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Auditory brainstem responses and extratympanic electrocochleography. A threshold comparison in children.

Electrocochleography (ECoG) and auditory brainstem response (ABR) have been recorded simultaneously in 23 children referred for threshold evaluation. The ECoG electrode is an extratympanic silver ball (Life-Tech) whereas the ABR is recorded with Ag-AgCl surface electrodes. Of the 30 ears investigated according to this protocol, 11 had no response with either technique, and in a further 11 no difference was found between ECoG and ABR thresholds. In the remaining 8 ears, ABR threshold was lower in 6 and the ECoG in 2. We conclude that the extra time needed for cleansing the ear canal and inserting the electrode does not justify the use of ECoG in threshold evaluations, since the ABR alone has the necessary sensitivity.

Adolescent↗

Spontaneous rates, thresholds and tuning of auditory-nerve fibers in the gerbil: comparisons to cat data.

Characteristics of 245 auditory nerve fibers in eleven Mongolian gerbils are described in terms of spontaneous rates, thresholds, and tuning curves. The animals were reared in a low-noise environment and had similar hearing thresholds across frequency. Tuning curves were obtained with an algorithm developed to characterize the tuning of auditory fibers in cat, thereby allowing direct comparisons to published data from cat. The results demonstrate that basic similarities exist between gerbil and cat data, although some minor differences are also apparent. Tuning curve bandwidths, as measured 10 and 40 dB above the thresholds at the characteristic frequency (CF), follow trends found in cat data. Like cat, auditory nerve fibers in the gerbil have a range of spontaneous rates. In individual gerbils, fibers associated with low spontaneous rates have higher thresholds than do fibers of similar CF with high rates. Five of the eleven gerbils showed profiles of spontaneous rate across frequency reminiscent of those obtained from quiet-raised young cats. The profiles of the remaining gerbils tended to be compressed to a smaller range of spontaneous rates for characteristic frequencies above about five kHz, much like older cats with unknown noise histories. The cause of the spontaneous compression is not obvious. The correspondence between cat and gerbil with regard to spontaneous rate and CF threshold implies the presence of fundamental mechanisms that are common to mammalian auditory systems.

Action Potentials↗

The relationship between the intraoperative ECAP threshold and postoperative behavioral levels: the difference between postlingually deafened adults and prelingually deafened pediatric cochlear implant users.

The purpose of this study was to determine the relationship between electrically evoked compound-action potential (ECAP) thresholds, electrically evoked auditory brain-stem response (EABR) thresholds, behavioral thresholds (T levels) and maximum comfort levels (C levels) in profoundly deaf cochlear-implant users. The ECAP thresholds were measured intraoperatively in eight postlingually deafened adults and nine (eight prelingually and one postlingually deafened) children implanted with the Nucleus CI24 M cochlear implant. The mean ECAP thresholds did not differ between children and adults. The average behavioral T and C levels after at least 6 months of experience with a cochlear implant were significantly higher in children than those in adults. The ECAP thresholds were more strongly correlated with T and C levels in children than in adults. The stronger correlation between ECAP thresholds and behavioral T and C levels in children than in adults might result from differences in loudness sensation, which should in turn depend on auditory experience.

Adult↗

Acute opioid administration effects on sensory and motor function in baboons: buprenorphine, morphine, and naloxone.

The effects of acute administration of the opioid compounds buprenorphine, morphine, and naloxone were studied on auditory and visual threshold functions and reaction time performances in baboons. Baboons were trained in a reaction time procedure to hold a lever depressed, and release the lever when a signal was presented. Auditory and visual signals were employed in separate sessions. Drug was administered 30min prior to testing. Dose-related increases in visual and auditory thresholds were observed following buprenorphine, with visual thresholds being somewhat more drug-sensitive. Buprenorphine also increased reaction times to both high-intensity and low-intensity stimuli. High doses of morphine increased reaction times to high-intensity auditory and low-intensity visual stimuli; thresholds for both modalities were unaffected by any dose of morphine. Naloxone produced no consistent effects on thresholds or reaction times. False alarm rates were not significantly changed by buprenorphine, morphine, or naloxone.

Journal Article↗

Investigations of the residual hearing capacity of severely hearing-impaired and profoundly deaf subjects.

Speech reception functions (maximum discrimination score for phonemes, speech reception threshold) and auditory functions (pure-tone audiogram, difference limens for frequency and intensity, temporal modulation transfer function, critical ratio and temporal integration) have been investigated in a group of severely hearing-impaired and deaf subjects (median Fletcher index: 80 dB), for different frequency regions (250, 1 000 and 2 000/4 000 Hz). The correlations between the different functions were calculated on the basis of characteristic numbers, derived from the originally measured functions, in the indicated frequency regions. The residual hearing capacities could be described best with two factors, one reflecting the distortion term in the speech reception threshold and the other representing the frequency discrimination for high-frequency tones. It was found that residual hearing capacities are present, at least up to a Fletcher index of 105 dB.

Adolescent↗

The Usher syndrome type 2A: clinical findings in obligate carriers.

Ten obligate carriers of Usher syndrome type 2A from 5 different families with 2 affected persons all underwent audiologic, vestibular and ophthalmologic examinations. They had a sensorineural hearing loss which was in excess of that expected for their age at all of the frequencies (0.25-8 kHz) tested, however, only a 10 dB (average) excess in hearing loss at 0.25-0.5 kHz proved to be significant. The speech discrimination scores obtained conformed with the hearing thresholds. Tympanometry, acoustic reflex and brain stem auditory-evoked potential findings were generally normal. Some vestibular abnormalities were found in a minority of the carrier sample, but not beyond the level of false positivity. Ophthalmologic findings were essentially normal, although in 5 carriers there was a subnormal electrooculography (EOG). These findings are not sufficient specific for carrier detection.

Acoustic Impedance Tests↗

Photophobia and phonophobia in migraineurs between attacks.

This study investigated whether migraineurs are more sensitive to light and sound while headache-free than are healthy people. Fifty-two migraineurs (mean age 39 years) were selected using the International Headache Society diagnostic criteria for migraine. Forty-eight healthy controls were matched for age, sex, and race (mean age 36 years). Visual and auditory discomfort thresholds were measured by exposing subjects to increasing light and sound until they complained of discomfort. There were significant differences between groups in both the light discomfort threshold (P < 0.00005) and the hearing discomfort threshold (P < 0.0005). The thresholds for both were lower in the migraineurs. Overall, for both groups together, there was a significant negative correlation between light discomfort threshold and age (correlation coefficient -0.2276, P = 0.011), but not for the hearing discomfort threshold and age (P = 0.275). The results show that the migraineurs were significantly more sensitive to light and sound when headache-free than were healthy controls. The apparent increased intolerance to light in both groups together noted with increased age, did not apply to the migraine group.

Adult↗