Stimulus level effects on speech-evoked obligatory cortical auditory evoked potentials in infants with normal hearing

2013 ◽  
Vol 124 (3) ◽  
pp. 474-480 ◽  
Author(s):  
S.C. Purdy ◽  
M. Sharma ◽  
K.J. Munro ◽  
C.L.A. Morgan
2014 ◽  
Vol 155 (38) ◽  
pp. 1524-1529
Author(s):  
Ádám Bach ◽  
Ferenc Tóth ◽  
Vera Matievics ◽  
József Géza Kiss ◽  
József Jóri ◽  
...  

Introduction: Cortical auditory evoked potentials can provide objective information about the highest level of the auditory system. Aim: The purpose of the authors was to introduce a new tool, the “HEARLab” which can be routinely used in clinical practice for the measurement of the cortical auditory evoked potentials. In addition, they wanted to establish standards of the analyzed parameters in subjects with normal hearing. Method: 25 adults with normal hearing were tested with speech stimuli, and frequency specific examinations were performed utilizing pure tone stimuli. Results: The findings regarding the latency and amplitude analyses of the evoked potentials confirm previously published results of this novel method. Conclusions: The HEARLAb can be a great help when performance of the conventional audiological examinations is complicated. The examination can be performed in uncooperative subjects even in the presence of hearing aids. The test is frequency specific and does not require anesthesia. Orv. Hetil., 2014, 155(38), 1524–1529.


2003 ◽  
Vol 17 (4) ◽  
pp. 189-194 ◽  
Author(s):  
Sirkku K. Salo ◽  
A. Heikki Lang ◽  
Altti J. Salmivalli ◽  
Reijo K. Johansson ◽  
Maija S. Peltola

Abstract In this study, we examined the effect of contralateral masking on cortical auditory evoked potentials N1 (modal-specific slowly adapting component) and P2 at different masking intensities. N1 and P2 potentials were recorded from 15 subjects with normal hearing using 500Hz tone pips (intensity 65dB HL, duration 100ms, ISI 1s) presented to the right ear. Continuous white noise was delivered to the left ear at the intensities of 35, 50, 65, or 75dB effective masking level (EML), as well as a no-mask condition. The electrodes F3, Fz, F4, C3, Cz, C4, and Pz were used. The results show that N1 amplitude was significantly attenuated and, in contrast, P2 amplitude was significantly increased, with contralateral 75dB EML white noise. N1P2 peak to peak amplitude was not affected by masking, nor were the peak latencies. Thus, contralateral masking affects the exogenous cortical evoked N1 and P2 curves differently. We suggest that the effect is mediated by the efferent hearing system. The effect of ≤ 50dB EML contralateral white noise masking is so small that it should not affect clinical recordings.


2019 ◽  
Vol 28 (2S) ◽  
pp. 428-436
Author(s):  
Mohan Kumar Kalaiah ◽  
Sanjana Poovaiah ◽  
Usha Shastri

Purpose We investigated the utility of chained stimuli for threshold estimation using cortical auditory evoked potentials (CAEPs) in individuals with normal hearing sensitivity and hearing loss. The effect of the order of frequency in chained stimuli on CAEPs was also studied. Method Seventeen individuals with normal hearing and 17 individuals with mild to severe sensorineural hearing loss participated in the study. In individuals with normal hearing, CAEPs were recorded at 80 dB nHL for 4 chained stimuli with different orders of frequencies within them (Chained Stimuli 1 [CS1]: 500, 1000, 2000, 4000 Hz; Chained Stimuli 2: 4000, 2000, 1000, 500 Hz; Chained Stimuli 3: 500, 2000, 1000, 4000 Hz; Chained Stimuli 4: 4000, 1000, 2000, 500 Hz). CAEP threshold estimation was carried out using CS1 in both groups and was compared with behavioral pure-tone thresholds. Results CS1 elicited the largest amplitude responses at low and mid frequencies, whereas all 4 stimuli elicited similar amplitude responses at high frequencies. CAEP thresholds were generally within 10–20 dB above the participants' behavioral threshold in both groups. The difference between CAEP threshold and behavioral threshold was less for individuals with hearing loss compared to individuals with normal hearing. There was a significant positive correlation between CAEP threshold and behavioral threshold at all the frequencies. Conclusions CS1 could be used to elicit CAEPs for threshold estimation in adult participants with normal hearing and hearing loss of varied degrees with theoretically reduced testing time. The actual time reduction using chained stimuli and the correction factor to be applied to estimate behavioral threshold can be studied in future investigations.


