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Short AK, Weber R, Kamei N, Thai CW, Arora H, Mortazavi A, Stern HS, Glynn L, Baram TZ. Within-subject changes in methylome profile identify individual signatures of early-life adversity, with a potential to predict neuropsychiatric outcome. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.12.16.571594. [PMID: 38187766 PMCID: PMC10769190 DOI: 10.1101/2023.12.16.571594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2024]
Abstract
Background Adverse early-life experiences (ELA), including poverty, trauma and neglect, affect a majority of the world's children. Whereas the impact of ELA on cognitive and emotional health throughout the lifespan is well-established, it is not clear how distinct types of ELA influence child development, and there are no tools to predict for an individual child their vulnerability or resilience to the consequences of ELAs. Epigenetic markers including DNA-methylation profiles of peripheral cells may encode ELA and provide a predictive outcome marker. However, the rapid dynamic changes in DNA methylation in childhood and the inter-individual variance of the human genome pose barriers to identifying profiles predicting outcomes of ELA exposure. Here, we examined the relation of several dimensions of ELA to changes of DNA methylation, using a longitudinal within-subject design and a high threshold for methylation changes in the hope of mitigating the above challenges. Methods We analyzed DNA methylation in buccal swab samples collected twice for each of 110 infants: neonatally and at 12 months. We identified CpGs differentially methylated across time, calculated methylation changes for each child, and determined whether several indicators of ELA associated with changes of DNA methylation for individual infants. We then correlated select dimensions of ELA with methylation changes as well as with measures of executive function at age 5 years. We examined for sex differences, and derived a sex-dependent 'impact score' based on sites that most contributed to the methylation changes. Findings Setting a high threshold for methylation changes, we discovered that changes in methylation between two samples of an individual child reflected age-related trends towards augmented methylation, and also correlated with executive function years later. Among the tested factors and ELA dimensions, including income to needs ratios, maternal sensitivity, body mass index and sex, unpredictability of parental and household signals was the strongest predictor of executive function. In girls, an interaction was observed between a measure of high early-life unpredictability and methylation changes, in presaging executive function. Interpretation These findings establish longitudinal, within-subject changes in methylation profiles as a signature of some types of ELA in an individual child. Notably, such changes are detectable beyond the age-associated DNA methylation dynamics. Future studies are required to determine if the methylation profile changes identified here provide a predictive marker of vulnerabilities to poorer cognitive and emotional outcomes.
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Affiliation(s)
- Annabel K. Short
- Department of Anatomy and Neurobiology, University of California- Irvine, Irvine, CA 92697
- Departments of Pediatrics and Neurology, University of California-Irvine, Irvine, CA, 92697
- Brain Tumour Research Program, Telethon Kids Institute, Nedlands, WA, Australia, 6009 (current)
- Division of Paediatrics/Centre for Child Health Research, Medical School, University of Western Australia, Crawley, WA, Australia, 6009 (current)
| | - Ryan Weber
- Department of Developmental and Cell Biology, University of California-Irvine, Irvine, CA 92697
| | - Noriko Kamei
- Department of Anatomy and Neurobiology, University of California- Irvine, Irvine, CA 92697
| | - Christina Wilcox Thai
- Department of Developmental and Cell Biology, University of California-Irvine, Irvine, CA 92697
| | - Hina Arora
- Department of Statistics, University of California-Irvine, Irvine, CA, 92697
| | - Ali Mortazavi
- Department of Developmental and Cell Biology, University of California-Irvine, Irvine, CA 92697
| | - Hal S. Stern
- Department of Statistics, University of California-Irvine, Irvine, CA, 92697
| | - Laura Glynn
- Department of Psychology, Chapman University, Orange, CA, 92866
| | - Tallie Z. Baram
- Department of Anatomy and Neurobiology, University of California- Irvine, Irvine, CA 92697
- Departments of Pediatrics and Neurology, University of California-Irvine, Irvine, CA, 92697
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Miller KJ, Müller KR, Valencia GO, Huang H, Gregg NM, Worrell GA, Hermes D. Canonical Response Parameterization: Quantifying the structure of responses to single-pulse intracranial electrical brain stimulation. PLoS Comput Biol 2023; 19:e1011105. [PMID: 37228169 DOI: 10.1371/journal.pcbi.1011105] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 04/14/2023] [Indexed: 05/27/2023] Open
Abstract
Single-pulse electrical stimulation in the nervous system, often called cortico-cortical evoked potential (CCEP) measurement, is an important technique to understand how brain regions interact with one another. Voltages are measured from implanted electrodes in one brain area while stimulating another with brief current impulses separated by several seconds. Historically, researchers have tried to understand the significance of evoked voltage polyphasic deflections by visual inspection, but no general-purpose tool has emerged to understand their shapes or describe them mathematically. We describe and illustrate a new technique to parameterize brain stimulation data, where voltage response traces are projected into one another using a semi-normalized dot product. The length of timepoints from stimulation included in the dot product is varied to obtain a temporal profile of structural significance, and the peak of the profile uniquely identifies the duration of the response. Using linear kernel PCA, a canonical response shape is obtained over this duration, and then single-trial traces are parameterized as a projection of this canonical shape with a residual term. Such parameterization allows for dissimilar trace shapes from different brain areas to be directly compared by quantifying cross-projection magnitudes, response duration, canonical shape projection amplitudes, signal-to-noise ratios, explained variance, and statistical significance. Artifactual trials are automatically identified by outliers in sub-distributions of cross-projection magnitude, and rejected. This technique, which we call "Canonical Response Parameterization" (CRP) dramatically simplifies the study of CCEP shapes, and may also be applied in a wide range of other settings involving event-triggered data.
