Middle-latency auditory components in response to clicks and low- and middle-frequency tone pips (0.5-1 kHz)

The contribution of inferior colliculus activity to the auditory brainstem response (ABR) in mice

In mice, the auditory brainstem response (ABR) is frequently used to assess hearing status in transgenic hearing models. The diagnostic value of the ABR depends on knowledge about the anatomical sources of its characteristic waves. Here, we studied the contribution of the inferior colliculus (IC) to the click-evoked scalp ABR in mice. We demonstrate a non-invasive correlate of the IC response that can be measured in the scalp ABR as a slow positive wave P₀ with peak latency 7-8 ms when recorded with adequate band-pass filtering. Wave P₀ showed close correspondence in latency, magnitude and shape with the sustained part of evoked spiking activity and local field potentials (LFP) in the central nucleus of the IC. In addition, the onset peaks of the IC response were related temporally to ABR wave V and to some extent to wave IV. This relation was further supported by depth-dependent modulation of the shape of ABR wave IV and V within the IC suggesting generation within or in close vicinity to the IC. In conclusion, the slow ABR wave P₀ in the scalp ABR may represent a complementary non-invasive marker for IC activity in the mouse. Further, the latency of synchronized click-evoked activity in the IC supports the view that IC contributes to ABR wave V, and possibly also to ABR wave IV.

Vestibular receptors contribute to cortical auditory evoked potentials

Acoustic sensitivity of the vestibular apparatus is well-established, but the contribution of vestibular receptors to the late auditory evoked potentials of cortical origin is unknown. Evoked potentials from 500 Hz tone pips were recorded using 70 channel EEG at several intensities below and above the vestibular acoustic threshold, as determined by vestibular evoked myogenic potentials (VEMPs). In healthy subjects both auditory mid- and long-latency auditory evoked potentials (AEPs), consisting of Na, Pa, N1 and P2 waves, were observed in the sub-threshold conditions. However, in passing through the vestibular threshold, systematic changes were observed in the morphology of the potentials and in the intensity dependence of their amplitude and latency. These changes were absent in a patient without functioning vestibular receptors. In particular, for the healthy subjects there was a fronto-central negativity, which appeared at about 42 ms, referred to as an N42, prior to the AEP N1. Source analysis of both the N42 and N1 indicated involvement of cingulate cortex, as well as bilateral superior temporal cortex. Our findings are best explained by vestibular receptors contributing to what were hitherto considered as purely auditory evoked potentials and in addition tentatively identify a new component that appears to be primarily of vestibular origin.

Sound envelope encoding in the auditory cortex revealed by neuromagnetic responses in the theta to gamma frequency bands

Amplitude fluctuations of natural sounds carry multiple types of information represented at different time scales, such as syllables and voice pitch in speech. However, it is not well understood how such amplitude fluctuations at different time scales are processed in the brain. In the present study we investigated the effect of the stimulus rate on the cortical evoked responses using magnetoencephalography (MEG). We used a two-tone complex sound, whose envelope fluctuated at the difference frequency and induced an acoustic beat sensation. When the beat rate was continuously swept between 3Hz and 60Hz, auditory evoked response showed distinct transient waves at slow rates, while at fast rates continuous sinusoidal oscillations similar to the auditory steady-state response (ASSR) were observed. We further derived temporal modulation transfer functions (TMTF) from amplitudes of the transient responses and from the ASSR. The results identified two critical rates of 12.5Hz and 25Hz, at which consecutive transient responses overlapped with each other. These stimulus rates roughly corresponded to the rates at which the perceptual quality of the sound envelope is known to change. Low rates (> 10Hz) are perceived as loudness fluctuation, medium rates as acoustical flutter, and rates above 25Hz as roughness. We conclude that these results reflect cortical processes that integrate successive acoustic events at different time scales for extracting complex features of natural sound.

A study of logon-evoked middle latency responses in female subjects with normal hearing

The middle latency response (MLR) to an acoustic stimulus occurs between 10 and 80 ms. The waveform is characterized by a series of peaks and troughs labeled N0, P0, Na, Pa, Nb and Pb. Certain acoustic stimuli may excite specific cochlear areas in contrast with clicks, that activate the cochlea between 1000 and 4000 Hz. The logon stimulus activates segmentar areas of the cochlea and has advantages over clicks when assessing low frequency areas of the cochlea (below 1 kHz). Aim: The aim of this paper was to study the MLR electrophysiologic response when activated by logon stimuli at 500, 1000 and 2000 Hz. Method- a prospective and descriptive study. 14 female volunteers had normal otology and conventional audiology results. The stimulus was monoaural and ipsilateral (Cz/A1-2). Results- the NaPa complex was readily identified compared to other complexes and was present in 100% of the tests done at 2000 Hz, and in 96.4% of the tests done at 500 and 1000 Hz. Conclusion-the logon stimulus at 500, 1000 and 2000 Hz elicits MLRs; the NaPa complex was the most frequent event and the 2000 Hz frequency elicited more responses than other frequencies.

