Year : 2016 | Volume
: 3 | Issue : 2 | Page : 25--34
Templates for speech-evoked auditory brainstem response performance in cochlear implantees
Mona I Mourad1, Mohamed Eid2, Hicham G Elmongui3, Mohamed M Talaat1, Mirhan K Eldeeb1
1 Unit of Audiovestibular Medicine, Faculty of Medicine, Department of Otorhinolaryngology, Alexandria University, Alexandria, Egypt
2 Department of Diagnostic Imaging, Faculty of Medicine, Alexandria University, Alexandria, Egypt
3 Department of Computer and Systems Engineering, Faculty of Engineering, Alexandria University, Alexandria, Egypt
Speech-evoked auditory brainstem response (ABR) has been used to assess the fidelity of encoding speech stimuli at the subcortical level in normal individuals in noise and in special populations such as learning-impaired children and musicians. The neural code generated by cochlear implants (CIs) in the auditory brainstem pathway and its similarity to stimulus may account for variable speech development in cochlear implantees.
The aim of this study was to describe speech ABR recorded in CI individuals and establish measurement parameters for the neural response and its reproducibility.
Participants and methods
Children between 5 and 10 years of age implanted in the right ear with fully inserted 12-electrode CIs were selected. All participants had normal morphology of the cochlea and auditory nerve in preoperative computed tomographic scan and MRI. Speech syllable 40 ms /da/ was used to elicit speech ABR. Response traces for intensity input/output functions were harvested. Grand averages were constructed for peak picking. Individual patient responses were analyzed for reproducibility, latency of wave V, root mean square amplitude of the response, and correlation to the stimulus.
Grand averages showed wave V, followed by the frequency following response. Wave V is a vertex-positive peak, equivalent to that elicited by a click, which reflects the stimulation by the transient /d/. The mean latency of wave V was 2.59±0.7 ms at 70 dBHL. The frequency following response showed multiple sequenced troughs corresponding to the sustained vowel /a/. Individual responses collected for similar stimulus parameters showed high reproducibility, being 99.65% at 60 dBHL and 52.8% at 30 dBHL. Participants showed variable latency and root mean square amplitude-intensity input–output functions slopes. The mean stimulus-to-response correlation was 18.1±3.1%.
Speech ABR in CI participants shows similar morphology to that recorded in norms. CIs thus transcribe the speech signal with high fidelity to the brainstem pathways.
Mirhan K Eldeeb
Unit of Audiovestibular Medicine, Faculty of Medicine, Department of Otorhinolaryngology, Faculty of Medicine, Al Sultan Hussein Street, Al Khartoom Square, Al Azareeta, Alexandria, 21111
|How to cite this article:|
Mourad MI, Eid M, Elmongui HG, Talaat MM, Eldeeb MK. Templates for speech-evoked auditory brainstem response performance in cochlear implantees.Adv Arab Acad Audio-Vestibul J 2016;3:25-34
|How to cite this URL:|
Mourad MI, Eid M, Elmongui HG, Talaat MM, Eldeeb MK. Templates for speech-evoked auditory brainstem response performance in cochlear implantees. Adv Arab Acad Audio-Vestibul J [serial online] 2016 [cited 2017 Oct 21 ];3:25-34
Available from: http://www.aaj.eg.net/article.asp?issn=2314-8667;year=2016;volume=3;issue=2;spage=25;epage=34;aulast=Mourad;type=0