Stacked BERA

Staked BERA is the modification of Standard ABR (BERA). Conventional BERA

uses responses from one region of 8th nerve (Portion of auditory nerve which has high
frequency fiber only). Whereas in stacked BERA activity from virtually all auditory nerve
fibers displayed. So it detects any abnormality in auditory nerve at its start.

Used in patient of vertigo and/ or hearing loss suspecting of Acoustic Neuroma.
For 95% sensitivity (correctly identify 95 out of 100 small tumors of (1 cm size)
Conventional BERA has 5% specificity, Stacked BERA has 83% Specificity.
It is much less expensive and comfortable then MRI
It can be used in patients with implanted devices.