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Effects of audiometric configuration on the auditory brain stem response.

Evidence reported in the literature indicates that wave I of the auditory brain stem response is influenced by cochlear contributions from a more basal area of the cochlea than is wave V. This phenomenon is invoked to explain different latency-intensity function patterns of waves I and V and the I-V interval for four types of cochlear hearing loss. In high frequency hearing losses wave V is delayed at low intensities. Wave I tends to be delayed at all intensities and by a greater amount than wave V. The I-V interval is often reduced with the effect maximal at higher intensities. Low frequency hearing losses tend to cause early wave V latencies at low intensities. Wave I latencies are normal. The I-V interval is therefore reduced at lower intensities. Flat hearing losses produce normal latency-intensity functions. High frequency notched audiograms are almost always associated with delayed wave V but early wave I latencies. The I-V interval is therefore significantly prolonged with the effect maximal at low intensities. The variability of the I-V interval as a function of audiometric configuration indicates that it is not a pure measure of central conduction time.

Adult↗

The choice of stimuli for ABR measurements.

This tutorial describes some of the stimulus choices available to clinicians performing ABR evaluations. The motivation for choosing particular stimuli is described in relation to the clinical question being asked. Thus, emphasis is directed toward the rationales for choosing different stimuli. Data are reviewed only briefly to illustrate these rationales. Finally, some effort has been made to relate clinical ABR results for certain stimulus conditions to underlying physiological processes in the hope that these discussions will lead to a more complete understanding of the stimulus-response relation.

Acoustic Stimulation↗

Occurrence of auditory evoked field (AEF) N1M and P2M components in a sample of normal subjects.

A great deal of information about the characteristics of components N1m and P2m of the auditory evoked cortical fields (AEFs) has accumulated since the late 1970s. However, a number of fundamental issues have not been addressed. For instance, some previous investigators have suggested that P2m is present consistently in normals, whereas others suggest that when present, P2m is small in amplitude. Preliminary observations in this laboratory suggested that P2m is not observed consistently in normal subjects. Therefore, the specific aim of this investigation was to estimate the frequency of occurrence of the contralaterally recorded N1m and P2m after stimulation of right and left ears in normal subjects. Results demonstrated N1m to be present in all circumstances. Consistent with our preliminary observations, P2m was often absent, and moreso after stimulation of the left ear.

Adult↗

The feasibility of maximum length sequences to reduce acquisition time of the middle latency response.

Maximum length sequences (MLS) have been used to improve the signal-to-noise ratio (SNR) of otoacoustic emissions [Thornton, J. Acoust. Soc. Am. 94, 132-136 (1993)] and the auditory brainstem response [Thornton and Slaven, Br. J. Audiol. 27, 205-210 (1993)]. By implication, a shorter recording time would be required to give equal signal-to-noise ratio (SNR). This study aimed to establish whether it is also possible to improve the SNR of the auditory-evoked potential termed the middle latency response (MLR) using maximum length sequences (MLS). Recordings of 180 s each were made using a conventional recording rate and MLS rates of 42, 89, and 185 clicks/s. Three different stimulus intensities were used in the range 30 to 70 dB nHL. The rate of 89 clicks/s was found to produce most improvement in SNR for both the Na-Pa region of the MLR and the Na-Pb region. This improvement in SNR using MLS implies that an MLS rate of 89 clicks/s would produce a fourfold reduction in recording time for equal SNR over conventional recording for the Pa-Nb region of the MLR at a stimulus intensity of 70 dB nHL. The latency of the Nb wave was found to reduce significantly using MLS. An MLR could not be recorded from every subject in this study, but more subjects had an identifiable response for MLS than for conventional recordings. Use of MLS to record the MLR appears to offer the potential for reduction in test time and better wave identification.

Adult↗

Effects of low-pass filtering on the intelligibility of speech in quiet for people with and without dead regions at high frequencies.

