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Stoll TJ, Maddox RK. Enhanced Place Specificity of the Parallel Auditory Brainstem Response: An Electrophysiological Study. J Assoc Res Otolaryngol 2024:10.1007/s10162-024-00959-w. [PMID: 39164538 DOI: 10.1007/s10162-024-00959-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Accepted: 07/31/2024] [Indexed: 08/22/2024] Open
Abstract
PURPOSE This study investigates the effect of parallel stimulus presentation on the place specificity of the auditory brainstem response (ABR) in human listeners. Frequency-specific stimuli do not guarantee a response from the place on the cochlea corresponding only to that characteristic frequency - especially for brief and high-level stimuli. Adding masking noise yields responses that are more place specific, and our prior modeling study has suggested similar effects when multiple frequency-specific stimuli are presented in parallel. We tested this hypothesis experimentally here, comparing the place specificity of responses to serial and parallel stimuli at two stimulus frequencies and three stimulus rates. METHODS Parallel ABR (pABR) stimuli were presented alongside high-pass filtered noise with a varied cutoff frequency. Serial presentation was also tested by isolating and presenting single-frequency stimulus trains from the pABR ensemble. Latencies of the ABRs were examined to assess place specificity of responses. Response bands were derived by subtracting responses from different high-pass noise conditions. The response amplitude from each derived response band was then used to determine how much individual frequency regions of the auditory system were contributing to the overall response. RESULTS We found that parallel presentation improves place specificity of ABRs for the lower stimulus frequency and at higher stimulus rates. At a higher stimulus frequency, serial and parallel presentations were equally place specific. CONCLUSION Parallel presentation can provide more place-specific responses than serial for lower stimulus frequencies. The improvement increases with higher stimulus rates and is in addition to the pABR's primary benefit of faster test times.
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Affiliation(s)
- Thomas J Stoll
- Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA
- Department of Neuroscience, University of Rochester, Rochester, NY, USA
- Kresge Hearing Research Institute, Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA
| | - Ross K Maddox
- Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA.
- Department of Neuroscience, University of Rochester, Rochester, NY, USA.
- Kresge Hearing Research Institute, Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA.
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Stoll TJ, Maddox RK. Enhanced Place Specificity of the Parallel Auditory Brainstem Response: An Electrophysiological Study. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.03.10.584313. [PMID: 38559254 PMCID: PMC10979863 DOI: 10.1101/2024.03.10.584313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Purpose This study investigates the effect of parallel stimulus presentation on the place specificity of the auditory brainstem response (ABR) in human listeners. Frequency-specific stimuli do not guarantee a response from the place on the cochlea corresponding only to that characteristic frequency - especially for brief and high-level stimuli. Adding masking noise yields responses that are more place specific, and a prior modeling study has suggested similar effects when multiple frequency-specific stimuli are presented in parallel. We tested this hypothesis experimentally here, comparing the place specificity of responses to serial and parallel stimuli at two stimulus frequencies and three stimulus rates. Methods Parallel ABR (pABR) stimuli were presented alongside high-pass filtered noise with a varied cutoff frequency. Serial presentation was also tested by isolating and presenting single-frequency stimulus trains from the pABR ensemble. Latencies of the ABRs were examined to assess place specificity of responses. Response bands were derived by subtracting responses from different high pass noise conditions. The response amplitude from each derived response band was then used to determine how much individual frequency regions of the auditory system were contributing to the overall response. Results We found that parallel presentation improves place specificity of ABRs for the lower stimulus frequency and at higher stimulus rates. At a higher stimulus frequency, serial and parallel presentation were equally place specific. Conclusion Parallel presentation can provide more place specific responses than serial for lower stimulus frequencies. The improvement increases with higher stimulus rates and is in addition to the pABR's primary benefit of faster test times.
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Affiliation(s)
- Thomas J Stoll
- University of Rochester, Department of Biomedical Engineering and
- University of Rochester, Department of Neuroscience
- University of Michigan, Kresge Hearing Research Institute
| | - Ross K Maddox
- University of Rochester, Department of Biomedical Engineering and
- University of Rochester, Department of Neuroscience
- University of Michigan, Kresge Hearing Research Institute
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Stoll TJ, Maddox RK. Enhanced Place Specificity of the Parallel Auditory Brainstem Response: A Modeling Study. Trends Hear 2023; 27:23312165231205719. [PMID: 37807857 PMCID: PMC10563492 DOI: 10.1177/23312165231205719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 09/13/2023] [Accepted: 09/19/2023] [Indexed: 10/10/2023] Open
Abstract
While each place on the cochlea is most sensitive to a specific frequency, it will generally respond to a sufficiently high-level stimulus over a wide range of frequencies. This spread of excitation can introduce errors in clinical threshold estimation during a diagnostic auditory brainstem response (ABR) exam. Off-frequency cochlear excitation can be mitigated through the addition of masking noise to the test stimuli, but introducing a masker increases the already long test times of the typical ABR exam. Our lab has recently developed the parallel ABR (pABR) paradigm to speed up test times by utilizing randomized stimulus timing to estimate the thresholds for multiple frequencies simultaneously. There is reason to believe parallel presentation of multiple frequencies provides masking effects and improves place specificity while decreasing test times. Here, we use two computational models of the auditory periphery to characterize the predicted effect of parallel presentation on place specificity in the auditory nerve. We additionally examine the effect of stimulus rate and level. Both models show the pABR is at least as place specific as standard methods, with an improvement in place specificity for parallel presentation (vs. serial) at high levels, especially at high stimulus rates. When simulating hearing impairment in one of the models, place specificity was also improved near threshold. Rather than a tradeoff, this improved place specificity would represent a secondary benefit to the pABR's faster test times.
