The relationship between cortical auditory evoked potentials (CAEPs) and speech perception in children with Nurotron ® cochlear implants during four years of follow-up

2016 ◽  
Vol 85 ◽  
pp. 170-177 ◽  
Author(s):  
Qianqian Guo ◽  
Yuling Li ◽  
Xinxing Fu ◽  
Hui Liu ◽  
Jing Chen ◽  
...  
2015 ◽  
Vol 24 (2) ◽  
pp. 113-116
Author(s):  
Susan A. Small

Purpose The purpose of this article is to discuss how cortical auditory evoked potentials might be used to assess speech perception capacity in infants, including acoustic change complex data collected in our laboratory. This article is a summary of a paper presented at the HEaring Across the Lifespan (HEAL) Conference held June 5–7, 2014, in Cernobbio, Italy. Method Highlights from data collected in infants and the main issues needing investigation for clinical application are presented. Conclusions Preliminary studies show promising results for the acoustic change complex and confirm that further inquiry into its clinical application is warranted. The presence of an onset response can be used clinically to confirm that auditory information has reached the cortex; however, the absence of a response cannot be interpreted with confidence.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A A Shalaby ◽  
W A Elkholy ◽  
D M Hassan ◽  
A M Mohamed

Abstract Background Cochlear implants (CI) can partially or totally revert the effects of sensory deprivation; thus enabling the development of auditory abilities. However, there remains a large amount of variability in speech perception outcome among CI users. Such variability may be attributed to the children’s diverse capabilities in detecting amplitude, temporal and spectral changes in the incoming complex speech signals in quiet and in difficult listening situations. Objective To study whether the newly introduced Acoustic Change Complex (ACC) cortical potential using short duration can be used to document such variability. If used as a tool for cortical discrimination, it will aid in evaluating young children who cannot be tested using behavioral measures. Patients and Methods Cortical auditory evoked potentials were recorded in forty five unilaterally-implanted children ranging in age from 6 to 12 years. Stimuli used to elicit ACC were short duration (500 msec.) speech and tonal stimuli. Spectral change was done using /i/ to /u/ vowels, while temporal change was done using variable gaps-in-1000 Hz tone, ranging from 5 msec. to 200 msec. Auditory evoked responses were compared to behavioral tests which included speech perception test (PBKG) and psychophysical test for temporal resolution. Results ACC potentials were successfully recorded in most of the children evaluated. Generally, ACC were significantly highly detected in temporal changes than spectral change. Individual data showed that poor behavioral performance was associated with higher ACC detection thresholds to gap in tone and poorer % detection to vowel change. Conclusion: ACC potential using short duration stimuli can be recorded in young implanted children in an ordinary clinical setting. However, more research is needed to document the complex behavioral-objective relationship and its ultimate link to speech perception and language development in young CI recipients.


CoDAS ◽  
2013 ◽  
Vol 25 (6) ◽  
pp. 595-600 ◽  
Author(s):  
Liliane Aparecida Fagundes Silva ◽  
Maria Inês Vieira Couto ◽  
Carla Gentile Matas ◽  
Ana Claudia Martinho de Carvalho

The aim of this study was to analyze the findings on Cortical Auditory Evoked Potentials in children with cochlear implant through a systematic literature review. After formulation of research question and search of studies in four data bases with the following descriptors: electrophysiology (eletrofisiologia), cochlear implantation (implante coclear), child (criança), neuronal plasticity (plasticidade neuronal) and audiology (audiologia), were selected articles (original and complete) published between 2002 and 2013 in Brazilian Portuguese or English. A total of 208 studies were found; however, only 13 contemplated the established criteria and were further analyzed; was made data extraction for analysis of methodology and content of the studies. The results described suggest rapid changes in P1 component of Cortical Auditory Evoked Potentials in children with cochlear implants. Although there are few studies on the theme, cochlear implant has been shown to produce effective changes in central auditory path ways especially in children implanted before 3 years and 6 months of age.


2007 ◽  
Vol 18 (02) ◽  
pp. 117-125 ◽  
Author(s):  
Maryanne Golding ◽  
Wendy Pearce ◽  
John Seymour ◽  
Alison Cooper ◽  
Teresa Ching ◽  
...  

Finding ways to evaluate the success of hearing aid fittings in young infants has increased in importance with the implementation of hearing screening programs. Cortical auditory evoked potentials (CAEP) can be recorded in infants and provides evidence for speech detection at the cortical level. The validity of this technique as a tool of hearing aid evaluation needs, however, to be demonstrated. The present study examined the relationship between the presence/absence of CAEPs to speech stimuli and the outcomes of a parental questionnaire in young infants who were fitted with hearing aids. The presence/absence of responses was determined by an experienced examiner as well as by a statistical measure, Hotelling's T2. A statistically significant correlation between CAEPs and questionnaire scores was found using the examiner's grading (rs = 0.45) and using the statistical grading (rs = 0.41), and there was reasonably good agreement between traditional response detection methods and the statistical analysis. La búsqueda de formas de evaluar el éxito de una adaptación de auxiliares auditivos en niños pequeños ha aumentado en importancia con la implementación de los programas de tamizaje auditivo. Se pueden registrar potenciales evocados auditivos corticales (CAEP) en infantes y aportar evidencia sobre la detección del lenguaje a nivel cortical. La validez de esta técnica como una herramienta para la evaluación de las necesidades de adaptación de auxiliares auditivos necesita, sin embargo, ser demostrada. El presente estudio examinó la relación entre la presencia/ausencia de CAEP ante estímulos de lenguaje y el resultado de un cuestionario a los padres de infantes a los que se adaptaron auxiliares auditivos. La presencia/ausencia de respuestas fue determinada por un examinador con experiencia, así como por un procedimiento de medición estadística: la T2 de Hotelling. Se encontró una correlación estadísticamente significativa entre los CAEP y los puntajes del cuestionario, utilizando la gradación del examinador (rs = 0.45) y utilizando la gradación estadística (rs = 0.41), y existió un acuerdo razonablemente bueno entre los métodos tradicionales de detección de respuesta y el análisis estadístico.


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