A dead region is a region of the cochlea where there are no functioning inner hair cells (IHCs) and/or neurons; it can be characterized in terms of the characteristic frequencies of the IHCs bordering that region. We examined the effect of high-frequency amplification on speech perception for subjects with high-frequency hearing loss with and without dead regions. The limits of any dead regions were defined by measuring psychophysical tuning curves and were confirmed using the TEN test described in Moore et al. [Br. J. Audiol. 34, 205-224 (2000)]. The speech stimuli were vowel-consonant-vowel (VCV) nonsense syllables, using one of three vowels (/i/, /a/, and /u/) and 21 different consonants. In a baseline condition, subjects were tested using broadband stimuli with a nominal input level of 65 dB SPL. Prior to presentation via Sennheiser HD580 earphones, the stimuli were subjected to the frequency-gain characteristic prescribed by the "Cambridge" formula, which is intended to give speech at 65 dB SPL the same overall loudness as for a normal listener, and to make the average loudness of the speech the same for each critical band over the frequency range important for speech intelligibility (in a listener without a dead region). The stimuli for all other conditions were initially subjected to this same frequency-gain characteristic. Then, the speech was low-pass filtered with various cutoff frequencies. For subjects without dead regions, performance generally improved progressively with increasing cutoff frequency. This indicates that they benefited from high-frequency information. For subjects with dead regions, two patterns of performance were observed. For most subjects, performance improved with increasing cutoff frequency until the cutoff frequency was somewhat above the estimated edge frequency of the dead region, but hardly changed with further increases. For a few subjects, performance initially improved with increasing cutoff frequency and then worsened with further increases, although the worsening was significant only for one subject. The results have important implications for the fitting of hearing aids.

Aged↗

Frequency specificity of the human auditory brainstem and middle latency responses using notched noise masking.

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.

Auditory Threshold↗

Selective adaptation to frequency-modulated tones: evidence for an information-processing channel selectively sensitive to frequency changes.

Exposure to an FM tone elevates FM threshold but not AM threshold. This holds for a wide range of frequency deviations (delta F = +/- 0.4 Hz- +/- 30 Hz at least) provided that modulation frequency is low (fm = 2 Hz), but if fm is somewhat higher (e.g., 8 Hz) the finding only holds for small frequency deviations. FM threshold can rise with time up to an adapting duration of at least 1200 s, through this buildup depends on frequency deviation. Exposure to an AM tone elevates AM threshold, but not FM threshold, over a wide range of modulation depths (at least m = 5%--50%). Quasi-FM (QFM) adapting tones resemble FM adapting tones in their effects upon FM and AM sensitivities, even though QFM and AM adapting tones have identical power spectra. Exposure to a pure tone produces no difference between FM and AM threshold elevations. These data can be explained if the human auditory pathway contains separate information-processing channels for AM and FM signals whose sensitivities do not overlap even with suprathreshold stimuli. We suppose that the FM channel (but not the AM channel) is sensitive to changing differences (or ratios) between signals from different sites along the basilar membrane.

Adaptation, Psychological↗

Auditory brain stem responses from human infants: pure-tone masking profiles for clicks and filtered clicks.

The effects of simultaneous pure-tone maskers on ABR wave V latency and amplitude were examined in three-month-old infants as a means of delineating the frequency specificity of these responses in the immature auditory system. Masking profiles at two intensities (60 and 40 dBn HL) were obtained for click, as well as 4000- and 1000-Hz filtered-click stimuli. Infant profiles, obtained by measuring both latency and amplitude shifts as a result of the discrete-frequency maskers, were compared to adult data obtained under an identical masking paradigm. Both latency and amplitude analyses showed masking profiles for infants which reveal greater low-frequency contribution to responses than found in adult profiles. Additionally, the infant profiles reveal clear differences in the degree of high-frequency spread of masking when comparisons are made to the adult data.

Auditory Perception↗

Noise power fluctuations and the masking of sine signals.