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Affiliation(s)
- Thomas J. Stoll
- Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA
- Del Monte Institute for Neuroscience, University of Rochester, Rochester, NY, USA
| | - Ross K. Maddox
- Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA
- Del Monte Institute for Neuroscience, University of Rochester, Rochester, NY, USA
- Department of Neuroscience, University of Rochester, Rochester, NY, USA
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Calcus A, Tuomainen O, Campos A, Rosen S, Halliday LF. Functional brain alterations following mild-to-moderate sensorineural hearing loss in children. eLife 2019; 8:e46965. [PMID: 31570117 PMCID: PMC6828531 DOI: 10.7554/elife.46965] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Accepted: 09/07/2019] [Indexed: 01/10/2023] Open
Abstract
Auditory deprivation in the form of deafness during development leads to lasting changes in central auditory system function. However, less is known about the effects of mild-to-moderate sensorineural hearing loss (MMHL) during development. Here, we used a longitudinal design to examine late auditory evoked responses and mismatch responses to nonspeech and speech sounds for children with MMHL. At Time 1, younger children with MMHL (8-12 years; n = 23) showed age-appropriate mismatch negativities (MMNs) to sounds, but older children (12-16 years; n = 23) did not. Six years later, we re-tested a subset of the younger (now older) children with MMHL (n = 13). Children who had shown significant MMNs at Time 1 showed MMNs that were reduced and, for nonspeech, absent at Time 2. Our findings demonstrate that even a mild-to-moderate hearing loss during early-to-mid childhood can lead to changes in the neural processing of sounds in late childhood/adolescence.
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Affiliation(s)
- Axelle Calcus
- Laboratoire des Systèmes Perceptifs, Département d’Etudes CognitivesEcole Normale Supérieure, PSL University, CNRSParisFrance
- Department of Speech, Hearing and Phonetic SciencesUniversity College LondonLondonUnited Kingdom
| | - Outi Tuomainen
- Department of Speech, Hearing and Phonetic SciencesUniversity College LondonLondonUnited Kingdom
| | - Ana Campos
- Department of Speech, Hearing and Phonetic SciencesUniversity College LondonLondonUnited Kingdom
| | - Stuart Rosen
- Department of Speech, Hearing and Phonetic SciencesUniversity College LondonLondonUnited Kingdom
| | - Lorna F Halliday
- Department of Speech, Hearing and Phonetic SciencesUniversity College LondonLondonUnited Kingdom
- MRC Cognition and Brain Sciences UnitUniversity of CambridgeCambridgeUnited Kingdom
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Lower ototoxicity and absence of hidden hearing loss point to gentamicin C1a and apramycin as promising antibiotics for clinical use. Sci Rep 2019; 9:2410. [PMID: 30787404 PMCID: PMC6382871 DOI: 10.1038/s41598-019-38634-3] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Accepted: 11/29/2018] [Indexed: 11/08/2022] Open
Abstract
Spread of antimicrobial resistance and shortage of novel antibiotics have led to an urgent need for new antibacterials. Although aminoglycoside antibiotics (AGs) are very potent anti-infectives, their use is largely restricted due to serious side-effects, mainly nephrotoxicity and ototoxicity. We evaluated the ototoxicity of various AGs selected from a larger set of AGs on the basis of their strong antibacterial activities against multidrug-resistant clinical isolates of the ESKAPE panel: gentamicin, gentamicin C1a, apramycin, paromomycin and neomycin. Following local round window application, dose-dependent effects of AGs on outer hair cell survival and compound action potentials showed gentamicin C1a and apramycin as the least toxic. Strikingly, although no changes were observed in compound action potential thresholds and outer hair cell survival following treatment with low concentrations of neomycin, gentamicin and paromomycin, the number of inner hair cell synaptic ribbons and the compound action potential amplitudes were reduced. This indication of hidden hearing loss was not observed with gentamicin C1a or apramycin at such concentrations. These findings identify the inner hair cells as the most vulnerable element to AG treatment, indicating that gentamicin C1a and apramycin are promising bases for the development of clinically useful antibiotics.
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Kamerer AM, Chertoff ME. An analytic approach to identifying the sources of the low-frequency round window cochlear response. Hear Res 2019; 375:53-65. [PMID: 30808536 DOI: 10.1016/j.heares.2019.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Revised: 01/18/2019] [Accepted: 02/06/2019] [Indexed: 01/19/2023]
Abstract
The cochlear microphonic, traditionally thought of as an indication of electrical current flow through hair cells, in conjunction with suppressing high-pass noise or tones, is a promising method of assessing the health of outer hair cells at specific locations along the cochlear partition. We propose that the electrical potential recorded from the round window in gerbils in response to low-frequency tones, which we call cochlear response (CR), contains significant responses from multiple cellular sources, which may expand its diagnostic purview. In this study, CR is measured in the gerbil and modeled to identify its contributing sources. CR was recorded via an electrode placed in the round window niche of sixteen Mongolian gerbils and elicited with a 45 Hz tone burst embedded in 18 high-pass filtered noise conditions to target responses from increasing regions along the cochlear partition. Possible sources were modeled using previously-published hair cell and auditory nerve response data, and then weighted and combined using linear regression to produce a model response that fits closely to the mean CR waveform. The significant contributing sources identified by the model are outer hair cells, inner hair cells, and the auditory nerve. We conclude that the low-frequency CR contains contributions from several cellular sources.
