Fellman Vineta, Huotilainen Minna
Department of Pediatrics, Clinical Sciences, Lund University, SE-221 85 Lund, Sweden.
Semin Fetal Neonatal Med. 2006 Dec;11(6):452-8. doi: 10.1016/j.siny.2006.07.004. Epub 2006 Sep 8.
The possibility of recording changes in electroencephalography potentials following perception of sound was reported several decades ago. The recent expanding research on auditory cortical event-related potentials (AERPs) for assessing sound discrimination abilities in children and infants has indicated that several methodological issues need to be addressed before it can be implemented in clinical practice. Latencies, polarities, and amplitudes of the responses change with gestational age and during infancy. Thus, the maturation of the infant must be considered when designing stimulus paradigms and interpreting the responses. Of healthy newborn infants, only about 80% will show mismatch negativity, the automatic change detection of the auditory stimuli. Currently, the AERP method cannot be applied in clinical practice in the neonatal period, although the findings in healthy newborns at risk for dyslexia are promising. Further research will elucidate the possibility of developing AERPs as a possible early screening method during infancy for later dyslexia or cognitive dysfunction.
几十年前就有报道称,记录声音感知后脑电图电位变化是有可能的。最近,关于听觉皮层事件相关电位(AERP)用于评估儿童和婴儿声音辨别能力的研究不断扩展,这表明在将其应用于临床实践之前,有几个方法学问题需要解决。反应的潜伏期、极性和振幅会随着胎龄和婴儿期的发展而变化。因此,在设计刺激范式和解释反应时,必须考虑婴儿的成熟度。在健康的新生儿中,只有约80%会表现出失配负波,即对听觉刺激的自动变化检测。目前,AERP方法在新生儿期尚不能应用于临床实践,尽管有阅读障碍风险的健康新生儿的研究结果很有前景。进一步的研究将阐明开发AERP作为婴儿期后期阅读障碍或认知功能障碍早期筛查方法的可能性。