This article is concerned with fluctuations in noise power and with the role that such fluctuations play in the masking of sine signals by noise. Several measures of noise fluctuations are discussed: the fourth moment of the waveform, the fourth moment of the envelope, and the crest factor. Relationships among these quantities are found for cases of equal-amplitude random-phase noise and Rayleigh-distributed-amplitude noise. Of particular interest is a special non-Gaussian noise called low-noise noise in which the fluctuations are small by any of our measures. The results of frozen-noise masking experiments are reported, where the noise waveform was fixed for all stimulus presentations. In separate experiments, equal-amplitude random-phase Gaussian noise, with typical fluctuations, and low-noise noise, with almost no fluctuations were used. The data show that for a noise bandwidth less than the critical bandwidth, the masked threshold is about 5 dB lower for low-noise noise than for Gaussian noise. When the noise bandwidth is larger than the critical bandwidth, the masked threshold is the same for both kinds of noise. It is concluded that noise power fluctuations increase masked threshold by about 5 dB and that filtering by the auditory system reintroduces fluctuations into broadband low-noise noise.

Acoustic Stimulation↗

Factors that influence rate-versus-intensity relations in single cochlear nerve fibers of the gerbil.

The relationship between characteristic frequency (CF) and rate-intensity curve shape was examined in 144 cochlear nerve fibers obtained from 39 Mongolian gerbils. Quasi-steady-state firing rates were measured in response to tone bursts at the CF. From each intensity curve, estimates of slope, firing rate at saturation, and dynamic range were derived using nonlinear curve fitting. Saturation firing rate was depressed for stimuli with a high duty cycle, especially for units with low rates of spontaneous discharge. The distributions of slope and saturation firing rate differed for fibers with CFs above and below 3 to 4 kHz. The interrelation of slope, dynamic range, maximum driven rate, and spontaneous firing rate was also different for fibers with CFs above and below this band. This mid-CF transition is discussed in terms of possible longitudinal changes in the function of the gerbil cochlea.

Animals↗

An evaluation of eight computer models of mammalian inner hair-cell function.

Eight computer models of auditory inner hair cells have been evaluated. From an extensive literature on mammalian species, a subset of well-reported auditory-nerve properties in response to tone-burst stimuli were selected and tested for in the models. This subset included tests for: (a) rate-level functions for onset and steady-state responses; (b) two-component adaptation; (c) recovery of spontaneous activity; (d) physiological forward masking; (e) additivity; and (f) frequency-limited phase locking. As models of hair-cell functioning are increasingly used as the front end of speech-recognition devices, the computational efficiency of each model was also considered. The evaluation shows that no single model completely replicates the subset of tests. Reasons are given for our favoring the Meddis model [R. Meddis, J. Acoust. Soc. Am. 83, 1056-1063 (1988)] both in terms of its good agreement with physiological data and its computational efficiency. It is concluded that this model is well suited to provide the primary input to speech recognition devices and models of central auditory processing.

Animals↗

Frequency-specific maturation of the eighth nerve and brain-stem auditory pathway: evidence from derived auditory brain-stem responses (ABRs).

Previous studies of human auditory development using frequency-specific auditory brain-stem responses (ABRs) have reported that maturation for both peak and interpeak latencies occurs earlier for responses generated by low-frequency stimuli. In two of these studies, low-frequency ABRs presumed to originate from apical locations in the cochlea were likely dominated by activity from higher frequency regions closer to the base. In the present study, the high-pass noise-masking technique was used to generate derived ABRs that represent activity from isolated place specific regions along the basilar membrane. Analysis of auditory brain-stem maturation based on I-V interpeak latency differences with adult means revealed a frequency-specific pattern of development. Developmental changes occurred faster and mature function was attained earlier for ABRs from the mid-center-frequency (CF) derived conditions than from either the highest or lowest CF derived conditions. The differential maturation of mid-CF derived ABRs may reflect the delayed effects of the pattern of development that occurs in the cochlea.