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Affiliation(s)
- Aryn M Kamerer
- Center for Hearing Research, Boys Town National Research Hospital, Omaha, NE, USA.
| | - Mark E Chertoff
- Department of Hearing & Speech, University of Kansas Medical Center, Kansas City, KS, USA
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Tabachnick AR, Toscano JC. Perceptual Encoding in Auditory Brainstem Responses: Effects of Stimulus Frequency. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:2364-2375. [PMID: 30193361 DOI: 10.1044/2018_jslhr-h-17-0486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Accepted: 05/09/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE A central question about auditory perception concerns how acoustic information is represented at different stages of processing. The auditory brainstem response (ABR) provides a potentially useful index of the earliest stages of this process. However, it is unclear how basic acoustic characteristics (e.g., differences in tones spanning a wide range of frequencies) are indexed by ABR components. This study addresses this by investigating how ABR amplitude and latency track stimulus frequency for tones ranging from 250 to 8000 Hz. METHOD In a repeated-measures experimental design, listeners were presented with brief tones (250, 500, 1000, 2000, 4000, and 8000 Hz) in random order while electroencephalography was recorded. ABR latencies and amplitudes for Wave V (6-9 ms) and in the time window following the Wave V peak (labeled as Wave VI; 9-12 ms) were measured. RESULTS Wave V latency decreased with increasing frequency, replicating previous work. In addition, Waves V and VI amplitudes tracked differences in tone frequency, with a nonlinear response from 250 to 8000 Hz and a clear log-linear response to tones from 500 to 8000 Hz. CONCLUSIONS Results demonstrate that the ABR provides a useful measure of early perceptual encoding for stimuli varying in frequency and that the tonotopic organization of the auditory system is preserved at this stage of processing for stimuli from 500 to 8000 Hz. Such a measure may serve as a useful clinical tool for evaluating a listener's ability to encode specific frequencies in sounds. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.6987422.
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Affiliation(s)
| | - Joseph C Toscano
- Department of Psychological and Brain Sciences, Villanova University, PA
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Baljić I, Eßer D, Foerst A, Walger M. Evaluation of optimal masking levels in place-specific low-frequency chirp-evoked auditory brainstem responses. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2017; 141:197. [PMID: 28147572 DOI: 10.1121/1.4973517] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of the study is the experimental determination of the optimal required masking level for a given stimulus level when using a band limited "low-frequency chirp" in order to improve frequency and place specificity of auditory brainstem responses (ABRs). A low-frequency chirp (100-850 Hz) at stimulation levels between 40 and 80 dB normalized hearing level was presented to 12 normal hearing subjects. During presentation of each stimulus, the level of a high-pass noise with a low cutoff frequency of 1100 Hz was varied between 0 and 25 dB signal-to-noise ratio (SNR) by using 5 dB steps (at 0 dB SNR the same level of both the chirp and the masker in dB sound pressure level was presented). Measurements without masking were used as a reference. In all masking conditions, the latency of wave V was significantly increased compared to unmasked ABRs. The amplitude of wave V decreased when reaching the effective and therefore optimal masking level. Accordingly, in order to ensure place specificity of the ABR, ipsilateral masking is essential. At lower stimulus levels the SNR can be substantially increased (i.e., the masker level decreased) without loss of place specificity.
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Affiliation(s)
- Izet Baljić
- Department of Otorhinolaryngology and Plastic Surgery, HELIOS Klinikum Erfurt, Nordhäuser Str. 74, DE-99089 Erfurt, Germany
| | - Dirk Eßer
- Department of Otorhinolaryngology and Plastic Surgery, HELIOS Klinikum Erfurt, Nordhäuser Str. 74, DE-99089 Erfurt, Germany
| | - Astrid Foerst
- Department of Otorhinolaryngology and Head and Neck Surgery, University of Cologne, Kerpener Str. 62, DE-50937 Cologne, Germany
| | - Martin Walger
- Department of Otorhinolaryngology and Head and Neck Surgery, University of Cologne, Kerpener Str. 62, DE-50937 Cologne, Germany
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Liberman MC, Epstein MJ, Cleveland SS, Wang H, Maison SF. Toward a Differential Diagnosis of Hidden Hearing Loss in Humans. PLoS One 2016; 11:e0162726. [PMID: 27618300 PMCID: PMC5019483 DOI: 10.1371/journal.pone.0162726] [Citation(s) in RCA: 403] [Impact Index Per Article: 50.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 08/26/2016] [Indexed: 01/22/2023] Open
Abstract
Recent work suggests that hair cells are not the most vulnerable elements in the inner ear; rather, it is the synapses between hair cells and cochlear nerve terminals that degenerate first in the aging or noise-exposed ear. This primary neural degeneration does not affect hearing thresholds, but likely contributes to problems understanding speech in difficult listening environments, and may be important in the generation of tinnitus and/or hyperacusis. To look for signs of cochlear synaptopathy in humans, we recruited college students and divided them into low-risk and high-risk groups based on self-report of noise exposure and use of hearing protection. Cochlear function was assessed by otoacoustic emissions and click-evoked electrocochleography; hearing was assessed by behavioral audiometry and word recognition with or without noise or time compression and reverberation. Both groups had normal thresholds at standard audiometric frequencies, however, the high-risk group showed significant threshold elevation at high frequencies (10-16 kHz), consistent with early stages of noise damage. Electrocochleography showed a significant difference in the ratio between the waveform peaks generated by hair cells (Summating Potential; SP) vs. cochlear neurons (Action Potential; AP), i.e. the SP/AP ratio, consistent with selective neural loss. The high-risk group also showed significantly poorer performance on word recognition in noise or with time compression and reverberation, and reported heightened reactions to sound consistent with hyperacusis. These results suggest that the SP/AP ratio may be useful in the diagnosis of "hidden hearing loss" and that, as suggested by animal models, the noise-induced loss of cochlear nerve synapses leads to deficits in hearing abilities in difficult listening situations, despite the presence of normal thresholds at standard audiometric frequencies.
