Arao H, Niwa H
Department of Otolaryngology, Nagoya University School of Medicine.
Nihon Jibiinkoka Gakkai Kaiho. 1991 Nov;94(11):1673-82. doi: 10.3950/jibiinkoka.94.11_1673.
Auditory brain-stem responses (ABR) to click stimuli were recorded from 81 children and 20 young adults of Down's syndrome with normal hearing. Comparisons were made to groups of normal control subjects matched by age and sex. I-V interpeak interval in infants younger than 18 months was significantly shorter, while that in children over 18 months and young adults with Down's syndrome was not shortened, compared with that of each control group. Previous studies have emphasised that, regardless of age, the I-V interpeak interval in Down's syndrome is significantly shorter than in the control group. However our study suggests that cases of Down's syndrome with normal hearing have normal central conduction times after CNS maturation. And the shortened central conduction times in infants of Down's syndrome were not lesser than that of normal adults. Our results suggest that the shortened central conduction time in Down-syndrome infants is associated with earlier neurological maturation in Down's syndrome.
对81名听力正常的唐氏综合征儿童和20名听力正常的唐氏综合征青年成人进行了对短声刺激的听觉脑干反应(ABR)记录。并与按年龄和性别匹配的正常对照组进行了比较。与各对照组相比,18个月以下婴儿的I-V峰间期明显缩短,而18个月以上儿童和唐氏综合征青年成人的I-V峰间期并未缩短。以往的研究强调,无论年龄大小,唐氏综合征患者的I-V峰间期均明显短于对照组。然而,我们的研究表明,听力正常的唐氏综合征患者在中枢神经系统成熟后,其中心传导时间正常。唐氏综合征婴儿缩短的中心传导时间并不比正常成年人短。我们的结果表明,唐氏综合征婴儿中心传导时间缩短与唐氏综合征患者较早的神经成熟有关。