Sakai M
Department of Otolaryngology, Yamagata University, School of Medicine.
Nihon Jibiinkoka Gakkai Kaiho. 1991 Mar;94(3):357-65. doi: 10.3950/jibiinkoka.94.357.
In order to apply the phase spectral analysis of auditory brainstem response (ABR) to the clinical diagnostic test, the following studies in cats were performed. At first, the phase spectra of normal ABRs were investigated under adequate stimulus intensities. In addition the component synchrony measures (CSM) of ABRs were calculated at each stimulus level. Moreover the waveforms and phase spectra of ABRs were investigated before and after the destructions of cochlear nerve and brainstem auditory pathways in cats. The results were as follows; (1) In normal ABRs, the phase spectra were mainly composed of three frequency components at 0-300Hz (component A), 300-900Hz (component B) and 900-1500Hz (component C). The CSMs of component A represented the degree of synchrony for a slow component of the ABR and the CSMs of components B and C represented the degree of synchrony for a fast component. (2) A decrease in stimulus intensity resulted in a decrease in each average of the CSMs of the three components. (3) A greater decrease of the CSM occurred if ipsilateral destruction was performed in a peripheral lesion. Lesions of the auditory pathway were followed by a decrease of the CSM of component C to contralateral stimulation. These results suggest that the phase spectral analysis of ABRs has significant clinical value in the detection of brainstem lesions.
为了将听觉脑干反应(ABR)的相位谱分析应用于临床诊断测试,我们对猫进行了以下研究。首先,在适当的刺激强度下研究了正常ABR的相位谱。此外,还在每个刺激水平计算了ABR的成分同步性测量值(CSM)。此外,还研究了猫的耳蜗神经和脑干听觉通路破坏前后ABR的波形和相位谱。结果如下:(1)在正常ABR中,相位谱主要由0-300Hz(成分A)、300-900Hz(成分B)和900-1500Hz(成分C)的三个频率成分组成。成分A的CSM代表ABR慢成分的同步程度,成分B和C的CSM代表快成分的同步程度。(2)刺激强度降低导致三个成分的CSM平均值均降低。(3)如果在周围病变中进行同侧破坏,CSM的下降幅度会更大。听觉通路损伤后,对侧刺激时成分C的CSM下降。这些结果表明,ABR的相位谱分析在脑干病变的检测中具有重要的临床价值。