This exploratory study examined the short-term reliability of cortical auditory evoked responses recorded from patients undergoing whole-head scalp elec-troencephalography (EEG) monitoring to assess their candidacy fo...This exploratory study examined the short-term reliability of cortical auditory evoked responses recorded from patients undergoing whole-head scalp elec-troencephalography (EEG) monitoring to assess their candidacy for surgical treatment of intractable focal seizures. Participants were 26 patients with either left-sided (N = 13) or right-sided focal epilepsy admitted to the hospital for continuous scalp EEG monitoring for possible epilepsy surgery planning. Cortical auditory evoked responses were recorded over multiple days from scalp EEG electrodes using tones presented binaurally in a passive oddball paradigm. Test-retest intervals were 1 - 6 days (mean 2 days). Test-retest reproducibility of the auditory N1 response was assessed by paired t-test (latency) and cross-correlation analysis (amplitude and latency). Within-patient comparisons of test-retest auditory N1 peak latencies revealed no significant differences. The cross-correlation coefficient indicated high test-retest reproducibility of the N1 waveform (rcc = 0.88). Seizure lateralization was not associated with asymmetries in N1 latencies or amplitudes. An N1 amplitude asymmetry (right > left) in patients with focal seizures originating from the left hemisphere was initially observed, but disappeared when patients with prior resections were excluded, suggesting that reduced left hemisphere tissue volume may account for the smaller N1 amplitudes. Test-retest reliability of cortical auditory evoked responses was unexpectedly high in patients with focal epilepsy regardless of seizure lateralization or localization. These findings challenge the view that neural responses are intrinsically unstable (unreliable) in patients with seizures.展开更多
BACKGROUND: Auditory steady-state evoked response (ASSR) is one of the new objective electrophysiological methods to test hearing in infants. It can provide a reliable and complete audiogram with specific frequency to...BACKGROUND: Auditory steady-state evoked response (ASSR) is one of the new objective electrophysiological methods to test hearing in infants. It can provide a reliable and complete audiogram with specific frequency to help the hearing diagnosis and rehabilitation of hearing and languaging following auditory screening. OBJECTIVE: To compare the response threshold of ASSR with auditory threshold of visual reinforcement audiometry (VRA) in infants failed in the hearing screening for investigating their hearing loss. DESIGN: A comparative observation. SETTINGS: Maternal and child health care hospitals of Guangdong province, Shunde city, Nanhai city and Huadu district. PARTICIPANTS: Totally 321 infants of 0-3 years undergoing ASSR test were selected from the Hearing Center of Guangdong Maternal and Child Health Care Hospital from January 2002 to December 2004. Informed consents were obtained from their guardians. There were 193 cases (60.2%) of 0-6 months, 31 cases (9.7%) of 7-12 months, 17 cases (5.3%) of 13-18 months, 14 cases (4.4%) of 19-24 months, 33 cases of 25-30 months, and 33 cases (10.2%) of 31-36 months. METHODS: ① The 321 infants failed in the hearing screening were tested under sleeping status, the ranges of response threshold distribution in ASSR of different frequencies were analyzed in each age group. ② The infants above 2 years old were also tested with VRA, and their response thresholds were compared between VRA and ASSR. ③ Evaluative standards: The response threshold was < 30 dB for normal hearing, 31-50 dB for mild hearing loss, 51-70 dB for moderate hearing loss, 71-90 dB for severe hearing loss, and > 91 dB for extremely severe hearing loss. MAIN OUTCOME MEASURES: ① ASSR results of the infants failed in the screening; ② Proportion of cases of each response threshold in each age group; ③ Comparison of ASSR response thresholds and VRA auditory thresholds in the infants of 2-3 years old. RESULTS: ①The response threshold was < 30 dB in 47.4% of the 321 infants failed in the initial hearing screening and secondary screening after 42 days. ② Severe to extremely severe hearing loss was detected in only 16 cases (8.3%) of the 193 infants of 0-6 months, in 9 cases (27.3%) of the 33 infants of 25-30 months, and 13 cases (39.4%) of the 33 infants of 31-36 months. Of the 193 infants of 0-6 months old who failed in the initial screening and the second screening after 42 days, the ASSR auditory threshold was < 30 dB in 97 cases (50.26%), 31-50 dB in 63 cases (32.6%), 51-70 dB in 17 cases (8.8%), 71-90 dB in 7 cases (3.6%), and > 