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Affiliation(s)
- M. Charles Liberman
- Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States of America
- Eaton-Peabody Laboratory, Massachusetts Eye & Ear Infirmary, Boston, MA, United States of America
- Harvard Program in Speech and Hearing Bioscience and Technology, Boston, MA, United States of America
| | - Michael J. Epstein
- Department of Communication Sciences and Disorders, Bouvé College of Health Sciences, Northeastern University, Boston, MA, United States of America
| | - Sandra S. Cleveland
- Department of Communication Sciences and Disorders, Bouvé College of Health Sciences, Northeastern University, Boston, MA, United States of America
| | - Haobing Wang
- Eaton-Peabody Laboratory, Massachusetts Eye & Ear Infirmary, Boston, MA, United States of America
| | - Stéphane F. Maison
- Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States of America
- Eaton-Peabody Laboratory, Massachusetts Eye & Ear Infirmary, Boston, MA, United States of America
- Harvard Program in Speech and Hearing Bioscience and Technology, Boston, MA, United States of America
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Ross B. Steady-state auditory evoked responses. DISORDERS OF PERIPHERAL AND CENTRAL AUDITORY PROCESSING 2013. [DOI: 10.1016/b978-0-7020-5310-8.00008-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Chertoff ME, Earl BR, Diaz FJ, Sorensen JL. Analysis of the cochlear microphonic to a low-frequency tone embedded in filtered noise. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2012; 132:3351-62. [PMID: 23145616 PMCID: PMC3505208 DOI: 10.1121/1.4757746] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
The cochlear microphonic was recorded in response to a 733 Hz tone embedded in noise that was high-pass filtered at 25 different frequencies. The amplitude of the cochlear microphonic increased as the high-pass cutoff frequency of the noise increased. The amplitude growth for a 60 dB SPL tone was steeper and saturated sooner than that of an 80 dB SPL tone. The growth for both signal levels, however, was not entirely cumulative with plateaus occurring at about 4 and 7 mm from the apex. A phenomenological model of the electrical potential in the cochlea that included a hair cell probability function and spiral geometry of the cochlea could account for both the slope of the growth functions and the plateau regions. This suggests that with high-pass-filtered noise, the cochlear microphonic recorded at the round window comes from the electric field generated at the source directed towards the electrode and not down the longitudinal axis of the cochlea.
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Affiliation(s)
- Mark E Chertoff
- Department of Hearing and Speech, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.
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Nousak JK, Stapells DR. Auditory brainstem and middle latency responses to 1 kHz tones in noise-masked normally-hearing and sensorineurally hearing-impaired adults. Int J Audiol 2009; 44:331-44. [PMID: 16078729 DOI: 10.1080/14992020500060891] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The present study provides comparative evaluation of the ABR and MLR to 1 kHz brief tones in two groups of hearing-impaired subjects (noise-masked normally-hearing; and sensorineurally hearing-impaired adults), as well as a normally-hearing control group. Tones were presented at intensities from threshold to 80-90 dB nHL. The results of this study show that: (1) the ABR and MLR to these low-frequency (1 kHz) tones are equally accurate in estimating hearing threshold, (2) at supra-threshold levels, there are differences in the ABRs and MLRs for subjects with decreased hearing sensitivity resulting from cochlear pathology, compared to those obtained from adults with simulated hearing loss due to broadband masking, and (3) supra-threshold stimuli produce differential effects on the latency and amplitude characteristics of the ABR and MLR in listeners with true sensorineural hearing impairments. Possible physiologic explanations are offered for this differential pattern of results.
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Affiliation(s)
- J K Nousak
- Department of Communication Sciences and Disorders, ML 0379, University of Cincinnati, Cincinnati, OH 45267-0379, USA.