Human auditory middle latency responses: influence of stimulus type and intensity

Human auditory middle latency responses (MLR) to click and tone pip stimuli of different intensities were recorded by means of magnetoencephalography (MEG) and electroencephalography (EEG). Clicks elicited larger responses with significantly shorter latencies than the tone pips at the same intensity in dB sensation level (SL). Most MLR amplitudes increased and their latencies decreased with increasing stimulus intensity for both types of stimulation. Pa and Nb amplitudes saturated at intensities of 60 dB SL in the case of click stimulation. The shorter latencies of MLR evoked by the click were explained by its short rise time and the high frequency content of its spectrum. MEG source analysis yielded MLR sources which were clearly different from those of the slow cortical wave N1. They seem to be located in primary auditory areas along Heschl's gyrus.

Tonotopic organization of human auditory cortex analyzed by SPET

Single photon emission tomography (SPET) was used to map blood flow increases in the temporal and parietal cortex of 16 normally-hearing subjects after auditory stimulation. Eight subjects were stimulated with a multifrequency 40 dB HL pure tone at 250, 500, 1000, 2000, 4000 Hz, each frequency varying every 30 s. Single 500 Hz pure tones at 40 dB HL were delivered to the remainder of the subjects. Five bilaterally deaf subjects were used as controls. Marked cerebral flow increase following acoustic stimulation with a significantly prevalent activation of the contralateral temporal cortex was achieved (p < 0.001). According to the tonotopic organization of the human auditory cortex, low monofrequency stimulation activated the most lateral sagittal tomograms (from 48.75 to 56.25 mm laterally to the brain midline) only, while multifrequency stimuli activated all sagittal tomograms (from 18.75 to 56.25 mm). On the basis of these results, it is likely that SPET is able to give real information on the cortical distribution of the auditory frequency range, taking into account the number and position of the activated slices. Further clinical investigations in order to define the relationships among blood flow cortical increases, stimulus intensity and auditory threshold, are in progress.

Middle latency auditory evoked potentials to tones of different frequency

The scalp distributions of middle latency auditory evoked potentials (MAEPs) elicited by tone bursts of 250 and 4000 Hz were compared in two experiments. Na (19.9 ms), Pa (29.8 ms), and Pb (51.4 ms) components elicited by tones of either frequency had fronto-central distributions, whereas the Nb component (38.4 ms) was maximal at parietal sites. Although the distributions of MAEP components varied as a function of the ear of stimulation, no significant differences were found as a function of tone frequency. The results are consistent with suggestions that MAEPs reflect activation of non-tonotopically organized generators.

Frequency-related differences in the speed of human auditory processing

Three experiments were performed, two comparing the peak latencies of auditory evoked potentials (AEPs) elicited by 250 Hz and 4000 Hz tone pips and a third comparing simple reaction times (RTs) to the same stimuli. In the AEP experiments, the latencies of brainstem, middle and long-latency components were delayed following 250 Hz tone pips in comparison with the latencies of the same components evoked by loudness-matched 4000 Hz tones. Frequency-related latency differences increased with component latency, ranging from less than 1.0 ms for wave V of the brainstem AEP, to more than 20.0 ms for the cortical N1 component. Interpeak latency differences were also significantly lengthened following the 250 Hz tone pips. In the behavioral study, RTs were 14.6 ms slower following 250 than 4000 Hz tone pips. The results suggest that the time required for the sensory analysis of auditory signals varies inversely with their frequency.

The effects of anterior temporal lobectomy (ATL) on the middle-latency auditory evoked potential (MLAEP)

The anatomical and physiological origins of the middle-latency auditory evoked potential (MLAEP) are not well understood. The present investigation was conducted to determine whether the MLAEP derives its origins in part from the anterior temporal lobe. Twelve subjects with intractable seizures were evaluated with the MLAEP pre and post excision of the anterior-mesial temporal lobe (ATL) unilaterally. In our study, component Pa latency was unaffected by the ATL. The Na latency and the Na/Pa amplitude showed significant increases after ATL. The results we interpreted as being consistent with currently held beliefs regarding the origins of Pa. The changes in Na latency and Na/Pa amplitude are hypothesized to reflect a loss of the modulating influence of the cortex on the subcortical generators of Na.

