Auditory Processing following Sequential Bilateral Cochlear Implantation: A Pediatric Case Study Using Event-Related Potentials

2010 ◽  
Vol 21 (04) ◽  
pp. 225-238 ◽  
Author(s):  
Alexandra P.F. Key ◽  
Heather L. Porter ◽  
Tamala Bradham

Background: Past studies using event-related potentials (ERPs) elicited to single syllable stimuli in unilateral and bilateral cochlear implant users have suggested reorganization of the auditory cortex within the first 6–8 mo postimplantation (Sharma et al, 2002a, 2002b, 2006; Bauer et al, 2006). Better behavioral performance with bilateral implants is expected when bilateral cochlear implantation is performed simultaneously or when a second implant is provided after a short interval of auditory deprivation at a younger age (Murphy and O'Donoghue, 2007; Wolfe et al, 2007; Steffens et al, 2008). Purpose: The purpose of this case study was to examine changes in various levels of auditory processing using single syllable and word-level stimuli in a child who received bilateral cochlear implants sequentially. Research Design: Brain responses were recorded at pre-activation and 2, 4, and 6 mo postactivation of a second cochlear implant using passive paradigms involving two types of auditory perception (speech and word level). Auditory stimuli were presented at 75 dB SPL(A) through a speaker above the participant's head with the cochlear implant(s) at typical user settings. Cortical responses were recorded from 128 electrodes. Study Sample: The participant was a 6-yr-old female with the diagnosis of bilateral profound sensorineural hearing loss. She received her first cochlear implant in her right ear (2 yr, 4 mo of age), underwent revision surgery (3 yr, 6 mo of age), and later received a bilateral cochlear implant (6 yr, 8 mo of age). Data Collection and Analysis: For the purposes of the case study, the waveforms were visually examined for morphology and amplitude or latency differences between conditions. The ERPs of the cochlear implant user were compared to those from a group of five children with normal hearing. Conclusions: The results suggest that sequential bilateral cochlear implantation contributes to improved auditory processing beyond the benefits of the single implant even in users with an extended period of deafness in the later-implanted ear.

Author(s):  
Luodi Yu ◽  
Jiajing Zeng ◽  
Suiping Wang ◽  
Yang Zhang

Purpose This study aimed to examine whether abstract knowledge of word-level linguistic prosody is independent of or integrated with phonetic knowledge. Method Event-related potential (ERP) responses were measured from 18 adult listeners while they listened to native and nonnative word-level prosody in speech and in nonspeech. The prosodic phonology (speech) conditions included disyllabic pseudowords spoken in Chinese and in English matched for syllabic structure, duration, and intensity. The prosodic acoustic (nonspeech) conditions were hummed versions of the speech stimuli, which eliminated the phonetic content while preserving the acoustic prosodic features. Results We observed language-specific effects on the ERP that native stimuli elicited larger late negative response (LNR) amplitude than nonnative stimuli in the prosodic phonology conditions. However, no such effect was observed in the phoneme-free prosodic acoustic control conditions. Conclusions The results support the integration view that word-level linguistic prosody likely relies on the phonetic content where the acoustic cues embedded in. It remains to be examined whether the LNR may serve as a neural signature for language-specific processing of prosodic phonology beyond auditory processing of the critical acoustic cues at the suprasyllabic level.


2010 ◽  
Vol 10 ◽  
pp. 329-339 ◽  
Author(s):  
Torsten Rahne ◽  
Michael Ziese ◽  
Dorothea Rostalski ◽  
Roland Mühler

This paper describes a logatome discrimination test for the assessment of speech perception in cochlear implant users (CI users), based on a multilingual speech database, the Oldenburg Logatome Corpus, which was originally recorded for the comparison of human and automated speech recognition. The logatome discrimination task is based on the presentation of 100 logatome pairs (i.e., nonsense syllables) with balanced representations of alternating “vowel-replacement” and “consonant-replacement” paradigms in order to assess phoneme confusions. Thirteen adult normal hearing listeners and eight adult CI users, including both good and poor performers, were included in the study and completed the test after their speech intelligibility abilities were evaluated with an established sentence test in noise. Furthermore, the discrimination abilities were measured electrophysiologically by recording the mismatch negativity (MMN) as a component of auditory event-related potentials. The results show a clear MMN response only for normal hearing listeners and CI users with good performance, correlating with their logatome discrimination abilities. Higher discrimination scores for vowel-replacement paradigms than for the consonant-replacement paradigms were found. We conclude that the logatome discrimination test is well suited to monitor the speech perception skills of CI users. Due to the large number of available spoken logatome items, the Oldenburg Logatome Corpus appears to provide a useful and powerful basis for further development of speech perception tests for CI users.