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Davids T, Valero J, Papsin BC, Harrison RV, Gordon KA. Effects of stimulus manipulation on electrophysiological responses in pediatric cochlear implant users. Part I: Duration effects. Hear Res 2008; 244:7-14. [DOI: 10.1016/j.heares.2008.06.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2008] [Revised: 05/24/2008] [Accepted: 06/24/2008] [Indexed: 10/21/2022]
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Johnson TA, Brown CJ. Threshold Prediction Using the Auditory Steady-State Response and the Tone Burst Auditory Brain Stem Response: A Within-Subject Comparison. Ear Hear 2005; 26:559-76. [PMID: 16377993 DOI: 10.1097/01.aud.0000188105.75872.a3] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The purpose of this study was to evaluate the accuracy with which auditory steady-state response (ASSR) and tone burst auditory brain stem response (ABR) thresholds predict behavioral thresholds, using a within-subjects design. Because the spectra of the stimuli used to evoke the ABR and the ASSR differ, it was hypothesized that the predictive accuracy also would differ, particularly in subjects with steeply sloping hearing losses. DESIGN ASSR and ABR thresholds were recorded in a group of 14 adults with normal hearing, 10 adults with flat, sensorineural hearing losses, and 10 adults with steeply sloping, high-frequency, sensorineural hearing losses. Evoked-potential thresholds were recorded at 1, 1.5, and 2 kHz and were compared with behavioral, pure-tone thresholds. The predictive accuracy of two ABR protocols was evaluated: Blackman-gated tone bursts and linear-gated tone bursts presented in a background of notched noise. Two ASSR stimulation protocols also were evaluated: 100% amplitude-modulated (AM) sinusoids and 100% AM plus 25% frequency-modulated (FM) sinusoids. RESULTS The results suggested there was no difference in the accuracy with which either ABR protocol predicted behavioral threshold, nor was there any difference in the predictive accuracy of the two ASSR protocols. On average, ABR thresholds were recorded 3 dB closer to behavioral threshold than ASSR thresholds. However, in the subjects with the most steeply sloping hearing losses, ABR thresholds were recorded as much as 25 dB below behavioral threshold, whereas ASSR thresholds were never recorded more than 5 dB below behavioral threshold, which may reflect more spread of excitation for the ABR than for the ASSR. In contrast, the ASSR overestimated behavioral threshold in two subjects with normal hearing, where the ABR provided a more accurate prediction of behavioral threshold. CONCLUSIONS Both the ABR and the ASSR provided reasonably accurate predictions of behavioral threshold across the three subject groups. There was no evidence that the predictive accuracy of the ABR evoked using Blackman-gated tone bursts differed from the predictive accuracy observed when linear-gated tone bursts were presented in conjunction with notched noise. Similarly, there was no evidence that the predictive accuracy of the AM ASSR differed from the AM/FM ASSR. In general, ABR thresholds were recorded at levels closer to behavioral threshold than the ASSR. For certain individuals with steeply sloping hearing losses, the ASSR may be a more accurate predictor of behavioral thresholds; however, the ABR may be a more appropriate choice when predicting behavioral thresholds in a population where the incidence of normal hearing is expected to be high.
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Affiliation(s)
- Tiffany A Johnson
- Department of Speech Pathology and Audiology, University of Iowa, Iowa City, Iowa, USA.
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Korczak PA, Kurtzberg D, Stapells DR. Effects of Sensorineural Hearing Loss and Personal Hearing Aids on Cortical Event-Related Potential and Behavioral Measures of Speech-Sound Processing. Ear Hear 2005; 26:165-85. [PMID: 15809543 DOI: 10.1097/00003446-200504000-00005] [Citation(s) in RCA: 70] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To systematically investigate the combined effects of sensorineural hearing loss and prescribed personal hearing aid(s) on cortical event-related potentials (ERPs) (waves N1, MMN, N2b, and P3b) and their related behavioral measures of discrimination (d-prime sensitivity and reaction time) to the speech sounds /ba/ and /da/ presented at 65 and 80 dB peak-to-peak equivalent SPL. DESIGN Cortical ERPs were recorded to /ba/ and /da/ speech stimuli presented at 65 and 80 dB peak-to-peak equivalent SPL from 20 normal-hearing adults and 14 adults with sensorineural hearing losses. The degree of sensorineural impairment at 1000 to 2000 Hz ranged from moderate losses (50 to 74 dB HL) to severe-profound losses (75 to 120 dB HL). The speech stimuli were presented in an oddball paradigm and cortical ERPs were recorded in both active and passive listening conditions at both stimulus intensities. The adults with hearing impairments were tested in the unaided and aided conditions at each stimulus intensity. Electroacoustic and real-ear testing was performed on each subject's hearing aid(s) before electrophysiology testing to ensure that the hearing aids were functioning at the time of testing. RESULTS The use of personal hearing aids substantially improved the detectability of all the cortical ERPs and behavioral d-prime performance scores at both stimulus intensities. This was especially true for individuals with severe-profound hearing losses. At 65 dB SPL, mean ERP amplitudes and d-prime sensitivity scores were all significantly higher or better in the aided versus unaided condition. At 80 dB SPL, only the N1 amplitudes and d-prime sensitivity scores were significantly better in the aided condition. Even though the majority of the hearing-impaired subjects showed increased amplitudes, decreased latencies, and better waveform morphology in the aided condition, the amount of response change (improvements) seen in these measures showed considerable variability across subjects. When compared with the responses obtained from the normal-hearing subjects, both hearing-impaired groups had significantly prolonged aided RT latencies at both stimulus intensities and N2b latencies at the higher stimulus intensities. CONCLUSIONS These results suggest that hearing-impaired individuals' brains process speech stimuli with greater accuracy and in a more effective manner when these individuals use their personal hearing aids. This is especially true at the lower stimulus intensity. The effects of sensorineural hearing loss and personal hearing aids on cortical ERPs and behavioral measures of discrimination are dependent on the degree of sensorineural loss, the intensity of the stimuli, and the level of cortical auditory processing that the response measure is assessing. The possible clinical significance of these cortical ERP and behavioral findings is discussed.