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Affiliation(s)
- Kai J Miller
- Dept of Neurological Surgery, Mayo Clinic, Rochester, Minnesota, United States of America
- Dept of Biomedical Engineering & Physiology, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Klaus-Robert Müller
- Google Research, Brain Team, Berlin, Germany
- Machine Learning Group, Department of Computer Science, Berlin Institute of Technology, Berlin, Germany
- Dept of Artificial Intelligence, Korea University, Seoul, Republic of Korea
- Max Planck Institute for Informatics, Saarbrücken, Germany
| | - Gabriela Ojeda Valencia
- Dept of Biomedical Engineering & Physiology, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Harvey Huang
- Medical Scientist Training Program, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Nicholas M Gregg
- Dept of Neurology, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Gregory A Worrell
- Dept of Biomedical Engineering & Physiology, Mayo Clinic, Rochester, Minnesota, United States of America
- Dept of Neurology, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Dora Hermes
- Dept of Biomedical Engineering & Physiology, Mayo Clinic, Rochester, Minnesota, United States of America
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Connolly JF, Reilly JP, Fox-Robichaud A, Britz P, Blain-Moraes S, Sonnadara R, Hamielec C, Herrera-Díaz A, Boshra R. Development of a point of care system for automated coma prognosis: a prospective cohort study protocol. BMJ Open 2019; 9:e029621. [PMID: 31320356 PMCID: PMC6661548 DOI: 10.1136/bmjopen-2019-029621] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Coma is a deep state of unconsciousness that can be caused by a variety of clinical conditions. Traditional tests for coma outcome prediction are based mainly on a set of clinical observations. Recently, certain event-related potentials (ERPs), which are transient electroencephalogram (EEG) responses to auditory, visual or tactile stimuli, have been introduced as useful predictors of a positive coma outcome (ie, emergence). However, such tests require the skills of clinical neurophysiologists, who are not commonly available in many clinical settings. Additionally, none of the current standard clinical approaches have sufficient predictive accuracies to provide definitive prognoses. OBJECTIVE The objective of this study is to develop improved machine learning procedures based on EEG/ERP for determining emergence from coma. METHODS AND ANALYSIS Data will be collected from 50 participants in coma. EEG/ERP data will be recorded for 24 consecutive hours at a maximum of five time points spanning 30 days from the date of recruitment to track participants' progression. The study employs paradigms designed to elicit brainstem potentials, middle-latency responses, N100, mismatch negativity, P300 and N400. In the case of patient emergence, data are recorded on that occasion to form an additional basis for comparison. A relevant data set will be developed from the testing of 20 healthy controls, each spanning a 15-hour recording period in order to formulate a baseline. Collected data will be used to develop an automated procedure for analysis and detection of various ERP components that are salient to prognosis. Salient features extracted from the ERP and resting-state EEG will be identified and combined to give an accurate indicator of prognosis. ETHICS AND DISSEMINATION This study is approved by the Hamilton Integrated Research Ethics Board (project number 4840). Results will be disseminated through peer-reviewed journal articles and presentations at scientific conferences. TRIAL REGISTRATION NUMBER NCT03826407.