2018 ◽  
Vol 35 (3) ◽  
pp. 315-331 ◽  
Author(s):  
Paula Virtala ◽  
Minna Huotilainen ◽  
Esa Lilja ◽  
Juha Ojala ◽  
Mari Tervaniemi

Guitar distortion used in rock music modifies a chord so that new frequencies appear in its harmonic structure. A distorted dyad (power chord) has a special role in heavy metal music due to its harmonics that create a major third interval, making it similar to a major chord. We investigated how distortion affects cortical auditory processing of chords in musicians and nonmusicians. Electric guitar chords with or without distortion and with or without the interval of the major third (i.e., triads or dyads) were presented in an oddball design where one of them served as a repeating standard stimulus and others served as occasional deviants. This enabled the recording of event-related potentials (ERPs) of the electroencephalogram (EEG) related to deviance processing (the mismatch negativity MMN and the attention-related P3a component) in an ignore condition. MMN and P3a responses were elicited in most paradigms. Distorted chords in a nondistorted context only elicited early P3a responses. However, the power chord did not demonstrate a special role in the level of the ERPs. Earlier and larger MMN and P3a responses were elicited when distortion was modified compared to when only harmony (triad vs. dyad) was modified between standards and deviants. The MMN responses were largest when distortion and harmony deviated simultaneously. Musicians demonstrated larger P3a responses than nonmusicians. The results suggest mostly independent cortical auditory processing of distortion and harmony in Western individuals, and facilitated chord change processing in musicians compared to nonmusicians. While distortion has been used in heavy rock music for decades, this study is among the first ones to shed light on its cortical basis.


Author(s):  
Wessam Mostafa Essawy

<p class="abstract"><strong>Background:</strong> Amblyaudia is a weakness in the listener’s binaural processing of auditory information. Subjects with amblyaudia also demonstrate binaural integration deficits and may display similar patterns in their evoked responses in terms of latency and amplitude of these responses. The purpose of this study was to identify the presence of amblyaudia in a population of young children subjects and to measure mismatch negativity (MMN), P300 and cortical auditory evoked potentials (CAEPs) for those individuals.</p><p class="abstract"><strong>Methods:</strong> Subjects included in this study were divided into 2 groups control group that consisted of 20 normal hearing subjects with normal developmental milestones and normal speech development. The study group (GII) consisted of 50 subjects with central auditory processing disorders (CAPDs) diagnosed by central auditory screening tests. </p><p class="abstract"><strong>Results:</strong> With using dichotic tests including dichotic digits test (DDT) and competing sentence test (CST), we could classify these cases into normal, dichotic dysaudia, amblyaudia, and amblyaudia plus with percentages (40%, 14%, 38%, 8% respectively). Using event related potentials, we found that P300 and MMN are more specific in detecting neurocognitive dysfunction related to allocation of attentional resources and immediate memory in these cases.</p><p class="abstract"><strong>Conclusions:</strong> The presence of amblyaudia in cases of central auditory processing disorders (CAPDs) and event related potentials is an objective tool for diagnosis, prognosis and follow up after rehabilitation.</p>


2018 ◽  
Vol 49 (6) ◽  
pp. 388-397
Author(s):  
François Prévost ◽  
Alexandre Lehmann

