Role of brainstem auditory evoked potential in Forensic Medicine

A. Thind, R. Singh, K. Singh, A. Kumar, A. Thind
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Abstract

Brainstem Auditory Evoked Potential (BAEP) is an important test used in clinical practice. It is used to diagnose auditory threshold changes and to characterize the type of hearing loss as it does not depends on voluntary response from the subject. Its role in forensic medicine becomes relevant for the assessment of type of hearing loss in medicolegal cases for conductive or sensory neural. It can be used for assessing nature of injuring cases of malingering and pinpointing the neuronal pathway, hearing loss andwhether the victim had hearing loss before the injury or after the injury. This study presents latencies of wave I, II, III, IV and V, interpeak latencies of wave I‐III, I‐V, III‐V and amplitudes of waves I‐Ia, V‐Va and absolute amplitude R in 100 healthy normal hearing in medical students of same age group comprising of 50 females and 50 male for comparison of inter gender difference and for the purpose of establishing normal values. In the present study, it has been concluded that there is highly significant difference in the waves and interpeak latencies III, V and I‐V between females and males. It was also found that the duration of wave I showed statistically highly significant differences and V‐Va showed significant difference between left and right ear in females. It was also found that the duration of wave showed statistically highly significant difference in males.
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脑干听觉诱发电位在法医学中的作用
脑干听觉诱发电位(BAEP)是临床应用的重要检测手段。它被用来诊断听觉阈值的变化,并描述听力损失的类型,因为它不依赖于受试者的自愿反应。它在法医学中的作用与传导性或感觉神经性耳聋的法医学案例中听力损失类型的评估有关。它可以用于评估诈伤病例的性质,精确定位神经通路,听力损失以及受害者在受伤前或受伤后是否有听力损失。本研究对100名同年龄组健康正常听力医学生(50名女学生和50名男学生)的I、II、III、IV和V波潜伏期、I - III、I - V波峰间潜伏期、I - Ia波、V - Va波振幅和绝对振幅R进行了比较,目的是比较性别差异和建立正常值。在本研究中,已经得出结论,女性和男性在波和峰间潜伏期III, V和I - V方面存在高度显著差异。在雌性左、右耳中,波1的持续时间有显著的统计学差异,波V - Va的持续时间有显著的统计学差异。研究还发现,波浪的持续时间在男性中有统计学上的显著差异。
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