NVC & EMG Findings :

BAEP examination by stimulation of 80 dB SNHL obtained

Stimulation of the right ear : normal latency gel I, III and V, normal IPL I-III, III-V and I_V
difference of latency gel V IPSI and contra lateral < 0,5 ms
Stimulation of the left ear : normal latency gel I, III and V, normal IPL I-III, III-V and I_V
difference of latency gel V IPSI and contra lateral < 0,5 ms

Impression :
BAEP examination by stimulation of 80 dB SNHL in both ears now within normal limits

NCV and EMG Findings :

SSEP examination n. medianus obtained
Stimulation of right n. medianus : Latency N9 lengthwise, N11 and N13 lengthwise, normal
N11-N21 IPL
Stimulation of left n. Medianus : Latency N9 lengthwise, N11 and N13 lengthwise, normal
N11-N21 IPL
SSEP examination of right n. tibialis : normal Latency P15, N21 lengthwise, P38 not found
Stimulation of right n. tibialis : normal Latency P15, N21 lengthwise, P38 not found
Stimulation of left n. tibialis : normal Latency P15, N21 lengthwise, P38 not found

Impression :
Column adorsalis total pathways functional lesions between the segments of lumbar bilateral C7. Currently not found skortikal response (P38) bilateral of stimulation below the
lesion (bilateral n.tibialis)

VEP checker board pattern reversal obtained :

Stimulation of the right eye by 32' of checkerboard pattern reversal
O1-Fz

: P100 gel latency within normal limits

Oz-Fz

: P100 gel latency within normal limits

O2-FZ

: P100 gel latency within normal limits

The difference of P100 wave amplitude in O1 and O2 < 50%

Stimulation of the left eye by 32', 16' and 8' of checkerboard pattern reversal

O1-Fz

: gel P100 not found

Oz-Fz

: gel P100 not found

O2-Fz

: gel P100 not found

Impression :
In accordance with the visual total pathways lesi functional of left eye pre chiasma, the
lesion is very possible on the left N.optikus

NCV and EMG Findings :

Examination of blink reflex
Stimulation of right n.VI

: normal R1 and R2 latency, R2C waves not found

Stimulation of left n.VI

: R1 and R2 wave not found, normal R2C latency

KHS examination of n.facialis on

left m.frontalis

: CMAP amplitude decreased by < 50% compared to the right

side
m.orb.occuli left

: CMAP amplitude decreased by > 59% compared to the right side

needles EMG examination on the left side

left m.frontalis

: polyphasic MUAP (-) recruitment greatly decreased, spontaneous

activity (-)
left m.orb.occuli

: polyphasic MUAP (+) recruitment decreased, spontaneous activity (-)

m.orb.oris

: polyphasic MUAP (+) recruitment decreased, spontaneous activity (-)

Impression:
Partial functional lesions n.VII perifersinistra especially on temporal and mandibular
branches. There are reinervasi sign in the form of polyphasic MUAP on m.orbicularis
occulidanoris