Electrically Evoked Auditory Event-Related Responses in Patients with Auditory Brainstem Implants: Morphological Characteristics, Test-Retest Reliability, Effects of Stimulation Level, and Association with Auditory Detection.
Shuman He, Tyler C McFayden, Holly F B Teagle and 3 others
PMID 27579988WHAT IT FOUND
Auditory brainstem implant users showed repeatable cortical responses across tested sessions, but response shape did not reliably identify electrodes causing non-auditory sensations.
The response threshold tracked behavioral detection level, though it was higher.
Key findings
01Onset cortical responses recorded for the same conditions were repeatable across sessions, with reliability coefficients ranging from 0.5 to 0.96 and a mean of 0.81.
02Response shape did not provide conclusive evidence for separating electrodes associated with non-auditory sensation from electrodes associated with auditory sensation.
03Objective T levels correlated with behavioral T levels, but objective T levels were significantly higher.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only five children and two adults were studied, so the findings are descriptive and cannot show that cortical responses work for all auditory brainstem implant users. Children with limited language could not reliably report non-auditory sensations, so some electrodes may have caused sensations that were not detected. Stimulation levels used for cortical responses were based on each subject's behavioral levels, which may have favored finding a relationship between objective and behavioral thresholds. Only a few stimulation levels were tested in many subjects, so the effect of level on response shape was not fully characterized. Subjects varied in age and cause of hearing loss, so the study cannot answer whether responses change with development.
The easy way to misread this
Do not conclude that cortical response shape can identify electrodes causing non-auditory sensations. The study did not provide conclusive evidence, and children with limited language could not reliably report sensation.