Improved contingent negative variation audiometry. 1980

T S Prevec, and K Ribarić

In earlier reports we described contingent negative variation audiometry (CNV-A) and explored the accuracy of the method used in clinical conditions. Amplitude was found to be the factor which determines the accuracy of CNV-A. With this study we aimed to increase the amplitude of the CNV so as to improve the accuracy of CNV-A. The amplitude of the CNV is dependent on the content of the information of the S2 stimulus in the CNV paradigm. For this purpose we used a light stimulus (red or green) for the S2. The patient had to recognize the stimulus and act accordingly. The tests were performed on 12 volunteers in whom we simultaneously registered the CNV and the slow vertex response. The amplitude of the CNV was on average higher than with the previous CNV-A methods. The mean value of the absolute difference of the results between CNV-A and subjective tonal audiometry (ADG) was 6.9 +/- 5.5 dB. The mean difference between the results of both methods, however, was only 4.3 +/- 7.8 dB. The new CNV-A method is more accurate than the previous one. Nevertheless, we believe that not all possibilities for the improvement of the method have been explored. By taking into account the psychological factors which influence the amplitude of the CNV, and with a better computer analysis of the recordings, it will probably be possible to obtain even more accurate objective data on the threshold of perception of auditory stimuli with the aid of CNV-A.

UI MeSH Term Description Entries
D008297 Male Males
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001299 Audiometry The testing of the acuity of the sense of hearing to determine the thresholds of the lowest intensity levels at which an individual can hear a set of tones. The frequencies between 125 and 8000 Hz are used to test air conduction thresholds and the frequencies between 250 and 4000 Hz are used to test bone conduction thresholds. Audiometries
D001300 Audiometry, Evoked Response A form of electrophysiologic audiometry in which an analog computer is included in the circuit to average out ongoing or spontaneous brain wave activity. A characteristic pattern of response to a sound stimulus may then become evident. Evoked response audiometry is known also as electric response audiometry. Audiometry, Electroencephalic Response,Electrocochleography,Evoked Response Audiometry,Audiometries, Electroencephalic Response,Audiometries, Evoked Response,Electrocochleographies,Electroencephalic Response Audiometries,Electroencephalic Response Audiometry,Evoked Response Audiometries,Response Audiometries, Electroencephalic,Response Audiometries, Evoked,Response Audiometry, Electroencephalic,Response Audiometry, Evoked
D001309 Auditory Threshold The audibility limit of discriminating sound intensity and pitch. Auditory Thresholds,Threshold, Auditory,Thresholds, Auditory

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