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Affiliation(s)
- Peggy A Korczak
- Department of Audiology, Speech-Language Pathology and Deaf Studies, Towson University, Towson, Maryland 21252-0001, USA
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Abstract
Auditory steady-state responses (ASSR) to amplitude modulated (AM) tones with carrier frequencies between 250 and 4000 Hz and modulation frequencies near 40 Hz were recorded using a 37-channel neuro-magnetometer placed above the auditory cortex contralateral to the stimulated right ear. The ASSR sources were likely in the primary auditory cortex, located more anteriorly and more medially than the N1m sources. The ASSR amplitude decreased with increasing carrier frequency, the amplitude at 250 Hz being three times larger than at 4000 Hz. The amplitude of the ASSR to a test sound decreased in the presence of an interfering second AM sound. This suppression of the ASSR to the test stimulus was greater when the carrier frequency of the interfering stimulus was higher than that of the test tone and was greater when the test stimulus had a lower carrier frequency. Similar frequency specificity was observed when the interfering sound was a non-modulated pure tone. These results differ from those found for the ASSR elicited by modulation frequencies above 80 Hz or for the transient brainstem and middle-latency responses and suggest substantial interactions between phase-locked activities at the level of the primary auditory cortex.
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Affiliation(s)
- Bernhard Ross
- Institute of Biomagnetism and Biosignalanalysis, University Hospital, Kardinal von Galen Ring 10, 48129 Münster, Germany.
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17
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Herdman AT, Picton TW, Stapells DR. Place specificity of multiple auditory steady-state responses. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2002; 112:1569-1582. [PMID: 12398463 DOI: 10.1121/1.1506367] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Auditory steady-state responses (ASSRs) were elicited by simultaneously presenting multiple AM (amplitude-modulated) tones with carrier frequencies of 500, 1000, 2000, and 4000 Hz and modulation frequencies of 77, 85, 93, and 102 Hz, respectively. Responses were also evoked by separately presenting single 500- or 2000-Hz AM tones. The objectives of this study were (i) to determine the cochlear place specificity of single and multiple ASSRs using high-pass noise masking and derived-band responses, and (ii) to determine if there were any differences between single- and multiple-stimulus conditions. For all carrier frequencies, derived-band ASSRs for 1-octave-wide derived bands ranging in center frequency from 0.25 to 8 kHz had maximum amplitudes within a 1/2 octave of the carrier frequency. For simultaneously presented AM tones of 500, 1000, 2000, and 4000 Hz, bandwidths for the function of derived-band ASSR amplitude by derived-band center frequency were 476, 737, 1177, and 3039 Hz, respectively. There were no significant differences when compared to bandwidths of 486 and 1371 for ASSRs to AM tones of 500 or 2000 Hz presented separately. Results indicate that ASSRs to moderately intense stimuli (60 dB SPL) reflect activation of reasonably narrow cochlear regions, regardless of presenting AM tones simultaneously or separately.
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Affiliation(s)
- Anthony T Herdman
- School of Audiology and Speech Sciences, The University of British Columbia, Vancouver, Canada
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Oates PA, Kurtzberg D, Stapells DR. Effects of sensorineural hearing loss on cortical event-related potential and behavioral measures of speech-sound processing. Ear Hear 2002; 23:399-415. [PMID: 12411773 DOI: 10.1097/00003446-200210000-00002] [Citation(s) in RCA: 104] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To investigate systematically the effects of sensorineural hearing loss on cortical event-related potentials (ERPs) N1, MMN, N2 and P3 and their associated behavioral measures (d' sensitivity and reaction time) to the speech sounds /ba/ and /da/ presented at 65 and 80 dB ppe SPL. DESIGN Cortical ERPs were recorded to /ba/ and /da/ speech stimuli presented at 65 and 80 dB ppe SPL from 20 normal-hearing adults and 20 adults who are hearing impaired. The degree of sensorineural impairments at 1000 to 2000 Hz ranged from mild losses (defined as 25 to 49 dB HL) to severe/profound losses (75 to 120 dB HL). The speech stimuli were presented in an oddball paradigm and the cortical ERPs were recorded in both active and passive listening conditions for each stimulus intensity. RESULTS Both ERP amplitudes and behavioral discrimination (d') scores were lower for listeners with sensorineural hearing loss than for those with normal hearing. However, these differences in response strength were evident only for those listeners whose average hearing loss at 1000 to 2000 Hz exceeded 60 dB HL for the lower intensity stimuli and exceeded 75 dB HL for the higher intensity stimuli. In contrast, prolongations in the ERP and behavioral latencies, relative to responses from normal-hearing subjects, began with even mild (25 to 49 dB HL) threshold elevations. The amplitude and latency response changes that occurred with sensorineural hearing loss were significantly greater for the later ERP peaks (N2/P3) and behavioral discrimination measures (d' and RT) in comparison with earlier (N1, MMN) responses. CONCLUSIONS The results indicate that latency measures are more sensitive indicators of the early effects of decreased audibility than are response strength (amplitude, d' or percent correct) measures. Sensorineural hearing loss has a greater impact on higher level or "nonsensory" cortical processing in comparison with lower level or "sensory" cortical processing. Possible physiologic mechanisms within the cortex that may be responsible for these response changes are presented. Lastly, the possible clinical significance of these ERP and behavioral findings is discussed.
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Affiliation(s)
- Peggy A Oates
- Department of Communication Services and Disorders, Towson University, Maryland 21252-0001, USA.