40-Hz steady-state responses in newborns and in children

The authors investigated the 40-Hz steady-state responses (SSR) in 32 full-term newborns and in 10 normal children (5-8 years old), using 500-Hz tone bursts. The 40-Hz SSR threshold is located at about 50 and 30 dB nHL in newborns and older children, respectively. The latencies of both P1 and N1 waves decreased significantly with age, while the amplitudes increased. No significant latency and amplitude intersex differences have been observed. Moreover, with age, the 40-Hz SSR became more stable, their test-retest replicability improved, and P1-N1 wave occurrence increased. The authors finally discuss the possible underlying mechanisms of these findings and conclude that the 40-Hz SSR are difficult to obtain and are scarcely reliable in defining the low-frequency threshold in newborns. The stability and reliability of the responses increase with age, and the electrophysiological and behavioral thresholds to low-frequency stimuli tend to overlap.

Auditory steady-state responses in the rabbit

The authors have studied auditory brainstem (ABRs), middle latency (MLRs) and steady-state potentials (SSRs) in 15 adult male rabbits weighing between 2.5 and 3 kg in order to verify if SSRs are due to a mere superimposition of ABRs and MLRs or to a resonance phenomenon. Ten of them were awake while 5 were studied under urethane anesthesia. Acoustic stimuli consisted in 0.1-ms square-wave pulses delivered at presentation rates ranging between 1 and 80/s at a stimulus intensity of 80 dB p.e. SPL. Our data show that reliable auditory SSRs can be obtained in the rabbit at a presentation rate of 30 stimuli/s, probably due to the superimposition of ABRs and MLR Pb waves which show an interwave interval of about 35 ms. The nonlinear aspects which can be detected are probably due to the effect of decreasing interstimulus intervals on the duration and amplitude of the Pb wave. It can then be concluded that SSRs in the rabbit are due more to a superimposition of ABR and MLR waves than to a resonance phenomenon.

Individual differences in auditory electric responses: comparisons of between-subject and within-subject variability. IV. Latency-variability comparisons in early, middle, and late responses

In this series of reports to date (Lauter & Loomis, 1986, 1988; Lauter & Karzon, 1990 a & b) we have described patterns of relative variability observed in latency and amplitude of auditory brainstem responses (ABRs) collected in a repeated-measures within-subjects design testing two groups of neurologically normal adults. Each of the two groups of subjects was additionally tested for one other type of auditory evoked potential, according to the same schedule of eight weekly sessions: middle-latency responses (MLRs: 10 to 50 ms post-stimulus) were collected from Group II (four females and four males), and late responses (50 to 300 ms post-stimulus) from Group I (four females and three males). This paper presents data comparing and contrasting the patterns of relative variability of waveform-peak latency observed in middle-latency, late responses, and the ABR data previously reported. Results document a trimodal distribution of response latency variability, with ABR peak V in one category, characterized by high within-subject stability and low between-subject stability, ABR peaks II, III, and IV, together with MLR peak No in a second category, of intermediate within-subject stability, and a third category consisting of ABR peak I together with all auditory-evoked-potential (AEP) peaks subsequent to MLR peak No, in which consistency of peak latency calculated within subjects approaches the low level of consistency calculated across subjects.

Middle latency response to a 500-Hz tone pip in normal-hearing and in hearing-impaired subjects

Measurement of middle latency responses (MLR) appears to be one of the most useful ways of determining low-frequency auditory threshold. It is known that analog filtering can drastically affect MLR and since most laboratories use different recording characteristics, we carried out these measurements with a number of filter configurations. Ten subjects with normal hearing sensitivity were tested. The stimuli were 500-Hz tone pips (alternating in polarity) with a 4-ms rise-fall time and a plateau of 2 ms, presented at the rate of 9.3/s. The MLR were recorded with filter settings of 10-100, 10-250, 10-1,500, 10-3,000, 30-100 and 30-250 Hz at 12 dB per octave roll-off with a time base of 100 ms. MLR threshold was found between 8.0 and 11.5 dB nHL. The Wilcoxon statistical test showed that mean MLR thresholds did not differ significantly at the various bandpass configurations. An additional objective of this study was to compare hearing sensitivity based on MLR threshold to tone pips at 500 Hz and behavioural results obtained by conventional pure-tone audiometry. Although the correlation coefficient between the behavioural and electrophysiological measurements was statistically significant (r = 0.85), further studies are required in order to determine the real magnitude of the predicted errors obtained, before this electrophysiological measure can be applied clinically.

