Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Focused ultrasound-mediated blood-brain barrier opening to enhance temozolomide delivery in glioblastoma: a systematic review of preclinical and early clinical evidence.

Neurosurgical review·2026
Same author

Symptomatic radiation necrosis following intracranial brachytherapy: a systematic review and meta-analysis.

Journal of neuro-oncology·2026
Same author

A Comparative Effectiveness Study of Bipolar and Linked Quadripolar Techniques for Eliciting Transcranial Motor Evoked Potentials.

The Neurodiagnostic journal·2026
Same author

The changing spectrum of neurointensive care unit needs for tumor patients.

Neuro-oncology advances·2026
Same author

Racial disparities in the survival outcomes of craniopharyngioma: a 17-year population-based analysis.

Neurosurgical focus·2026
Same author

Multimodal Novel Recurrent Laryngeal Nerve Monitoring Techniques in Anterior Cervical Spine Surgery: Initial Experience and Proof of Concept.

The Neurodiagnostic journal·2026

Related Experiment Video

Updated: Jan 17, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
06:59

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Published on: February 29, 2020

8.7K

Brainstem Auditory Evoked Potentials to Guide Minimally Invasive Decompression in Chiari 1.5: Technical Case Report.

Katherine G Stark1, Justin M Turpin1, Laura Mittelman1

  • 1Department of Neurosurgery, Lenox Hill Hospital/Donald, Barbara Zucker School of Medicine at Hofstra/Northwell, New York, New York, USA.

The Neurodiagnostic Journal
|September 19, 2025
PubMed
Summary

Brainstem auditory evoked potentials (BAEPs) can guide adult Chiari 1.5 decompression surgery. This minimally invasive approach, using intraoperative BAEP monitoring, led to significant clinical improvement in a patient with Chiari malformation.

Keywords:
Brainstem auditory evoked potentialsChiari decompressionChiari type 1.5 malformationminimally invasive surgeryneuromonitoring

More Related Videos

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

47.2K
Surgical Treatment of an Endolymphatic Sac Tumor
04:34

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

1.5K

Related Experiment Videos

Last Updated: Jan 17, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
06:59

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Published on: February 29, 2020

8.7K
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

47.2K
Surgical Treatment of an Endolymphatic Sac Tumor
04:34

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

1.5K

Area of Science:

  • Neurosurgery
  • Neurology
  • Medical Devices

Background:

  • Chiari malformation types 1 and 1.5 often require posterior fossa decompression.
  • Surgical techniques for Chiari malformation vary, with aggressive approaches sometimes used for type 1.5.
  • An objective intraoperative marker for adequate decompression is needed to tailor surgical strategies.

Purpose of the Study:

  • To investigate the utility of brainstem auditory evoked potentials (BAEPs) as an intraoperative marker for guiding decompression surgery in adult patients with Chiari malformation.
  • To evaluate the effectiveness of a minimally invasive surgical approach guided by intraoperative BAEP monitoring for Chiari 1.5.

Main Methods:

  • A case study of a 26-year-old female with Chiari 1.5 malformation and associated symptoms.
  • The patient underwent a minimally invasive decompression including C1 laminectomy, linear dural opening, and tonsillar cauterization.
  • Intraoperative monitoring using BAEPs was employed to guide the extent of decompression.

Main Results:

  • Intraoperative BAEP monitoring facilitated a targeted and less extensive surgical decompression.
  • The patient experienced significant clinical improvement in symptoms such as migraines, visual disturbances, and balance issues post-surgery.
  • The BAEP-guided approach demonstrated potential for optimizing surgical outcomes in adult Chiari decompression.

Conclusions:

  • Brainstem auditory evoked potentials (BAEPs) show potential as a valuable intraoperative tool for guiding decompression surgery in adult Chiari malformation patients.
  • Minimally invasive decompression guided by BAEPs may lead to significant clinical improvement while minimizing surgical invasiveness.
  • Further research is warranted to validate the utility of BAEP monitoring in adult Chiari decompression surgery.