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19
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Purdy SC, Abbas PJ. ABR thresholds to tonebursts gated with Blackman and linear windows in adults with high-frequency sensorineural hearing loss. Ear Hear 2002; 23:358-68. [PMID: 12195178 DOI: 10.1097/00003446-200208000-00011] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The goal of this study was to determine whether tonebursts gated on and off using a nonlinear, exact-Blackman-gating function would be a more frequency-specific stimulus for auditory brain stem response audiometry than the more traditional 2-1-2 cycle linearly gated toneburst. DESIGN Toneburst ABRs were recorded in 10 adults with normal hearing and in 18 adults with sloping high-frequency sensorineural hearing loss. It was hypothesized that any advantage of the Blackman stimuli for frequency-specific threshold assessment should be evident in hearing-impaired subjects with hearing loss confined to the 2000 to 4000 Hz frequency region since spectral splatter in the toneburst stimuli could lead to an underestimation of hearing loss based on the ABR thresholds. ABR stimuli consisted of 2000- and 4000-Hz 2-1-2 (rise-plateau-fall) cycle linearly gated tonebursts and 1-0-1 msec exact-Blackman-gated tonebursts. An additional 0.5-0-0.5 msec 4000-Hz Blackman-gated toneburst was used to investigate whether the difference in rise/fall characteristics of the linearly and Blackman-gated tonebursts could account for any differences in ABR results at 4000 Hz. The ABR toneburst stimuli were calibrated behaviorally in 15 adults with normal hearing. RESULTS In the normal-hearing listeners toneburst-ABR thresholds generally exceeded behavioral thresholds by 10 to 13 dB for all stimuli. Correlations of 0.85 to 0.96 were obtained between 2000 and 4000 Hz toneburst ABR thresholds and pure-tone audiometric thresholds in the hearing-impaired listeners. Results were similar for Blackman- and linearly gated stimuli. CONCLUSIONS There were no clear differences between Blackman- and linearly gated tonebursts in terms of how well ABR thresholds predicted pure-tone thresholds at 2000 and 4000 Hz. In general audiometric thresholds were predicted with good accuracy (+/-15 dB) by the toneburst ABR thresholds. The 4000-Hz audiometric threshold was underestimated in one subject with a very steeply sloping hearing loss by both Blackman- and linearly gated toneburst ABR thresholds, indicating that ipsilateral masking such as notched noise would be needed to ensure frequency specificity in this and similar cases.
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20
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Haar G, Haagen AVV, Groot H, Brom W. Click and Low-, Middle-, and High-Frequency Toneburst Stimulation of the Canine Cochlea. J Vet Intern Med 2002. [DOI: 10.1111/j.1939-1676.2002.tb02369.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Abstract
OBJECTIVE This study examined the steady-state responses evoked by tones modulated with exponential envelopes. The hypothesis was that stimuli with envelopes containing more rapid changes would evoke larger responses. DESIGN Multiple auditory steady-state responses were recorded simultaneously to eight tonal stimuli, four in each ear. The carrier frequencies of the stimuli ranged from 500 to 6000 Hz and the modulation rates were between 75 and 95 Hz. The modulation envelopes were based on functions using sin' where N was 1, 2, 3, or 4. Setting N to 1 produced the traditional sinusoidal modulation. RESULTS Exponential envelopes with N greater than 1 produced larger steady-state responses than a sinusoidal envelope. For amplitude-modulation (AM), exponential envelopes increased response amplitudes by 21% at 55 dB pSPL, and by 29% at 35 dB pSPL. The increases were smaller for carrier frequencies of 1500 to 2000 Hz than for lower and higher carrier frequencies. Latencies calculated from phase data increased significantly with increasing N. This was likely caused by the point of maximal envelope-slope shifting later in time as N increased. For frequency modulation (FM), the steady-state responses did not significantly change with changes in the power of the exponential envelopes. CONCLUSIONS When tones are amplitude-modulated with exponential envelopes based on sin(N), the amplitude and latency of the steady-state response increased significantly with increasing N. Using exponential envelopes with N greater than 1 should considerably shorten the time needed for responses to become significant when using steady-state responses in objective audiometry.
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Affiliation(s)
- M Sasha John
- Rotman Research Institute, Baycrest Centre for Geriatric Care, University of Toronto, Ontario, Canada
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22
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Wegner O, Dau T. Frequency specificity of chirp-evoked auditory brainstem responses. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2002; 111:1318-1329. [PMID: 11931309 DOI: 10.1121/1.1433805] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
This study examines the usefulness of the upward chirp stimulus developed by Dau et al. [J. Acoust. Soc. Am. 107, 1530-1540 (2000)] for retrieving frequency-specific information. The chirp was designed to produce simultaneous displacement maxima along the cochlear partition by compensating for frequency-dependent traveling-time differences. In the first experiment, auditory brainstem responses (ABR) elicited by the click and the broadband chirp were obtained in the presence of high-pass masking noise, with cutoff frequencies of 0.5, 1, 2, 4, and 8 kHz. Results revealed a larger wave-V amplitude for chirp than for click stimulation in all masking conditions. Wave-V amplitude for the chirp increased continuously with increasing high-pass cutoff frequency while it remains nearly constant for the click for cutoff frequencies greater than 1 kHz. The same two stimuli were tested in the presence of a notched-noise masker with one-octave wide spectral notches corresponding to the cutoff frequencies used in the first experiment. The recordings were compared with derived responses, calculated offline, from the high-pass masking conditions. No significant difference in response amplitude between click and chirp stimulation was found for the notched-noise responses as well as for the derived responses. In the second experiment, responses were obtained using narrow-band stimuli. A low-frequency chirp and a 250-Hz tone pulse with comparable duration and magnitude spectrum were used as stimuli. The narrow-band chirp elicited a larger response amplitude than the tone pulse at low and medium stimulation levels. Overall, the results of the present study further demonstrate the importance of considering peripheral processing for the formation of ABR. The chirp might be of particular interest for assessing low-frequency information.
