustic symphony, revealing the harmonious interplay of neural signals. By understanding the brainstem’s response to auditory stimuli, we gain valuable diagnostic information and guide effective management strategies.

Remember, if you experience any auditory concerns, seek evaluation from an audiologist to orchestrate the best care for your unique needs.

 

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