Influence of click polarity on the brain-stem auditory evoked response (BAER) revisited.

Brain-stem auditory evoked responses (BAERs) were recorded both to rarefaction and condensation click stimuli in 92 normal hearers and 78 patients with varying degrees of cochlear hearing loss (N = 340 ears). Frequency distributions of rarefaction minus condensation (R - C) latency and amplitude differences revealed clinically significant polarity effects in a substantial percentage of the patients studied. Bivariate plots of R - C latency and amplitude differences versus average high frequency hearing loss (PTA 3) demonstrated that the magnitude of the R - C latency and amplitude differences also seemed to be influenced by degree of high frequency hearing loss. Results are discussed relative to the phase-locking properties of the afferent auditory nerve fibers and the possible electrodiagnostic consequences of recording the BAER either to alternating or condensation clicks.