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Affiliation(s)
- John F Connolly
- School of Biomedical Engineering, McMaster University, Hamilton, Ontario, Canada
- Vector Institute, MaRS Discovery District, Ontario, Canada
- Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Ontario, Canada
- ARiEAL Research Centre, McMaster University, Hamilton, Ontario, Canada
- Department of Linguistics and Languages, McMaster University, Hamilton, Ontario, Canada
- Neuroscience Graduate Program, McMaster University, Hamilton, Ontario, Canada
| | - James P Reilly
- School of Biomedical Engineering, McMaster University, Hamilton, Ontario, Canada
- Vector Institute, MaRS Discovery District, Ontario, Canada
- ARiEAL Research Centre, McMaster University, Hamilton, Ontario, Canada
- Department of Electrical and Computer Engineering, McMaster University, Hamilton, Ontario, Canada
| | - Alison Fox-Robichaud
- Department of Medicine, McMaster University, Hamilton, Ontario, Canada
- Critical Care Medicine, Hamilton Health Sciences, Ontario, Canada
| | | | - Stefanie Blain-Moraes
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
| | - Ranil Sonnadara
- School of Biomedical Engineering, McMaster University, Hamilton, Ontario, Canada
- Vector Institute, MaRS Discovery District, Ontario, Canada
- Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Ontario, Canada
- ARiEAL Research Centre, McMaster University, Hamilton, Ontario, Canada
- Department of Linguistics and Languages, McMaster University, Hamilton, Ontario, Canada
- Neuroscience Graduate Program, McMaster University, Hamilton, Ontario, Canada
- Department of Surgery, McMaster University, Hamilton, Ontario, Canada
| | - Cindy Hamielec
- Department of Medicine, McMaster University, Hamilton, Ontario, Canada
- Critical Care Medicine, Hamilton Health Sciences, Ontario, Canada
| | - Adianes Herrera-Díaz
- ARiEAL Research Centre, McMaster University, Hamilton, Ontario, Canada
- Neuroscience Graduate Program, McMaster University, Hamilton, Ontario, Canada
| | - Rober Boshra
- School of Biomedical Engineering, McMaster University, Hamilton, Ontario, Canada
- Vector Institute, MaRS Discovery District, Ontario, Canada
- ARiEAL Research Centre, McMaster University, Hamilton, Ontario, Canada
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Association between hearing organ and renal function in young adult type 1 diabetic patients: A cross-sectional study. Sci Rep 2018; 8:12645. [PMID: 30140038 PMCID: PMC6107493 DOI: 10.1038/s41598-018-31057-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Accepted: 08/10/2018] [Indexed: 11/08/2022] Open
Abstract
Type 1 diabetes can lead to impaired function of many organs and tissues. The aim of this study was to evaluate associations between hearing and kidney function in young adult type 1 diabetic patients. 31 patients (9 women) with type 1 diabetes, aged <45, with disease duration <10 years were included. Blood and urine samples for laboratory tests and urinary albumin excretion (UAE) assessment were obtained. eGFR was calculated with CKD-EPI formula. In all patients pure-tone audiometry, transient evoked otoacoustic emissions and auditory brainstem responses were evaluated, also eye fundus was examined. Mean patients' age was 29.5 ± 7.0 years and disease duration 4.6 ± 2.6 years. All patients had eGFR > 60.0 ml/min/1.73 m2. In one case microalbuminuria and in 3 patients early retinopathy were revealed. Linear correlation between eGFR and hearing threshold at 4, 6, 8 and 12 kHz was found. Patients with hearing impairment (n = 7) had lower eGFR 108.8 vs. 121.7 ml/min/1.73 m2, p = 0.047 compared to normal-hearing subjects. Also patients with absence of otoacoustic emissions in at least one ear had lower eGFR, 103.1 vs. 123.3 ml/min/1.73 m2, p < 0.001, compared to the remaining group. In auditory brainstem responses we found significant linear correlation between eGFR and wave III and interval I-III latencies, and between UAE and waves III, V and interval I-III latencies. This study suggests existence of relationship between hearing and kidney function in type 1 diabetic patients. Pathways directly linking hearing and renal function are unknown. Larger studies are necessary to further analyze these relationships.
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André-Obadia N, Zyss J, Gavaret M, Lefaucheur JP, Azabou E, Boulogne S, Guérit JM, McGonigal A, Merle P, Mutschler V, Naccache L, Sabourdy C, Trébuchon A, Tyvaert L, Vercueil L, Rohaut B, Delval A. Recommendations for the use of electroencephalography and evoked potentials in comatose patients. Neurophysiol Clin 2018; 48:143-169. [DOI: 10.1016/j.neucli.2018.05.038] [Citation(s) in RCA: 53] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 05/07/2018] [Indexed: 12/21/2022] Open
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Stone JL, Bailes JE, Hassan AN, Sindelar B, Patel V, Fino J. Brainstem Monitoring in the Neurocritical Care Unit: A Rationale for Real-Time, Automated Neurophysiological Monitoring. Neurocrit Care 2017; 26:143-156. [PMID: 27484878 DOI: 10.1007/s12028-016-0298-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Patients with severe traumatic brain injury or large intracranial space-occupying lesions (spontaneous cerebral hemorrhage, infarction, or tumor) commonly present to the neurocritical care unit with an altered mental status. Many experience progressive stupor and coma from mass effects and transtentorial brain herniation compromising the ascending arousal (reticular activating) system. Yet, little progress has been made in the practicality of bedside, noninvasive, real-time, automated, neurophysiological brainstem, or cerebral hemispheric monitoring. In this critical review, we discuss the ascending arousal system, brain herniation, and shortcomings of our current management including the neurological exam, intracranial pressure monitoring, and neuroimaging. We present a rationale for the development of nurse-friendly-continuous, automated, and alarmed-evoked potential monitoring, based upon the clinical and experimental literature, advances in the prognostication of cerebral anoxia, and intraoperative neurophysiological monitoring.
