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Quantitative Analysis of Electrically Evoked Auditory Brainstem Responses in Implanted Children With Auditory Neuropathy/Dyssynchrony

Authors: Christina L, Runge-Samuelson; Sarah, Drake; P Ashley, Wackym;

Quantitative Analysis of Electrically Evoked Auditory Brainstem Responses in Implanted Children With Auditory Neuropathy/Dyssynchrony

Abstract

Cochlear implantation is a common treatment approach for children with auditory neuropathy/dyssynchrony (AN/AD) who do not benefit from hearing aids. The auditory brainstem response (ABR) is a measure of neural synchrony along the auditory pathway up through the brainstem. By definition, acoustically evoked ABR is absent in AN/AD, however, ABR can be elicited by electrical stimulation through the cochlear implant (electrically evoked ABR [EABR]). Reports of EABR with AN/AD to date have been primarily descriptive in nature. The objective of this study was to quantify EABR wave V measures in implanted children with and without AN/AD.Retrospective analysis of EABR waveforms from March 2000 through February 2005.Comprehensive Cochlear Implant Program/Tertiary Referral Center.Pediatric cochlear implant users of two etiologic groups: congenital AN/AD (n = 5) and other congenital profound sensorineural hearing loss (n = 27).Diagnostic.Intraoperative EABR wave V threshold, suprathreshold amplitude, and latency measures were compared between groups.The EABR threshold and suprathreshold amplitude measures across the population were variable regardless of etiology. With some exceptions, a trend was observed for the AN/AD group that included average or below-average thresholds and below-average suprathreshold response amplitudes.Cochlear implantation can provide synchronous neural responses to auditory stimulation in AN/AD, as previously known. The quantification of EABR measures in this study indicates that subjects with AN/AD have sufficient neural sensitivity to electrical stimulation, however, they may experience less robust neural responses at suprathreshold levels. Given the heterogeneity of potential causes of AN/AD, however, caution needs to be applied when grouping this population for analyses.

Related Organizations
Keywords

Cochlear Implants, Hearing Loss, Sensorineural, Evoked Potentials, Auditory, Brain Stem, Vestibulocochlear Nerve Diseases, Humans, Auditory Threshold, Child, Cochlear Implantation, Cranial Nerve Diseases, Electrodes, Implanted, Retrospective Studies

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
21
Top 10%
Top 10%
Top 10%
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