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Affiliation(s)
- Oliver Wegner
- Carl von Ossietzky Universität Oldenburg, Arbeitsgruppe Medizinische Physik, Graduiertenkolleg Neurosensorik, Germany
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23
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Oates PA, Purdy SC. Frequency specificity of the human auditory brainstem and middle latency responses using notched noise masking. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2001; 110:995-1009. [PMID: 11519624 DOI: 10.1121/1.1385901] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
This study investigated the frequency specificity of the auditory brainstem and middle latency responses to 80 and 90 dB ppe SPL 500-Hz and 90 dB ppe SPL 2000-Hz tonebursts. The stimuli were brief (2-1-2 cycle) linear-gated tonebursts. ABR/MLRs were recorded using two electrode montages: (1) Cz-nape of neck and (2) Cz-ipsilateral earlobe. Cochlear contributions to ABR wave V-Na and MLR waves Na-Pa and Pa-Nb were assessed by plotting notched noise tuning curves which showed amplitudes and latencies as a function of center frequency of the noise masker [Abdala and Folsom, J. Acoust. Soc. Am. 97, 2394 (1995); ibid. 98, 921 (1995)]. Maxima in the response amplitude profiles for the ABR and MLR to 80 dB ppe SPL tonebursts occurred within one-half octave of the nominal stimulus frequency, with minimal contributions to the responses from frequencies greater than one octave away. At 90 dB ppe SPL, contributions came from a slightly broader frequency region for both stimulus frequencies. Thus, the ABR/MLR to 80 dB ppe SPL tonebursts shows good frequency specificity which decreases at 90 dB ppe SPL. No significant differences exist in frequency specificity of: (1) ABR wave V-Na versus MLR waves Na-Pa and Pa-Nb at either stimulus frequency or intensity; and (2) ABR/MLRs recorded using the two electrode montages.
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Affiliation(s)
- P A Oates
- Discipline of Audiology, The University of Auckland, New Zealand
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Ngan EM, May BJ. Relationship between the auditory brainstem response and auditory nerve thresholds in cats with hearing loss. Hear Res 2001; 156:44-52. [PMID: 11377881 DOI: 10.1016/s0378-5955(01)00264-7] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This study explored the relationship between the auditory brainstem response (ABR) and auditory nerve sensitivity in cats with normal hearing and with noise-induced permanent threshold shifts. A statistically significant linear correlation was found between each cat's ABR thresholds and the most sensitive single neuron thresholds at the same frequency. ABR thresholds were approximately 25 dB higher than the thresholds of the most sensitive neural responses in cats with normal hearing. The two measures produced equivalent thresholds at impaired frequencies in subjects with sensorineural hearing loss. Two factors may have contributed to this convergence of ABR and neural thresholds. First, our results suggest that the elevation of the most sensitive neural responses led to a compressed threshold distribution. Consequently, only a narrow range of sound levels separated stimulus conditions that activated relatively few fibers from those that were sufficient to evoke a robust population response. In addition, the threshold responses of impaired auditory nerve fibers may have been augmented by activity in the more sensitive 'off-frequency' regions that surrounded a discrete cochlear lesion. Across varying degrees of hearing loss, the ABR maintained a systematic relationship to auditory nerve fiber thresholds, and therefore has the potential to be used as a functional assay of cochlear pathology.
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Affiliation(s)
- E M Ngan
- Department of Otolaryngology-HNS, Johns Hopkins University, 505 Traylor Research Building, 720 Rutland Avenue, Baltimore, MD 21205-2195, USA
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Oates P, Stapells DR. Frequency specificity of the human auditory brainstem and middle latency responses to brief tones. II. Derived response analyses. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 1997; 102:3609-3619. [PMID: 9407654 DOI: 10.1121/1.420400] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
This study investigated the frequency specificity of the auditory brainstem (ABR) and middle latency (MLR) responses to 500- and 2000-Hz brief tones using narrow-band derived response analyses of the responses recorded in high-pass masking noise [Oates and Stapells, J. Acoust. Soc. Am. 102, 3597-3608 (1997)]. Stimuli were linear- and exact-Blackman-gated tones presented at 80 dB ppe SPI. Cochlear contributions to ABR wave V-V' and MLR wave Na-Pa were assessed by response amplitude profiles as a function of derived band center frequency. The largest amplitudes of waves V and Na-Pa occurred in the 500- and 707-Hz derived bands in response to the exact-Blackman- and linear-gated 500-Hz tones. The peak in the response amplitude profiles for wave V to both 2000-Hz stimuli was seen in the 2000-Hz derived band. For wave Na-Pa, the maxima in the amplitude profiles occurred in the 2000- and 1410-Hz derived bands for the exact-Blackman- and linear-gated tones. Smaller cochlear contributions to the ABR/MLR were also present at 0.5-1 octave above and below the nominal stimulus frequencies. The ABR/MLR to 500- and 2000-Hz 80 dB ppe SPL tones thus shows good frequency specificity, with no significant differences in the frequency specificity of: (1) ABR versus MLR; (2) these evoked potentials to 500-versus 2000-Hz tones; and (3) responses to exact-Blackman- versus linear-gated tones.
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Affiliation(s)
- P Oates
- Auditory Evoked Potentials Research Laboratory, Albert Einstein College of Medicine, Bronx, New York, USA
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