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Affiliation(s)
- James L Stone
- Department of Neurosurgery, NorthShore University HealthSystem, Evanston, IL, USA. .,Departments of Neurology and Neurological Surgery, University of Illinois at Chicago, Chicago, IL, USA. .,Division of Neurosurgery, Department of Surgery, Cook County Stroger Hospital, Chicago, IL, USA.
| | - Julian E Bailes
- Department of Neurosurgery, NorthShore University HealthSystem, Evanston, IL, USA
| | - Ahmed N Hassan
- Departments of Neurology and Neurological Surgery, University of Illinois at Chicago, Chicago, IL, USA
| | - Brian Sindelar
- Department of Neurosurgery, NorthShore University HealthSystem, Evanston, IL, USA.,Department of Neurosurgery, University of Florida, Gainesville, FL, USA
| | - Vimal Patel
- Department of Neurosurgery, NorthShore University HealthSystem, Evanston, IL, USA
| | - John Fino
- Departments of Neurology and Neurological Surgery, University of Illinois at Chicago, Chicago, IL, USA
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Radwan HM, El-Gharib AM, Erfan AA, Emara AA. Auditory brain stem response and cortical evoked potentials in children with type 1 diabetes mellitus. Acta Otolaryngol 2017; 137:511-515. [PMID: 27834105 DOI: 10.1080/00016489.2016.1252059] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
CONCLUSIONS Delay in ABR and CAEPs wave latencies in children with type 1DM indicates that there is abnormality in the neural conduction in DM patients. The duration of DM has greater effect on auditory function than the control of DM. BACKGROUND Diabetes mellitus (DM) is a common endocrine and metabolic disorder. Evoked potentials offer the possibility to perform a functional evaluation of neural pathways in the central nervous system. OBJECTIVES To investigate the effect of type 1 diabetes mellitus (T1DM) on auditory brain stem response (ABR) and cortical evoked potentials (CAEPs). METHOD This study included two groups: a control group (GI), which consisted of 20 healthy children with normal peripheral hearing, and a study group (GII), which consisted of 30 children with type I DM. Basic audiological evaluation, ABR, and CAEPs were done in both groups. RESULTS Delayed absolute latencies of ABR and CAEPs waves were found. Amplitudes showed no significant difference between both groups. Positive correlation was found between ABR wave latencies and duration of DM. No correlation was found between ABR, CAEPs, and glycated hemoglobin.
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Affiliation(s)
| | | | - Adel Ali Erfan
- Pediatric Department, Faculty of Medicine, Tanta University, Egypt
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8
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Valderrama JT, de la Torre A, Medina C, Segura JC, Thornton ARD. Selective processing of auditory evoked responses with iterative-randomized stimulation and averaging: A strategy for evaluating the time-invariant assumption. Hear Res 2016; 333:66-76. [DOI: 10.1016/j.heares.2015.12.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 11/21/2015] [Accepted: 12/02/2015] [Indexed: 11/29/2022]
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Valderrama JT, de la Torre A, Alvarez IM, Segura JC, Thornton ARD, Sainz M, Vargas JL. Auditory brainstem and middle latency responses recorded at fast rates with randomized stimulation. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2014; 136:3233. [PMID: 25480070 DOI: 10.1121/1.4900832] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Randomized stimulation and averaging (RSA) allows auditory evoked potentials (AEPs) to be recorded at high stimulation rates. This method does not perform deconvolution and must therefore deal with interference derived from overlapping transient evoked responses. This paper analyzes the effects of this interference on auditory brainstem responses (ABRs) and middle latency responses (MLRs) recorded at rates of up to 300 and 125 Hz, respectively, with randomized stimulation sequences of a jitter both greater and shorter than the dominant period of the ABR/MLR components. Additionally, this paper presents an advanced approach for RSA [iterative-randomized stimulation and averaging (I-RSA)], which includes the removal of the interference associated with overlapping responses through an iterative process in the time domain. Experimental results show that (a) RSA can be efficiently used in the recording of AEPs when the jitter of the stimulation sequence is greater than the dominant period of the AEP components, and (b) I-RSA maintains all the advantages of RSA and is not constrained by the restriction of a minimum jitter. The significance of the results of this study is discussed.