Cochlear implants restore hearing in deaf individuals, but speech perception remains challenging. Poor discrimination of spectral components is thought to account for limitations of speech recognition in cochlear implant users. We investigated how combined variations of spectral components along two orthogonal dimensions can maximize neural discrimination between two vowels, as measured by mismatch negativity. Adult cochlear implant users and matched normal-hearing listeners underwent electroencephalographic event-related potentials recordings in an optimum-1 oddball paradigm. A standard /a/ vowel was delivered in an acoustic free field along with stimuli having a deviant fundamental frequency (+3 and +6 semitones), a deviant first formant making it a /i/ vowel or combined deviant fundamental frequency and first formant (+3 and +6 semitones /i/ vowels). Speech recognition was assessed with a word repetition task. An analysis of variance between both amplitude and latency of mismatch negativity elicited by each deviant vowel was performed. The strength of correlations between these parameters of mismatch negativity and speech recognition as well as participants’ age was assessed. Amplitude of mismatch negativity was weaker in cochlear implant users but was maximized by variations of vowels’ first formant. Latency of mismatch negativity was later in cochlear implant users and was particularly extended by variations of the fundamental frequency. Speech recognition correlated with parameters of mismatch negativity elicited by the specific variation of the first formant. This nonlinear effect of acoustic parameters on neural discrimination of vowels has implications for implant processor programming and aural rehabilitation.


2004 ◽  
Vol 100 (3) ◽  
pp. 617-625 ◽  
Author(s):  
Wolfgang Heinke ◽  
Ramona Kenntner ◽  
Thomas C. Gunter ◽  
Daniela Sammler ◽  
Derk Olthoff ◽  
...  

Background It is an open question whether cognitive processes of auditory perception that are mediated by functionally different cortices exhibit the same sensitivity to sedation. The auditory event-related potentials P1, mismatch negativity (MMN), and early right anterior negativity (ERAN) originate from different cortical areas and reflect different stages of auditory processing. The P1 originates mainly from the primary auditory cortex. The MMN is generated in or in the close vicinity of the primary auditory cortex but is also dependent on frontal sources. The ERAN mainly originates from frontal generators. The purpose of the study was to investigate the effects of increasing propofol sedation on different stages of auditory processing as reflected in P1, MMN, and ERAN. Methods The P1, the MMN, and the ERAN were recorded preoperatively in 18 patients during four levels of anesthesia adjusted with target-controlled infusion: awake state (target concentration of propofol 0.0 microg/ml), light sedation (0.5 microg/ml), deep sedation (1.5 microg/ml), and unconsciousness (2.5-3.0 microg/ml). Simultaneously, propofol anesthesia was assessed using the Bispectral Index. Results Propofol sedation resulted in a progressive decrease in amplitudes and an increase of latencies with a similar pattern for MMN and ERAN. MMN and ERAN were elicited during sedation but were abolished during unconsciousness. In contrast, the amplitude of the P1 was unchanged by sedation but markedly decreased during unconsciousness. Conclusion The results indicate differential effects of propofol sedation on cognitive functions that involve mainly the auditory cortices and cognitive functions that involve the frontal cortices.


2014 ◽  
Vol 316 ◽  
pp. 110-121 ◽  
Author(s):  
Takahiro Soshi ◽  
Satoko Hisanaga ◽  
Narihiro Kodama ◽  
Yori Kanekama ◽  
Yasuhiro Samejima ◽  
...  

2013 ◽  
Vol 548 ◽  
pp. 206-211 ◽  
Author(s):  
M. Adamaszek ◽  
S. Olbrich ◽  
K.C. Kirkby ◽  
H. Woldag ◽  
C. Willert ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
N. Samartin-Veiga ◽  
A. J. González-Villar ◽  
Y. Triñanes ◽  
C. Gómez-Perretta ◽  
M. T. Carrillo-de-la-Peña

AbstractFibromyalgia (FM) has been associated to an increased processing of somatosensory stimuli, but its generalization to other sensory modalities is under discussion. To clarify this, we studied auditory event-related potentials (AEPs) to stimuli of different intensity in patients with FM and healthy controls (HCs), considering the effects of attention mechanisms and medication. We performed two experiments: In study 1 (n = 50 FM, 60 HCs), the stimuli were presented randomly within the sequence; in study 2 (n = 28 FM, 30 HCs), they were presented in blocks of the same intensity. We analyzed intensity and group effects on N1-P2 amplitude and, only for the FM group, the effect of medication and the correlation between AEPs and clinical variables. Contrary to the expectation, the patients showed a trend of reduced AEPs to the loudest tones (study 1) or no significant differences with the HCs (study 2). Medication with central effects significantly reduced AEPs, while no significant relationships between the N1-P2 amplitude/intensity function and patients’ symptoms were observed. The findings do not provide evidence of augmented auditory processing in FM. Nevertheless, given the observed effect of medication, the role of sensory amplification as an underlying pathophysiological mechanism in fibromyalgia cannot be discarded.


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