Brain stem auditory evoked potentials: applications in clinical audiology. 1982

D Noffsinger, and C G Fowler

The brain stem auditory evoked potentials (BAEP) or, more appropriately, the auditory brain stem response (ABR) is a series of 5-7, vertex-positive, time-locked electric events. They are usually aroused by a brief, rapid onset, high intensity acoustic click or tonal pip. The vertex positive nature of the events is dictated by the placement of surface electrodes, usually featuring an active electrode on the vertex, a referent electrode on the mastoid or earlobe ipsilateral to the signal source, and a ground electrode on the forehead or other neutral tissue. The size of the ABR is sufficiently small, often fractions of a microvolt, to require the use of many signal presentations (1000-2000 stimuli) and digital averaging of the resulting electrical activity for the stimulus time-locked potentials to be elicited from other physiologic "noise." Since the auditory brain stem potentials are known to be elicitable near a subject's behavioral threshold for the stimulus used, and since the various potentials are thought to originate from different points in the brain stem, they have proved useful in hearing evaluations of human beings for two purposes: a) they are useful as a means of measuring hearing sensitivity from patients who cannot or will not give accurate voluntary responses; and b) they are useful as a diagnostic tool for determining the probable cause of an auditory disorder.

UI MeSH Term Description Entries
D001933 Brain Stem The part of the brain that connects the CEREBRAL HEMISPHERES with the SPINAL CORD. It consists of the MESENCEPHALON; PONS; and MEDULLA OBLONGATA. Brainstem,Truncus Cerebri,Brain Stems,Brainstems,Cerebri, Truncus,Cerebrus, Truncus,Truncus Cerebrus
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
D005072 Evoked Potentials, Auditory The electric response evoked in the CEREBRAL CORTEX by ACOUSTIC STIMULATION or stimulation of the AUDITORY PATHWAYS. Auditory Evoked Potentials,Auditory Evoked Response,Auditory Evoked Potential,Auditory Evoked Responses,Evoked Potential, Auditory,Evoked Response, Auditory,Evoked Responses, Auditory,Potentials, Auditory Evoked
D006311 Hearing Disorders Conditions that impair the transmission of auditory impulses and information from the level of the ear to the temporal cortices, including the sensorineural pathways. Distorted Hearing,Dysacusis,Paracousis,Paracusis,Hearing Disorder,Hearing, Distorted
D006314 Hearing Loss, Conductive Hearing loss due to interference with the mechanical reception or amplification of sound to the COCHLEA. The interference is in the outer or middle ear involving the EAR CANAL; TYMPANIC MEMBRANE; or EAR OSSICLES. Conductive Hearing Loss
D006319 Hearing Loss, Sensorineural Hearing loss resulting from damage to the COCHLEA and the sensorineural elements which lie internally beyond the oval and round windows. These elements include the AUDITORY NERVE and its connections in the BRAINSTEM. Deafness Neurosensory,Deafness, Neurosensory,Deafness, Sensoryneural,Neurosensory Deafness,Sensorineural Hearing Loss,Sensoryneural Deafness,Cochlear Hearing Loss,Hearing Loss, Cochlear,Deafnesses, Neurosensory,Deafnesses, Sensoryneural,Neurosensory Deafnesses,Sensoryneural Deafness,Sensoryneural Deafnesses
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

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