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Affiliation(s)
- Joaquin T Valderrama
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, Granada 18071, Spain
| | - Angel de la Torre
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, Granada 18071, Spain
| | - Isaac M Alvarez
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, Granada 18071, Spain
| | - Jose C Segura
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, Granada 18071, Spain
| | - A Roger D Thornton
- MRC Institute of Hearing Research, Royal South Hants Hospital, Southampton SO14 OYG, United Kingdom
| | - Manuel Sainz
- San Cecilio University Hospital, ENT Service, Granada 18012, Spain
| | - Jose L Vargas
- San Cecilio University Hospital, ENT Service, Granada 18012, Spain
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10
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Viability of intraoperative auditory steady state responses during intracranial surgery. J Clin Neurophysiol 2014; 31:344-51. [PMID: 25083846 DOI: 10.1097/wnp.0000000000000083] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND For intraoperative monitoring of auditory nerve function, the auditory steady-state response (ASSR) analysis may be an alternative to brain stem auditory evoked potentials, offering frequency specificity and short detection times. Clinical studies investigating the viability of ASSR under total intravenous anesthesia have not been performed. METHODS During craniotomy under total intravenous anesthesia with propofol and remifentanil in 20 patients, ASSR were recorded. An additional control patient undergoing cerebellopontine angle surgery was included, in whom the auditory nerve could not be preserved. One-minute sinus tones (500, 1,000, 2,000 Hz) were applied with 60-, 70-, and 80-decibel hearing level. Stimuli were amplitude modulated with 40, 90, or 110 Hz and applied monaurally to the left and right ears. Time to detect a significant response and response amplitudes at 40, 90, or 110 Hz in the evoked EEG spectra was evaluated. RESULTS Overall, 90-Hz ASSR were successfully detected in all 20 patients, 110 Hz in 18 patients, and 40 Hz in 14 patients after a median of 10 seconds. No ASSR could be detected in the control patient at the end of the surgical procedure. Time-to-significance and ASSR amplitudes were influenced by stimulus intensity, carrier, and modulation frequency (Scheirer-Ray-Hare test, P < 0.005). Ipsilateral responses were higher than contralateral (P < 0.0001). CONCLUSIONS In conclusion, 90- and 110-Hz ASSR can be reliably detected under total intravenous anesthesia. Our results are in line with those from previous studies in awake patients. Auditory steady-state response during anesthesia may enable intraoperative frequency-specific audiometry and monitoring of the auditory nerve.
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Bishop CW, Yadav D, London S, Miller LM. The effects of preceding lead-alone and lag-alone click trains on the buildup of echo suppression. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2014; 136:803-817. [PMID: 25096114 PMCID: PMC4144256 DOI: 10.1121/1.4874622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2012] [Revised: 04/14/2014] [Accepted: 04/16/2014] [Indexed: 06/03/2023]
Abstract
Spatial perception in echoic environments is influenced by recent acoustic history. For instance, echo suppression becomes more effective or "builds up" with repeated exposure to echoes having a consistent acoustic relationship to a temporally leading sound. Four experiments were conducted to investigate how buildup is affected by prior exposure to unpaired lead-alone or lag-alone click trains. Unpaired trains preceded lead-lag click trains designed to evoke and assay buildup. Listeners reported how many sounds they heard from the echo hemifield during the lead-lag trains. Stimuli were presented in free field (experiments 1 and 4) or dichotically through earphones (experiments 2 and 3). In experiment 1, listeners reported more echoes following a lead-alone train compared to a period of silence. In contrast, listeners reported fewer echoes following a lag-alone train; similar results were observed with earphones. Interestingly, the effects of lag-alone click trains on buildup were qualitatively different when compared to a no-conditioner trial type in experiment 4. Finally, experiment 3 demonstrated that the effects of preceding click trains on buildup cannot be explained by a change in counting strategy or perceived click salience. Together, these findings demonstrate that echo suppression is affected by prior exposure to unpaired stimuli.
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Affiliation(s)
- Christopher W Bishop
- University of California, Davis Center for Mind and Brain, 267 Cousteau Place, Davis, California 95618
| | - Deepak Yadav
- University of California, Davis Center for Mind and Brain, 267 Cousteau Place, Davis, California 95618
| | - Sam London
- University of California, Davis Center for Mind and Brain, 267 Cousteau Place, Davis, California 95618
| | - Lee M Miller
- University of California, Davis Center for Mind and Brain, 267 Cousteau Place, Davis, California 95618
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Valderrama JT, de la Torre A, Alvarez I, Segura JC, Thornton ARD, Sainz M, Vargas JL. Automatic quality assessment and peak identification of auditory brainstem responses with fitted parametric peaks. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2014; 114:262-75. [PMID: 24661606 DOI: 10.1016/j.cmpb.2014.02.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2013] [Revised: 01/22/2014] [Accepted: 02/25/2014] [Indexed: 05/17/2023]
Abstract
The recording of the auditory brainstem response (ABR) is used worldwide for hearing screening purposes. In this process, a precise estimation of the most relevant components is essential for an accurate interpretation of these signals. This evaluation is usually carried out subjectively by an audiologist. However, the use of automatic methods for this purpose is being encouraged nowadays in order to reduce human evaluation biases and ensure uniformity among test conditions, patients, and screening personnel. This article describes a new method that performs automatic quality assessment and identification of the peaks, the fitted parametric peaks (FPP). This method is based on the use of synthesized peaks that are adjusted to the ABR response. The FPP is validated, on one hand, by an analysis of amplitudes and latencies measured manually by an audiologist and automatically by the FPP method in ABR signals recorded at different stimulation rates; and on the other hand, contrasting the performance of the FPP method with the automatic evaluation techniques based on the correlation coefficient, FSP, and cross correlation with a predefined template waveform by comparing the automatic evaluations of the quality of these methods with subjective evaluations provided by five experienced evaluators on a set of ABR signals of different quality. The results of this study suggest (a) that the FPP method can be used to provide an accurate parameterization of the peaks in terms of amplitude, latency, and width, and (b) that the FPP remains as the method that best approaches the averaged subjective quality evaluation, as well as provides the best results in terms of sensitivity and specificity in ABR signals validation. The significance of these findings and the clinical value of the FPP method are highlighted on this paper.
