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The Auditory Brainstem Response (ABR) measures the electrical activity of the hearing nerve pathway from the inner ear to the brain. In this test, a clicking sound is presented to one ear at a time. The electrical activity of this signal is recorded by electrodes. The average response is displayed as a waveform that contains peaks and troughs, which correspond to various points along the hearing nerve. The time between these peaks is measured and compared to normal data. A delay in response might indicate an abnormality on or near the hearing or balance nerve. The ABR is also helpful in the diagnosis of multiple sclerosis (demyelinating diseases of the brain), tumors (acoustic neuroma) of the eighth cranial nerve (hearing and balance nerve) and strokes (vascular lesions) of the brainstem. ABR testing can serve as both a screening tool for hearing and a diagnostic assessment of the severity of loss in infants or in individuals unable to perform a conventional hearing test. Infants may require sedation for this test. ABR is also used in the operating room to monitor auditory function during surgery.

American Academy of Otolaryngology. 2000. Academy of Otolaryngology. 20. Sept. 2001 <http://www.entnet.org>.