Auditory Pathways↗

Long-term effect of acoustic trauma on distortion product otoacoustic emissions in chickens.

Distortion product otoacoustic emissions (DPOAE), 2F1-F2, were measured in chickens before and after exposure to a 1.5-kHz pure tone presented at 120-dB sound-pressure level for 48 h. The low-level component of the DPOAE input/output function was shifted to the right at all frequencies immediately after the exposure with the greatest effect occurring at and above the exposure frequency. The slope of the high-level component of the input/output also increased significantly for test frequencies close to and above the exposure frequency so that the amplitude of the DPOAE was equal to or greater than normal at high stimulus levels. DPOAE obtained at the highest and lowest frequencies were almost normal after 8 weeks of recovery; however, the input/output functions near the exposure frequency showed almost no improvement over the 8-week recovery period. The lack of recovery could conceivably be due to residual damage to hair cells that survived the exposure or to incomplete regeneration of the tectorial membrane.

Acoustic Stimulation↗

Sharpening of frequency tuning by inhibition in the thalamic auditory nucleus of the mustached bat.

Unlike the quasitriangular frequency-tuning curves of peripheral neurons, pencil- or spindle-shaped frequency-tuning curves (excitatory areas) have been found in the central auditory systems of many species of animals belonging to different classes. Inhibitory tuning curves (areas) are commonly found on both sides of such "level-tolerant" sharp frequency-tuning curves. However, it has not yet been examined whether sharpening of frequency tuning takes place in the medial geniculate body (MGB). We injected an inhibitory transmitter antagonist, bicuculline methiodide (BMI), into the MGB of the mustached bat to examine whether frequency tuning is sharpened by inhibition in the MGB and whether this sharpening, if any, occurs in addition to that performed in prethalamic auditory nuclei. Thirty-seven percent of thalamic Doppler-shifted constant frequency (DSCF) neurons mostly showing a level-tolerant frequency-tuning curve had an inhibitory area or areas. BMI changed the inhibitory areas of these neurons into excitatory areas, so that their excitatory frequency-tuning curves became broader. However, the BMI-broadened excitatory frequency-tuning curves were still much narrower than those of peripheral neurons. Our results indicate that level-tolerant frequency tuning of thalamic DSCF neurons is mostly created by prethalamic auditory nuclei and that it is further sharpened in 37% of thalamic DSCF neurons by lateral inhibition occurring in the MGB. The comparisons in sharpness (quality factors) of frequency-tuning curves between peripheral, thalamic, and cortical DSCF neurons indicate that the skirt portion of tuning curves is sharper in the above order, and that their tip portion is not significantly different between the peripheral and thalamic DSCF neurons, but significantly sharper in the cortical DSCF neurons than in the thalamic DSCF neurons. Therefore the central auditory system has inhibitory mechanisms for the progressive sharpening of frequency tuning. DSCF neurons in the primary auditory cortex were recently found to show facilitative responses to paired sounds. That is, they are combination sensitive. In the present studies, we found that thalamic DSCF neurons also showed facilitative responses to paired sounds. The responses of thalamic DSCF neurons to acoustic stimuli consisted of a slow and a fast component. BMI mainly increased the slow component and an excitatory transmitter antagonist, D-2-amino-5-phosphonovalerate mainly suppressed the slow component. Therefore the response pattern of these thalamic neurons is shaped by both gamma-aminobutyric acid-mediated inhibition and N-methyl-D-aspartate-mediated facilitation.

Acoustic Stimulation↗

Adaptive denoising and multiscale detection of the V wave in brainstem auditory evoked potentials.