91 dB in 9 cases (4.7%). ③ Among the 321 infants failed in the screening, the auditory threshold in the 6 age groups was < 30 dB in 47.4%, 31-50 dB in 27.1%, 51-70 dB in 8.4%, 71-90 dB in 6.2%, and > 91 dB in 10.9%. ④ The difference between ASSR response threshold and VRA auditory thresholds was 6-18 dB in the normal hearing group, mild and moderate hearing loss groups, and there was high correlation between them. The difference of ASSR and VRA thresholds was less than 5 dB between extremely severe and severe hearing loss groups, 5-13 dB between extremely severe and moderate-to-severe hearing loss groups (P < 0.05), and there was no significant differences between severe and moderate-to-severe hearing loss groups (P > 0.05). CONCLUSION: ① The hearing was normal in about half of the infants, although they failed in the primary screening and secondary screening. ② The proportion of the severity of hearing loss was increased along with aging. ③ Mild and moderate hearing losses are dominant in infants. ④ ASSR is reliable to evaluate the hearing of infants.展开更多
Adult guinea pigs with normal Preyer’s reflexes were used in this experiment and were di-vided into 3 groups according to the intensity of noise and exposure time.Auditory brainstemevoked response was recorded before...Adult guinea pigs with normal Preyer’s reflexes were used in this experiment and were di-vided into 3 groups according to the intensity of noise and exposure time.Auditory brainstemevoked response was recorded before and after exposure to noise.Clicks were presented monaurallyat a rate of high (50Hz) as well as low (10Hz).The superior olive and inferior colliculus were ob-served under an electron microscope after the guinea pigs were exposured to 110dB noise for30min.The average shift of wave Ⅳ amplitude-intensity function curve was more than that ofwave Ⅰ after exposure to intensive noise.The difference value of wave \ latency from low(10Hz) to high (50Hz) stimulus click rate decreased and was negatively correlated with the exposuretime.Ⅰ-Ⅴ,Ⅲ-Ⅴ and Ⅳ-Ⅴ interpeak latencies were shorter after exposure to noise.Themitochondria and neurilemma swelling were found in the superior olive and inferior colliculus afterexposure,Some mechanisms of the changes of auditory center were discussed in this paper.展开更多
In the present study, we investigated the influ.ence of the preceding auditory stimulus on the audi-tory-evoked potential (AEP) of the succeeding stimuli, whenthe human subjects were presented with a pair of auditorys...In the present study, we investigated the influ.ence of the preceding auditory stimulus on the audi-tory-evoked potential (AEP) of the succeeding stimuli, whenthe human subjects were presented with a pair of auditorystimuli. We found that the evoked potential of the succeedingstimulus was inhibited completely by the preceding stimulus,as the inter-stimulus interval (ISI) was shorter than 150 ms.This influence was dependent on the IS1 of two stimuli, theshorter the ISI the stronger the influence would be. The in-hibitory influence of the preceding stimulus might be causedby the neural refractory effect.展开更多
抑郁症已成为危害人类健康的一大公共卫生问题。目前,抑郁症的诊断主要依靠患者自述或填写专业量表,由医生进行判断。此方法存在误诊率高、一致性差等缺陷。由此,寻找一种精准、高效、便捷的抑郁症生物标志物具有极重要的价值和意义。...抑郁症已成为危害人类健康的一大公共卫生问题。目前,抑郁症的诊断主要依靠患者自述或填写专业量表,由医生进行判断。此方法存在误诊率高、一致性差等缺陷。由此,寻找一种精准、高效、便捷的抑郁症生物标志物具有极重要的价值和意义。本研究通过对比抑郁组和对照组大鼠听觉初级皮层处40 Hz听觉稳态响应(ASSR)差异,探究ASSR作为抑郁症诊断靶标的可行性。将24只大鼠随机分为抑郁模型组(n=12)和正常对照组(n=12),模型组通过持续8周的慢性不可预知温和应激刺激(CUMS)进行建模。通过采集并对比两组大鼠在建模前后的糖水偏好、强迫游泳、旷场实验等3种行为学指标,判断建模是否成功。随后进行电生理实验,采集大鼠在40 Hz-click声音刺激下,左右两侧初级听觉皮层处的局部场电位信号(LFPs),并对比试次间相位一致性(ITPC)及诱发功率两种常用指标。结果表明,与正常对照组相比,8周抑郁建模显著降低了模型组糖水偏好率(71.89±6.32 vs 87.65±3.54,P<0.05)和旷场运动距离(2219±532 vs 2930±315,P<0.05),显著提升了模型组游泳静止时间[(31.53±5.31)s vs(96.18±13.16)s,P<0.05],并且两组大鼠之间行为学的后测结果同样存在显著差异(P<0.05),即建立起有效的抑郁模型;电生理结果表明,在click声音下,模型组的两侧初级听觉皮层40 Hz-ASSR的ITPC值均低于0.6,显著低于对照组(ITPC>0.8)(P<0.05),且诱发功率也呈现降低趋势。Click声音诱发的初级听觉皮层处40 Hz-ASSR有希望作为抑郁症的潜在诊断靶标,此发现为辅助诊断和治疗抑郁症提供了一定参考。展开更多
文摘This exploratory study examined the short-term reliability of cortical auditory evoked responses recorded from patients undergoing whole-head scalp elec-troencephalography (EEG) monitoring to assess their candidacy for surgical treatment of intractable focal seizures. Participants were 26 patients with either left-sided (N = 13) or right-sided focal epilepsy admitted to the hospital for continuous scalp EEG monitoring for possible epilepsy surgery planning. Cortical auditory evoked responses were recorded over multiple days from scalp EEG electrodes using tones presented binaurally in a passive oddball paradigm. Test-retest intervals were 1 - 6 days (mean 2 days). Test-retest reproducibility of the auditory N1 response was assessed by