Brainstem auditory evoked potentials in respiratory insufficiency following encephalitis

Brainstem auditory evoked potentials (BAEPs) were recorded in 14 artificially ventilated patients (12 males, 2 females; mean age 33.3 +/- 16.3 years, range 18-67) with respiratory insufficiency resulting from severe inflammatory encephalopathies. The results were compared with those of 17 healthy volunteers (13 males, 4 females; mean age 27.4 +/- 5.3 years, range 21-45). BAEPs in the study patients showed prolonged interpeak latencies (I-III, I-V, III-V, IV-V) and delayed absolute latencies of waves I, II, III, and V at least on one side. Because the auditory pathways are in the near vicinity of the respiratory control centers in the brainstem, the electrophysiologic abnormalities of wave III and the IV/V complex may be a reflection of the disturbed central control of ventilation.