2019 ◽  
Vol 62 (4S) ◽  
pp. 1099-1116 ◽  
Author(s):  
Lindsey Roque ◽  
Casey Gaskins ◽  
Sandra Gordon-Salant ◽  
Matthew J. Goupell ◽  
Samira Anderson

Purpose Degraded temporal processing associated with aging may be a contributing factor to older adults' hearing difficulties, especially in adverse listening environments. This degraded processing may affect the ability to distinguish between words based on temporal duration cues. The current study investigates the effects of aging and hearing loss on cortical and subcortical representation of temporal speech components and on the perception of silent interval duration cues in speech. Method Identification functions for the words DISH and DITCH were obtained on a 7-step continuum of silence duration (0–60 ms) prior to the final fricative in participants who are younger with normal hearing (YNH), older with normal hearing (ONH), and older with hearing impairment (OHI). Frequency-following responses and cortical auditory-evoked potentials were recorded to the 2 end points of the continuum. Auditory brainstem responses to clicks were obtained to verify neural integrity and to compare group differences in auditory nerve function. A multiple linear regression analysis was conducted to determine the peripheral or central factors that contributed to perceptual performance. Results ONH and OHI participants required longer silence durations to identify DITCH than did YNH participants. Frequency-following responses showed reduced phase locking and poorer morphology, and cortical auditory-evoked potentials showed prolonged latencies in ONH and OHI participants compared with YNH participants. No group differences were noted for auditory brainstem response Wave I amplitude or Wave V/I ratio. After accounting for the possible effects of hearing loss, linear regression analysis revealed that both midbrain and cortical processing contributed to the variance in the DISH–DITCH perceptual identification functions. Conclusions These results suggest that age-related deficits in the ability to encode silence duration cues may be a contributing factor in degraded speech perception. In particular, degraded response morphology relates to performance on perceptual tasks based on silence duration contrasts between words.


2016 ◽  
Vol 25 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Ingyu Chun ◽  
Curtis J. Billings ◽  
Christi W. Miller ◽  
Kelly L. Tremblay

Purpose This study investigated (a) the effect of amplification on cortical auditory evoked potentials (CAEPs) at different signal levels when signal-to-noise ratios (SNRs) were equated between unaided and aided conditions, and (b) the effect of absolute signal level on aided CAEPs when SNR was held constant. Method CAEPs were recorded from 13 young adults with normal hearing. A 1000-Hz pure tone was presented in unaided and aided conditions with a linear analog hearing aid. Direct audio input was used, allowing recorded hearing aid noise floor to be added to unaided conditions to equate SNRs between conditions. An additional stimulus was created through scaling the noise floor to study the effect of signal level. Results Amplification resulted in delayed N1 and P2 peak latencies relative to the unaided condition. An effect of absolute signal level (when SNR was constant) was present for aided CAEP area measures, such that larger area measures were found at higher levels. Conclusion Results of this study further demonstrate that factors in addition to SNR must also be considered before CAEPs can be used to clinically to measure aided thresholds.


2020 ◽  
Vol 13 (2) ◽  
pp. 133-140
Author(s):  
Jee Yeon Lee ◽  
Byung Chul Kang ◽  
Jun Woo Park ◽  
Hong Ju Park

Objectives. Cortical auditory evoked potentials (CAEPs) have been used to examine auditory cortical development or changes in patients with hearing loss. However, there have been no studies analyzing CAEP responses to the different sound stimulation by different stimulation sides. We characterized changes in normal CAEP responses by stimulation sides in normal-hearing adults.Methods. CAEPs from the right auditory cortex were recorded in 16 adults following unilateral (ipsilateral and contralateral) and bilateral sound stimulation using three speech sounds (/m/, /g/, and /t/). Amplitudes and latencies of the CAEP peaks in three conditions were compared.Results. Contralateral stimulation elicited larger P2-N1 amplitudes (sum of P2 and N1 amplitudes) than ipsilateral stimulation regardless of the stimulation sounds, mostly due to the larger P2 amplitudes obtained, but elicited comparable P2-N1 amplitudes to bilateral stimulation. Although the P2-N1 amplitudes obtained with the three speech sounds were comparable following contralateral stimulation, the /m/ sound elicited the largest P2-N1 amplitude in ipsilateral stimulation condition due to the largest N1 amplitude obtained, whereas /t/ elicited larger a P2-N1 amplitude than /g/ in bilateral stimulation condition due to a larger P2 amplitude.Conclusion. Spectrally different speech sounds and input sides are encoded differently at the cortical level in normal-hearing adults. Standardized speech stimuli, as well as specific input sides of speech, are needed to examine normal development or rehabilitation-related changes of the auditory cortex in the future.


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