Abstract

It is still a difficult clinical issue to decide whether a patient is a suitable candidate for a cochlear implant and to plan postoperative rehabilitation, especially for some special cases, such as auditory neuropathy. A partial solution to these problems is to preoperatively evaluate the functional integrity of the auditory neural pathways. For evaluating the strength of phase-locking of auditory neurons, which was not reflected in previous methods using electrically evoked auditory brainstem response (EABR), a new method for recording phase-locking related auditory responses to electrical stimulation, called the electrically evoked frequency-following response (EFFR), was developed and evaluated using guinea pigs. The main objective was to assess feasibility of the method by testing whether the recorded signals reflected auditory neural responses or artifacts. The results showed the following: 1) the recorded signals were evoked by neuron responses rather than by artifact; 2) responses evoked by periodic signals were significantly higher than those evoked by the white noise; 3) the latency of the responses fell in the expected range; 4) the responses decreased significantly after death of the guinea pigs; and 5) the responses decreased significantly when the animal was replaced by an electrical resistance. All of these results suggest the method was valid. Recording obtained using complex tones with a missing fundamental component and using pure tones with various frequencies were consistent with those obtained using acoustic stimulation in previous studies.

Highlights

  • Three main types of method for evaluating auditory functions, have been widely used in research and in the clinic: audiological testing, cochlear imaging, and measurement of auditory evoked potentials (AEPs) [1]

  • The sources of the five wave components are generally interpreted as follows: wave I comes from the cochlear action potential (CAP) and the distal portion of the eighth nerve; wave II represents the responses of proximal portion of the eighth nerve; wave III comes from the cochlear nuclei; and waves IV and V come from the superior olive, lateral lemniscus and inferior colliculus [4]

  • The waveform transferred to frequency domain via Fast Fourier transform (FFT) and the amplitude of the target frequency (797 Hz) component was defined as the output amplitude

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Summary

Introduction

Three main types of method for evaluating auditory functions, have been widely used in research and in the clinic: audiological testing, cochlear imaging, and measurement of auditory evoked potentials (AEPs) [1]. There are a number of clearly defined clinical uses of AEP, such as electrocochleography (ECoChG) and auditory brainstem response (ABR). The ABR is currently the most popular AEP for hearing screening in clinical situations [1]. The ABR is a series of vertex-positive waves that occur within 15 ms of the onset of a click stimulus in human adults [3]. The ABR has been clinically used to diagnose retro-cochlear lesions such as acoustic neuroma [9], and it is one of the most important methods used for universal newborn hearing screening [10]

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