Normal multiple auditory steady-state response thresholds to air-conducted stimuli in infants. 2009

Anna Van Maanen, and David R Stapells
School of Audiology and Speech Sciences, University of British Columbia, Vancouver, BC, Canada.

OBJECTIVE Multiple auditory steady-state responses (ASSRs) to stimuli modulated at approximately 80 Hz are a promising technique for threshold estimation in infants, but additional data are required. METHODS We obtained multiple ASSRs to air-conducted (AC) stimuli. METHODS There were 54 children in two age groups: > six months (N=32) and < or = six months (N=22). All infants had normal hearing by tone-evoked auditory brain stem response. RESULTS ASSR thresholds, estimated from 50 percent using cumulative percent present distributions, were 36, 30, 24, and 15 dB HL at 500, 1000, 2000, and 4000 Hz, respectively. Most (> or =90%) of the infants showed present ASSRs at 49, 45, 36, and 32 dB HL at 500, 1000, 2000, and 4000 Hz, respectively, with no differences in the results of younger versus older infants. When responses were present for all stimuli for both ears, most infants showed all eight responses within five minutes. Compared to ipsilateral responses, ASSRs in the contralateral EEG (electroencephalogram) channel were smaller and often absent. CONCLUSIONS Based upon these data and the literature, normal AC ASSR "screening" levels would be 50, 45, 40, and 40 dB HL at 500, 1000, 2000, and 4000 Hz, respectively. Using the multiple-stimulus ASSR, infants with normal hearing referred for diagnostic electrophysiological threshold assessment can now be quickly confirmed as having normal thresholds for four frequencies in both ears.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D006320 Hearing Tests Part of an ear examination that measures the ability of sound to reach the brain. Hearing in Noise Test,Quick Speech-in Noise Test (QuickSIN),Real Ear Measurement,Speech in Noise Hearing Test,Ear Measurement, Real,Ear Measurements, Real,Hearing Test,Measurement, Real Ear,Measurements, Real Ear,Quick Speech in Noise Test (QuickSIN),Real Ear Measurements,Test, Hearing,Tests, Hearing
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000161 Acoustic Stimulation Use of sound to elicit a response in the nervous system. Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory
D001309 Auditory Threshold The audibility limit of discriminating sound intensity and pitch. Auditory Thresholds,Threshold, Auditory,Thresholds, Auditory
D016057 Evoked Potentials, Auditory, Brain Stem Electrical waves in the CEREBRAL CORTEX generated by BRAIN STEM structures in response to auditory click stimuli. These are found to be abnormal in many patients with CEREBELLOPONTINE ANGLE lesions, MULTIPLE SCLEROSIS, or other DEMYELINATING DISEASES. Acoustic Evoked Brain Stem Potentials,Auditory Brain Stem Evoked Responses,Brain Stem Auditory Evoked Potentials,Evoked Responses, Auditory, Brain Stem,Acoustic Evoked Brain Stem Potential,Acoustic Evoked Brainstem Potential,Acoustic Evoked Brainstem Potentials,Auditory Brain Stem Evoked Response,Auditory Brain Stem Response,Auditory Brain Stem Responses,Auditory Brainstem Evoked Response,Auditory Brainstem Evoked Responses,Auditory Brainstem Responses,Brain Stem Auditory Evoked Potential,Brainstem Auditory Evoked Potential,Brainstem Auditory Evoked Potentials,Evoked Potential, Auditory, Brainstem,Evoked Potentials, Auditory, Brainstem,Evoked Response, Auditory, Brain Stem,Evoked Response, Auditory, Brainstem,Evoked Responses, Auditory, Brainstem,Auditory Brainstem Response,Brainstem Response, Auditory,Brainstem Responses, Auditory,Response, Auditory Brainstem,Responses, Auditory Brainstem

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