paired t-test (latency) and cross-correlation analysis (amplitude and latency). Within-patient comparisons of test-retest auditory N1 peak latencies revealed no significant differences. The cross-correlation coefficient indicated high test-retest reproducibility of the N1 waveform (rcc = 0.88). Seizure lateralization was not associated with asymmetries in N1 latencies or amplitudes. An N1 amplitude asymmetry (right > left) in patients with focal seizures originating from the left hemisphere was initially observed, but disappeared when patients with prior resections were excluded, suggesting that reduced left hemisphere tissue volume may account for the smaller N1 amplitudes. Test-retest reliability of cortical auditory evoked responses was unexpectedly high in patients with focal epilepsy regardless of seizure lateralization or localization. These findings challenge the view that neural responses are intrinsically unstable (unreliable) in patients with seizures.
基金a grant from Medical Scientific Research Foundation of G uangdong Bureau of Hygiene,No.W STJJ2001111044082219581224001
文摘BACKGROUND: Auditory steady-state evoked response (ASSR) is one of the new objective electrophysiological methods to test hearing in infants. It can provide a reliable and complete audiogram with specific frequency to help the hearing diagnosis and rehabilitation of hearing and languaging following auditory screening. OBJECTIVE: To compare the response threshold of ASSR with auditory threshold of visual reinforcement audiometry (VRA) in infants failed in the hearing screening for investigating their hearing loss. DESIGN: A comparative observation. SETTINGS: Maternal and child health care hospitals of Guangdong province, Shunde city, Nanhai city and Huadu district. PARTICIPANTS: Totally 321 infants of 0-3 years undergoing ASSR test were selected from the Hearing Center of Guangdong Maternal and Child Health Care Hospital from January 2002 to December 2004. Informed consents were obtained from their guardians. There were 193 cases (60.2%) of 0-6 months, 31 cases (9.7%) of 7-12 months, 17 cases (5.3%) of 13-18 months, 14 cases (4.4%) of 19-24 months, 33 cases of 25-30 months, and 33 cases (10.2%) of 31-36 months. METHODS: ① The 321 infants failed in the hearing screening were tested under sleeping status, the ranges of response threshold distribution in ASSR of different frequencies were analyzed in each age group. ② The infants above 2 years old were also tested with VRA, and their response thresholds were compared between VRA and ASSR. ③ Evaluative standards: The response threshold was < 30 dB for normal hearing, 31-50 dB for mild hearing loss, 51-70 dB for moderate hearing loss, 71-90 dB for severe hearing loss, and > 91 dB for extremely severe hearing loss. MAIN OUTCOME MEASURES: ① ASSR results of the infants failed in the screening; ② Proportion of cases of each response threshold in each age group; ③ Comparison of ASSR response thresholds and VRA auditory thresholds in the infants of 2-3 years old. RESULTS: ①The response threshold was < 30 dB in 47.4% of the 321 infants failed in the initial hearing screening and secondary screening after 42 days. ② Severe to extremely severe hearing loss was detected in only 16 cases (8.3%) of the 193 infants of 0-6 months, in 9 cases (27.3%) of the 33 infants of 25-30 months, and 13 cases (39.4%) of the 33 infants of 31-36 months. Of the 193 infants of 0-6 months old who failed in the initial screening and the second screening after 42 days, the ASSR auditory threshold was < 30 dB in 97 cases (50.26%), 31-50 dB in 63 cases (32.6%), 51-70 dB in 17 cases (8.8%), 71-90 dB in 7 cases (3.6%), and > 91 dB in 9 cases (4.7%). ③ Among the 321 infants failed in the screening, the auditory threshold in the 6 age groups was < 30 dB in 47.4%, 31-50 dB in 27.1%, 51-70 dB in 8.4%, 71-90 dB in 6.2%, and > 91 dB in 10.9%. ④ The difference between ASSR response threshold and VRA auditory thresholds was 6-18 dB in the normal hearing group, mild and moderate hearing loss groups, and there was high correlation between them. The difference of ASSR and VRA thresholds was less than 5 dB between extremely severe and severe hearing loss groups, 5-13 dB between extremely severe and moderate-to-severe hearing loss groups (P < 0.05), and there was no significant differences between severe and moderate-to-severe hearing loss groups (P > 0.05). CONCLUSION: ① The hearing was normal in about half of the infants, although they failed in the primary screening and secondary screening. ② The proportion of the severity of hearing loss was increased along with aging. ③ Mild and moderate hearing losses are dominant in infants. ④ ASSR is reliable to evaluate the hearing of infants.