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Affiliation(s)
- Joaquin T Valderrama
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, C/Periodista Daniel Saucedo Aranda s/n, 18071 Granada, Spain.
| | - Angel de la Torre
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, C/Periodista Daniel Saucedo Aranda s/n, 18071 Granada, Spain.
| | - Isaac Alvarez
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, C/Periodista Daniel Saucedo Aranda s/n, 18071 Granada, Spain.
| | - Jose Carlos Segura
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, C/Periodista Daniel Saucedo Aranda s/n, 18071 Granada, Spain.
| | - A Roger D Thornton
- MRC Institute of Hearing Research, Southampton Outstation, Royal South Hants Hospital, Brintons Terrace, Mailpoint OAU, Southampton, Hampshire SO14 OYG, United Kingdom.
| | - Manuel Sainz
- ENT Service, San Cecilio University Hospital, Av. Dr. Oloriz 16, 18002 Granada, Spain; Department of Surgery and its Specialties, University of Granada, Av. De Madrid 11, 18012 Granada, Spain.
| | - Jose Luis Vargas
- ENT Service, San Cecilio University Hospital, Av. Dr. Oloriz 16, 18002 Granada, Spain.
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Arakaki X, Galbraith G, Pikov V, Fonteh AN, Harrington MG. Altered brainstem auditory evoked potentials in a rat central sensitization model are similar to those in migraine. Brain Res 2014; 1563:110-21. [PMID: 24680742 DOI: 10.1016/j.brainres.2014.03.033] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Revised: 02/26/2014] [Accepted: 03/20/2014] [Indexed: 01/04/2023]
Abstract
Migraine symptoms often include auditory discomfort. Nitroglycerin (NTG)-triggered central sensitization (CS) provides a rodent model of migraine, but auditory brainstem pathways have not yet been studied in this example. Our objective was to examine brainstem auditory evoked potentials (BAEPs) in rat CS as a measure of possible auditory abnormalities. We used four subdermal electrodes to record horizontal (h) and vertical (v) dipole channel BAEPs before and after injection of NTG or saline. We measured the peak latencies (PLs), interpeak latencies (IPLs), and amplitudes for detectable waveforms evoked by 8, 16, or 32 kHz auditory stimulation. At 8 kHz stimulation, vertical channel positive PLs of waves 4, 5, and 6 (vP4, vP5, and vP6), and related IPLs from earlier negative or positive peaks (vN1-vP4, vN1-vP5, vN1-vP6; vP3-vP4, vP3-vP6) increased significantly 2h after NTG injection compared to the saline group. However, BAEP peak amplitudes at all frequencies, PLs and IPLs from the horizontal channel at all frequencies, and the vertical channel stimulated at 16 and 32 kHz showed no significant/consistent change. For the first time in the rat CS model, we show that BAEP PLs and IPLs ranging from putative bilateral medial superior olivary nuclei (P4) to the more rostral structures such as the medial geniculate body (P6) were prolonged 2h after NTG administration. These BAEP alterations could reflect changes in neurotransmitters and/or hypoperfusion in the midbrain. The similarity of our results with previous human studies further validates the rodent CS model for future migraine research.
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Affiliation(s)
- Xianghong Arakaki
- Molecular Neurology Program, Huntington Medical Research Institutes, 99 North El Molino Avenue, Pasadena, CA 91101, USA.
| | - Gary Galbraith
- Mental Retardation Research Center, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles, USA
| | - Victor Pikov
- Neural Engineering Program, Huntington Medical Research Institutes, 734 Fair mount Avenue, Pasadena, CA 91101, USA
| | - Alfred N Fonteh
- Molecular Neurology Program, Huntington Medical Research Institutes, 99 North El Molino Avenue, Pasadena, CA 91101, USA
| | - Michael G Harrington
- Molecular Neurology Program, Huntington Medical Research Institutes, 99 North El Molino Avenue, Pasadena, CA 91101, USA.
