Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Indian Journal of Otolaryngology and Head & Neck Surgery
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 3/2013

01-07-2013 | Original Article

The Auditory Brainstem Responses in Patients with Unilateral Cochlear Hearing Loss

Authors: M. Sinan Yilmaz, Mehmet Guven, Suleyman Cesur, Haldun Oguz

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 3/2013

Login to get access

Abstract

The aim of our study is to analyze changes occurring in the auditory brainstem response (ABR) according to stimulus parameters in unilateral cochlear hearing loss cases. Twenty-nine cases (14 male, 15 female) with unilateral sensorineural hearing loss (SNHL) were investigated. All cases had cochlear SNHL on one side whereas normal hearing on the other side. All cases underwent ABR testing with varying stimulus intensity levels and stimulus repetition rates (SRRs). Results were compared and their correlation with audiogram shapes investigated. As stimulus intensity levels decreased on both ears, latencies expanded and amplitudes decreased in all traces of ABR. Latencies of ears with cochlear hearing loss were observed to be longer than those in normal ears. Responses to SRR increases were similar on both ears. Audiogram shapes should be taken into consideration while performing ABR in order to address asymmetric SNHL. The interpretation of ABR changes with various stimulus levels may provide a better understanding of cochlear pathologies associated with hearing loss in the future.
Literature
1.
Cox C, Hack M, Metz D (1981) Brainstem evoked response audiometry; normative data from the preterm infant. Audiology 20:53–64PubMedCrossRef
2.
Jiang ZD, Wu YY, Wilkinson AR (2009) Age related changes in BAER at different click rates from neonates to adults. Acta Pediatr 98:1284–1287CrossRef
3.
Hultcrantz M, Simonoska R, Stenberg AE (2006) Estrogen and hearing: a summary of recent investigations. Acta Otolaryngol 126:10–14PubMedCrossRef
4.
Keith WJ, Greville KA (1987) Effects of audiometric configuration on the auditory brainstem response. Ear Hear 8:49–55PubMedCrossRef
5.
Watson DR (1996) The effects of cochlear hearing loss, age and sex on the auditory brainstem response. Audiology 35:246–258PubMedCrossRef
6.
Prosser S, Arslan E, Conti G, Michelini S (1983) Evaluation of the monaurally evoked brainstem response in the diagnosis of sensorineural hearing loss. Scand Audiol 12:103–106PubMedCrossRef
7.
Picton TW, Stapells DR, Campbell KB (1983) Effect of stimulus repetition rate on the auditory brainstem responses. Am J Otol 4:226–234
8.
Thornton ARD (1987) Stimulus, recording and subject factor influencing ABR diagnostic criteria. Br J Audiol 21:183–189PubMedCrossRef
9.
Hwang JH, Chao JC, Ho HC, Hsiao SH (2008) Effects of sex, age and hearing asymmetry on the interaural differences of auditory brainstem responses. Audiol Neurotol 13:29–33CrossRef
10.
Pittman AL, Stelmachowicz PG (2003) Hearing loss in children and adults: audiometric configuration, asymmetry, and progression. Ear Hear 24:198–205PubMedCrossRef
11.
Giroux AP, Pratt LW (1983) Brainstem evoked response audiometry. Ann Otol Rhinol Laryngol 92:183–186PubMed
12.
vd Drift JF, Brocaar MP, von Zanten GA, Lamore PJ (1988) Inaccuracies in the measurement of auditory brainstem response data in normal hearing and cochlear hearing loss. Audiology 27:109–118
13.
14.
Rodrigues GRI, Lewis DR (2010) Threshold prediction in children with sensorineural hearing loss using the auditory steady-state responses and tone-evoked auditory brain stem response. Int J Pediatr Otorhinolaryngol 74:540–546PubMedCrossRef
15.
Chiappa KH, Gladstone KJ, Young RR (1979) Brainstem auditory evoked responses; studies of waveform variations in 50 normal human subject. Arch Neurol 36:81–87PubMedCrossRef
16.
Hecox K, Cone B, Blaw ME (1982) Brainstem auditory evoked response in diagnosis of pediatric neurologic disease. Neurology 31:832–840CrossRef
17.
Hyde ML (1985) The effect of cochlear lesions on the ABR. In: Jacobson JT (ed) The auditory brainstem response, 3rd edn. College Hill Press, Boston
18.
Swan IRC (1989) Diagnostic vetting of individuals with asymmetric sensorineural hearing impairment. J Laryngol Otol 103:823–826PubMedCrossRef
19.
Hendrix RA et al (1990) The use of diagnostic testing in asymmetric sensorineural hearing loss. Otolaryngol Head Neck Surg 103:593–598PubMed
20.
Cueva RA (2004) Auditory brainstem response versus magnetic resonance imaging for the evaluation of asymmetric sensorineural hearing loss. Laryngoscope 114:1686–1692PubMedCrossRef
21.
Lin YH, Ho HC, Wu HP (2009) Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss. Auris Nasus Larynx 36:140–145PubMedCrossRef
22.
Marttila TI, Karikoski JO (2006) Comparison between audiometric and ABR thresholds in children. Contradictory findings. Eur Arch Otorhinolaryngol 263:399–403PubMedCrossRef
23.
Gorga MP, Johnson TA, Kaminski JR et al (2006) Using a combination of click and tone burst evoked auditory brainstem response measurements to estimate pure-tone thresholds. Ear Hear 27:60–74PubMedCrossRef
24.
Rowe MJ (1981) The brainstem auditory evoked responses in neurological disease: a review. Ear Hear 2:41–51PubMedCrossRef
25.
Yagi T, Kaga K (1979) The effect of click repetition rate on latency on the auditory brainstem responses and the clinical use for neurological diagnosis. Arch Otolaryngol 222:91–97
Metadata
Title
The Auditory Brainstem Responses in Patients with Unilateral Cochlear Hearing Loss
Authors
M. Sinan Yilmaz
Mehmet Guven
Suleyman Cesur
Haldun Oguz
Publication date
01-07-2013
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 3/2013
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-011-0402-8

Other articles of this Issue 3/2013

Indian Journal of Otolaryngology and Head & Neck Surgery 3/2013 Go to the issue

Original Article

Preauricular Sinus: A Novel Approach

Original Article

Ophthalmological Manifestations of ENT Diseases: An Overview

Original Article

Modified Stennert’s Protocol in Treating Acute Peripheral Facial Nerve Paralysis: Our Experience

Original Article

Effect of Intravenous Administration of Steroids in the Management of Sudden Sensori-Neural Hearing Loss: Our Experience

Original Article

Tuberculosis of Oral Cavity: A Series of One Primary and Three Secondary Cases

Original Article

The Role of Current Audiological Tests in the Early Diagnosis of Hearing Impairment in Infant