92650 Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis

Name of the Procedure:

Auditory Evoked Potentials (AEP); Screening of Auditory Potential with Broadband Stimuli, Automated Analysis

Summary

Auditory evoked potentials (AEP) is a diagnostic test that uses sound stimuli to assess the brain's electrical activity in response to auditory stimuli. Broadband stimuli are used in this procedure, and an automated system analyzes the results to determine auditory function.

Purpose

AEP screening is used to evaluate hearing and auditory pathway function. This can help detect issues such as hearing loss, auditory neuropathy, or other neurological conditions affecting hearing. The goal is to identify potential hearing problems early to facilitate timely intervention and management.

Indications

• Newborn hearing screening
• Suspected hearing loss in children or adults
• Unexplained auditory or neurological symptoms
• Part of a comprehensive audiological evaluation

Preparation

• No specific preparations required.
• Patients should be relaxed and quiet during the procedure.
• For infants, the test may be performed while they are naturally sleeping.
• Adults and children may need to remain still and may be asked to close their eyes.

Procedure Description

1. The patient is seated comfortably or lying down.
2. Electrodes are placed on the scalp and earlobes to measure brain wave activity.
3. Earphones are placed over or in the patient’s ears to deliver broadband sound stimuli.
4. The patient is exposed to a series of sound stimuli.
5. The automated system analyzes the brain's electrical responses to these sounds.
6. The results are interpreted by a specialist to assess auditory function.

Tools and Equipment

• Electrodes
• Earphones or ear inserts
• Automated analysis system

Anesthesia or Sedation

Not typically required, but infants may naturally sleep through the process.

Duration

The procedure typically takes about 30 minutes to an hour.

Setting

Usually performed in an audiology clinic or hospital setting.

Personnel

• Audiologist or trained technician
• Occasionally a healthcare provider for interpretation of results

Risks and Complications

• Minimal risk involved
• Potential for minor skin irritation from electrodes
• Rarely, discomfort from earphones

Benefits

• Early detection of hearing issues
• Non-invasive and painless
• Immediate automated analysis allows for quick results
• Facilitates timely intervention

Recovery

• No recovery time needed
• Patients can resume normal activities immediately after the procedure

Alternatives

• Pure-tone audiometry
• Otoacoustic emissions (OAE) testing
• Tympanometry
• Speech audiometry

Pros and Cons

Pros: Non-invasive, quick, ideal for newborns and uncooperative patients. Cons: May require follow-up tests for comprehensive diagnosis.

Patient Experience

During the procedure, the patient will hear clicking or tonal sounds through earphones. It's important to stay still and relaxed for accurate readings. Post-procedure, there is no discomfort, and normal activities can be resumed immediately. For children, parents may need to provide comfort and reassurance.