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Ipsilateral and contralateral auditory brainstem response reorganization in hemispherectomized patients. Neural Plast 2013; 2013:832473. [PMID: 24455311 PMCID: PMC3884784 DOI: 10.1155/2013/832473] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Revised: 11/06/2013] [Accepted: 11/20/2013] [Indexed: 11/20/2022] Open
Abstract
Background. Cortical hemispherectomy leads to degeneration of ipsilateral subcortical structures, which can be observed long term after the operation. Therefore, reorganization of the brainstem auditory pathway might occur. The aim of this study was to assess reorganization of brainstem auditory pathways by measuring the auditory brainstem response (ABR) in long-term hemispherectomized patients. Methods. We performed bilateral monaural stimulation and measured bilateral ABR in 8 patients ~20 years after hemispherectomy and 10 control subjects. Magnetic resonance imaging (MRI) was performed in patients to assess structural degeneration. Results. All patients showed degenerated ipsilateral brainstem structures by MRI but no significant differences in bilateral recording ABR wave latencies. However, nonsurgical-side stimulation elicited significantly longer wave V latencies compared to surgical-side stimulation. Differences in bilateral ABR were observed between hemispherectomized patients and control subjects. Waves III and V latencies elicited by nonsurgical-side stimulation were significantly longer than those in control subjects; surgical-side stimulation showed no significant differences. Conclusions. (1) Differences in ABR latency elicited by unilateral stimulation are predominantly due to bilateral brainstem auditory pathway activity rather than to changes in brainstem volume; (2) ABR Waves III and V originate predominantly in the contralateral brainstem; and (3) subcortical auditory pathways appear to reorganize after long term hemispherectomy.
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Potegal M, Yund B, Rudser K, Ahmed A, Delaney K, Nestrasil I, Whitley CB, Shapiro EG. Mucopolysaccharidosis Type IIIA presents as a variant of Klüver-Bucy syndrome. J Clin Exp Neuropsychol 2013; 35:608-16. [PMID: 23745734 DOI: 10.1080/13803395.2013.804035] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Mucopolysaccharidosis Type IIIA (MPS IIIA) is a neurodegenerative disease with behavioral symptoms unique among the mucopolysaccharidoses. Children with MPS IIIA reportedly mouth things, explore novel environments almost continuously, disregard danger, and empathize/socialize and comply less with parents. These characteristics resemble Klüver-Bucy syndrome (K-Bs). To test the K-Bs hypothesis, 30 children with MPS IIIA were compared to 8 "posttransplant" mucopolysaccharidosis Type IH patients in an experimental "risk room." The room contained attractive and mildly frightening objects, exposure to a 92-dB startle noise triggered by contact with an attractive toy, mother's return after a brief absence, and compliance with her cleanup directive. Children with MPS IIIA: (a) left mother sooner, (b) wandered more, (c) were more likely to approach frightening objects, (d) were less likely to respond to loud noise with whole body startle, (e) were less likely to avoid the toy associated with the startle noise, (f) interacted less with mother upon her return, and (g) complied less with her cleanup command. K-Bs is associated with loss of amygdala function. Brain magnetic resonance imaging (MRI) of a subset of the children with MPS IIIA showed volume loss that was greater in the amygdala than in the hippocampus; only amygdala loss correlated with reduced fearfulness. MPS IIIA may be the first identified pediatric disease presenting systematically as a K-Bs variant. If validated by further studies, the K-Bs hypothesis of MPS IIIA would provide important clinical and theoretical information for the guidance of families as well as markers for natural disease progression and treatment effects.
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Affiliation(s)
- Michael Potegal
- Department of Pediatrics and Neurology, Division of Biostatistics, Minneapolis, MN, USA.
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Valderrama JT, Alvarez I, de la Torre A, Segura JC, Sainz M, Vargas JL. Recording of auditory brainstem response at high stimulation rates using randomized stimulation and averaging. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2012; 132:3856-3865. [PMID: 23231116 DOI: 10.1121/1.4764511] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The recording of auditory brainstem response (ABR) at high stimulation rates is of great interest in audiology. It allows a more accurate diagnosis of certain pathologies at an early stage and the study of different mechanisms of adaptation. This paper proposes a methodology, which we will refer to as randomized stimulation and averaging (RSA) that allows the recording of ABR at high stimulation rates using jittered stimuli. The proposed method has been compared with quasi-periodic sequence deconvolution (QSD) and conventional (CONV) stimulation methodologies. Experimental results show that RSA provides a quality in ABR recordings similar to that of QSD and CONV. Compared with CONV, RSA presents the advantage of being able to record ABR at rates higher than 100 Hz. Compared with QSD, the formulation of RSA is simpler and allows more flexibility on the design of the pseudorandom sequence. The feasibility of the RSA methodology is validated by an analysis of the morphology, amplitudes, and latencies of the most important waves in ABR recorded at high stimulation rates from eight normal hearing subjects.
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Affiliation(s)
- Joaquin T Valderrama
- Department of Signal Theory, Telematics and Communications, CITIC-UGR, University of Granada, 18071 Granada, Spain.