Development of the middle latency response in an animal model and its relation to the human response

Although the clinical use of the middle latency response (MLR) in adults is fairly straightforward, its use is complicated by maturational changes that continue throughout the first decade of life. In order to telescope the time period of this long developmental course, we have approached the study of MLR maturation using the gerbil as an animal model. The course of MLR obtained over the temporal lobe development was characterized in the Mongolian gerbil ranging in age from 10 days to 3 months of life. The adult gerbil MLR consists of two positive peaks (A and C) at 11 and 25 ms, respectively, and a negative component (B) at 16 ms. These components emerge in a systematic fashion as a function of age. The present work supports a strong age effect of increased MLR detectability in the gerbil, similar to findings reported for humans. Wave A was infrequently detected in young animals, but when present, it occurred at adult latencies. The latency of waves B and C decreased systematically with age. The amplitude of all components increased with age, similar to findings in humans. The fact that adult-like thresholds were obtained shortly after birth indicates that when present, MLRs may be a good index of hearing threshold. Effects of stimulating across a wide range of intensities were described. The gerbil model appears appropriate for the study of development of the central auditory system function.

The maturation of the central auditory conduction in preterm infants until three months post term. III. The middle latency auditory evoked response (MLR)

Middle latency auditory evoked responses (MLRs) were recorded in 64 premature infants; serially in 54 of them. The last recording sessions occurred at 50-52 weeks conceptional age (CA), defined as the gestational age (GA) added to the chronological age. The MLRs were analyzed for the components PO, Na and Pa, and the interpeak latency difference (IPLD) Na-PO. The detectability rate of PO and Na reached 80-90% at about 30 weeks CA. Pa reached the highest rate of about 60% at 52 weeks CA. The degree of prematurity did not result in clear differences with respect to the parameter values. Also, the side of stimulation did not influence the MLR parameter values. The latency values of the MLR components are strongly age dependent. Topographic differences were found between the sides ipsi- and contralateral to stimulation. They are, however, different for PO, Na and Pa. The influence of the state of vigilance on the parameter values could generally only be established at CA levels of about 32 and 52 weeks CA. The amplitude values at 52 weeks CA are especially sensitive for sleep or awake state. The particular pattern of age dependency of the different components and their topographic differences are consistent with a differential generation of bilateral nature. The early appearance of the response supports the generation of an early functioning subcortical structure in the auditory pathway.

Age-related changes in human middle latency auditory evoked potentials

We recorded middle latency auditory evoked potentials (MAEPs) in young (20-40 years) and elderly (60-80 years) subjects with normal hearing. The Pa component was prolonged in latency and markedly enhanced in amplitude in the elderly subjects. No changes were found in Na, or in the binaural interaction of the MAEP. Differences in Pa amplitude and latency were not due exclusively to changes in auditory thresholds, since they were not duplicated by changes in stimulus intensity, and persisted when MAEPs from selected young and old subjects were compared at similar SPL levels. The enhancement of Pa amplitude appears to reflect age-related central modifications in auditory processing.

Auditory brain-stem (ABRs) and middle latency auditory responses (MLRs) in the prognosis of severely head-injured patients

Auditory brain-stem responses (ABRs) were studied in 66 subjects with severe head trauma. Middle latency responses (MLRs) were also recorded in 22 of them. Patients were carefully selected to avoid conditions such as pre-existing or acute deafness, hypothermia or ethanol intoxication. In order to evaluate the usefulness of potentials in predicting recovery, patients were classified according to the Glasgow Coma Scale (GCS). ABR tracings were classified into 5 groups and MLR into 2 groups. The recovery was good in the presence of a type 1 ABR, poor in the presence of types 3, 4 and 5. Concerning type 2 ABR, the outcome is related to the MLR type, and to the presence of an electrophysiological improvement within the first 3 months following trauma. The reliability of ABR and MLR in predicting the outcome of severe head injury appears to be greater than other usually considered clinical and instrumental data (age, GCS, CT scan, EEG).