文摘Adult guinea pigs with normal Preyer’s reflexes were used in this experiment and were di-vided into 3 groups according to the intensity of noise and exposure time.Auditory brainstemevoked response was recorded before and after exposure to noise.Clicks were presented monaurallyat a rate of high (50Hz) as well as low (10Hz).The superior olive and inferior colliculus were ob-served under an electron microscope after the guinea pigs were exposured to 110dB noise for30min.The average shift of wave Ⅳ amplitude-intensity function curve was more than that ofwave Ⅰ after exposure to intensive noise.The difference value of wave \ latency from low(10Hz) to high (50Hz) stimulus click rate decreased and was negatively correlated with the exposuretime.Ⅰ-Ⅴ,Ⅲ-Ⅴ and Ⅳ-Ⅴ interpeak latencies were shorter after exposure to noise.Themitochondria and neurilemma swelling were found in the superior olive and inferior colliculus afterexposure,Some mechanisms of the changes of auditory center were discussed in this paper.
文摘In the present study, we investigated the influ.ence of the preceding auditory stimulus on the audi-tory-evoked potential (AEP) of the succeeding stimuli, whenthe human subjects were presented with a pair of auditorystimuli. We found that the evoked potential of the succeedingstimulus was inhibited completely by the preceding stimulus,as the inter-stimulus interval (ISI) was shorter than 150 ms.This influence was dependent on the IS1 of two stimuli, theshorter the ISI the stronger the influence would be. The in-hibitory influence of the preceding stimulus might be causedby the neural refractory effect.
文摘抑郁症已成为危害人类健康的一大公共卫生问题。目前,抑郁症的诊断主要依靠患者自述或填写专业量表,由医生进行判断。此方法存在误诊率高、一致性差等缺陷。由此,寻找一种精准、高效、便捷的抑郁症生物标志物具有极重要的价值和意义。本研究通过对比抑郁组和对照组大鼠听觉初级皮层处40 Hz听觉稳态响应(ASSR)差异,探究ASSR作为抑郁症诊断靶标的可行性。将24只大鼠随机分为抑郁模型组(n=12)和正常对照组(n=12),模型组通过持续8周的慢性不可预知温和应激刺激(CUMS)进行建模。通过采集并对比两组大鼠在建模前后的糖水偏好、强迫游泳、旷场实验等3种行为学指标,判断建模是否成功。随后进行电生理实验,采集大鼠在40 Hz-click声音刺激下,左右两侧初级听觉皮层处的局部场电位信号(LFPs),并对比试次间相位一致性(ITPC)及诱发功率两种常用指标。结果表明,与正常对照组相比,8周抑郁建模显著降低了模型组糖水偏好率(71.89±6.32 vs 87.65±3.54,P<0.05)和旷场运动距离(2219±532 vs 2930±315,P<0.05),显著提升了模型组游泳静止时间[(31.53±5.31)s vs(96.18±13.16)s,P<0.05],并且两组大鼠之间行为学的后测结果同样存在显著差异(P<0.05),即建立起有效的抑郁模型;电生理结果表明,在click声音下,模型组的两侧初级听觉皮层40 Hz-ASSR的ITPC值均低于0.6,显著低于对照组(ITPC>0.8)(P<0.05),且诱发功率也呈现降低趋势。Click声音诱发的初级听觉皮层处40 Hz-ASSR有希望作为抑郁症的潜在诊断靶标,此发现为辅助诊断和治疗抑郁症提供了一定参考。