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Stone JL, Fino J, Patel K, Calderon-Arnulphi M, Suss N, Hughes JR. Modified brain stem auditory evoked potentials in patients with intracranial mass lesions. Clin EEG Neurosci 2012. [PMID: 23185089 DOI: 10.1177/1550059412452688] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The authors report their experience utilizing a recently described rapid rate, binaural click and 1000-Hz tone burst modification of the brain stem auditory evoked potentials (BAEP), modified (MBP), in 27 symptomatic patients with non-brain stem compressive space-taking cerebral lesions (22), hydrocephalus (4), and pseudotumor cerebri (1). Many presented with clinical signs suggestive of increased intracranial pressure (ICP) and focal neurological deficits. The cerebral lesions, mostly large tumors with edema, had very substantial radiological signs of mass effect. Fourteen patients were also studied following surgical decompression. A number of significant changes in the wave V and Vn latency/intensity and less so amplitude/intensity function was found in the 27 patients, compared to normal volunteers, as well as those studied pre- and postoperatively. Similar MBP changes had been noted in normal volunteers placed in a dependent head position. Possible mechanisms to explain these findings are discussed. The MBP methodology shows promise and further development could make neuro-intensive care unit monitoring practical.
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Affiliation(s)
- James L Stone
- Department of Neurosurgery and Neurology, University of Illinois Medical Center at Chicago, IL 60612, USA.
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Modified brainstem auditory evoked responses in patients with non-brainstem compressive cerebral lesions. ACTA NEUROCHIRURGICA. SUPPLEMENT 2012. [PMID: 22327668 DOI: 10.1007/978-3-7091-0956-4_14] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register]
Abstract
The brainstem auditory evoked response (BAER) is sensitive to pontomesencephalic integrity, transtentorial brain herniation, and at times increased intracranial pressure (ICP). The authors report their experience utilizing a recently described rapid rate, binaural, click and 1,000-Hz tone-burst modification of the BAER (MBAER) in 22 symptomatic non-trauma patients with non-brainstem compressive space-taking cerebral lesions. The majority presented with mild to moderate clinical signs suggestive of increased ICP, and focal neurological deficits. The cerebral lesions, mostly tumors (17), averaged 4-5 cm in diameter, with radiological signs of mass effect such as flattening of the sulci, midline shift, and narrowing of the basal cisterns. A number of significant changes in Wave V and V (n) latency and less so amplitude were found in patients compared with age-matched normal volunteers, as well as those again studied after surgical decompression. Similar MBAER changes had been noted in normal volunteers placed in a dependent head position. Possible mechanisms to explain these findings are discussed. The methodology shows promise and if combined with automated peak recognition could make Neuro ICU monitoring practical.
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Cohen MX, Cavanagh JF, Slagter HA. Event-related potential activity in the basal ganglia differentiates rewards from nonrewards: temporospatial principal components analysis and source localization of the feedback negativity: commentary. Hum Brain Mapp 2011; 32:2270-1. [PMID: 21826758 DOI: 10.1002/hbm.21358] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2011] [Revised: 04/22/2011] [Accepted: 04/25/2011] [Indexed: 11/08/2022] Open
Abstract
Foti et al. propose that a reward-related brain potential component recorded from scalp EEG is generated by deep brain basal ganglia structures. Previous work, cited in their original article, provides only speculative and theoretical support for this interpretation. Based on empirical and anatomical evidence, we argue that this scalp-recorded ERP component is highly unlikely to be generated by the basal ganglia.
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Affiliation(s)
- Michael X Cohen
- Department of Psychology, Universiteit van Amsterdam, Amsterdam, the Netherlands.
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Presbycusis and auditory brainstem responses: a review. ASIAN PACIFIC JOURNAL OF TROPICAL DISEASE 2011. [DOI: 10.1016/s2222-1808(11)60056-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Usichenko TI, Lietz P, Pavlovic D, Schmidt R, Wendt M, Mustea A. Acupuncture does not influence brainstem auditory evoked potentials: a volunteer crossover study. Acupunct Med 2011; 29:215-20. [PMID: 21521742 DOI: 10.1136/aim.2010.003327] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Although acupuncture is effective for treating several conditions, its site specificity is questionable. OBJECTIVE To investigate whether acupuncture influences the brainstem auditory evoked potentials (BAEP). METHODS 10 healthy volunteers were enrolled according to inclusion criteria. One of four acupuncture points-TE3, GB43 (both auditory system-specific, according to traditional Chinese medicine) and non-specific acupuncture points HT7 and ST44-was needled during each session. Each volunteer received four sessions of acupuncture, with a 1-week interval between the sessions. RESULTS Peak latencies and amplitudes of the BAEP were registered before and during each session of acupuncture. Pain intensity and the incidence of paraesthesia (Qi sensation) during acupuncture were also registered. The peak latencies and amplitudes of the BAEP registered during acupuncture had not changed from the baseline levels. Needling of acupoint HT7 was most painful and induced the maximal incidence of Qi sensation. CONCLUSIONS Findings suggest that monitoring the BAEP is not a suitable technique for studying the immediate effects of acupuncture.
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Affiliation(s)
- Taras I Usichenko
- Department of Anaesthesiology and Intensive Care Medicine, Ernst Moritz Arndt University of Greifswald, Friedrich Loeffler Strasse 23b, 17487 Greifswald, Germany.
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