This paper describes a wavelet-transform-based system for the V wave identification in brainstem auditory evoked potentials (BAEP). The system combines signal denoising and rule-based localization modules. The signal denoising module has the potential of effective noise reduction after signal averaging. It analyses adaptively the evolution of the wavelet transform maxima across scales. The singularities of the signal create wavelet maxima with different properties from those of the induced noise. A non-linear filtering process implemented with a neural network extracts out the noise-induced maxima. The filtered wavelet details are subsequently analysed by the rule-based localization module for the automatic identification of the V wave. In the first phase, it implements a set of statistical observations as well as heuristic criteria used by human experts in order to classify the IV-V complex. At the second phase, using a multiscale focusing algorithm, the IV and V waves are positioned on the BAEP signal. Our experiments revealed that the system provides accurate results even for signals exhibiting unclear IV-V complexes.

Auditory Threshold↗

A method for the induction of a cochlea-specific auditory deprivation in the gerbil (Meriones unguiculatus).

The neurophysiological effects of early electrical stimulation on the development and neural plasticity of the central auditory system in prelingually deafened children with cochlear implants are still unknown. Many of these basic questions can be answered systematically only in animal experiments. Meriones unguiculatus is a well-established animal model in hearing research. Deafening is produced by a single intracochlear application of an ototoxic aminoglycoside antibiotic (neomycin sulfate) on the 14th day after birth (DAB), i.e. before the late natural onset of hearing on the 16th DAB. A single application of the antibiotic abolishes auditory brainstem responses (ABR) to clicks completely and reduces sensitivity to low frequency tonebursts by 50 dB SPL. Scanning electron microscopy results show a destruction of the stereocilia of the inner and outer hair cells of the basal and medial cochlear turn and a reduction of those in the apical turn. Our method avoids a systemic application of antibiotics and can be used in studies dealing with the consequences of different forms of auditory deprivation, neuronal compensation processes or with ontogenetic studies and chronic electrostimulation in an animal model.

Acoustic Stimulation↗

Intraoperative mitomycin C in endolymphatic sac surgery for Ménière's disease: A pilot study.

The long-term results of endolymphatic sac (ES) shunt surgery in Ménière's disease have been reported to be unsatisfactory compared to the short-term results, probably because of fibrosis and/or reclosure of the incised ES. To solve this problem, we tried to apply mitomycin C (MMC) intraoperatively to the incised ES as used in trabeculectomy for glaucoma. MMC has an antiproliferative effect as well as an antineoplastic effect. Thus, it is expected that MMC would have a benefit to prevent rapid fibrosis and/or reclosure of the ES. MMC did not show any ototoxicity in our animal study and we started a clinical trial after being approved by the Ethics Committee for Human Research at our university. Fourteen patients with Ménière's disease underwent ES mastoid shunt surgery with intraoperative application of MMC and they were followed up more than 6 months. No patients experienced vertigo, although some complained of slight dizziness. Five patients out of 14 showed remarkable hearing improvement by more than 10 dB, accompanied with decrease of tinnitus.

Adult↗

Human auditory steady-state responses during repeated exposure to hypobaric hypoxia.

This study was aimed at evaluating the time course of auditory steady-state response (SSR) variations during two consecutive exposures to hypobaric hypoxia. Six normal subjects were examined in a hypobaric chamber at ground level. Then, they climbed to a simulated altitude of 17000 ft (5182 m), where SSRs were recorded after 6, 12, 18, 24 and 30 min. Thereafter, they breathed 100% O2 and SSRs were recorded after 2 min of reoxygenation. A second exposure to hypoxia followed, with SSR recordings after 6 and 12 min. Finally, the subjects returned to ground level for recovery recording. A phase shift of SSR sinus wave was observed at the beginning of both exposures to hypoxia, although in the first recording (i.e. at 6 min) during the first exposure, the result was not statistically significant. A slight SSR phase shift was still detectable on return to ground level. The central acoustic pathway involved in SSR genesis was probably the area which was found to be most sensitive to hypoxia, compared to other parts of the auditory apparatus (e.g. the cochlea). This data could suggest an impairment of compensation mechanisms when consecutive exposures to hypoxia are performed.

Adult↗