School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Queensland 4072, Australia.
J Acoust Soc Am. 2010 Jul;128(1):235-46. doi: 10.1121/1.3436527.
The chirp-evoked ABR has been regarded as a more synchronous response than the click-evoked ABR, referring to the belief that the chirp stimulates lower-, mid-, and higher-frequency regions of the cochlea simultaneously. In this study a variety of tools were used to analyze the synchronicity of ABRs evoked by chirp- and click-stimuli at 40 dB HL in 32 normal hearing subjects aged 18 to 55 years (mean=24.8 years, SD=7.1 years). Compared to the click-evoked ABRs, the chirp-evoked ABRs showed larger wave V amplitudes, but an absence of earlier waves in the grand averages, larger wave V latency variance, smaller FFT magnitudes at the higher component frequencies, and larger phase variance at the higher component frequencies. These results strongly suggest that the chirp-evoked ABRs exhibited less synchrony than the click-evoked ABRs in this study. It is proposed that the temporal compensation offered by chirp stimuli is sufficient to increase neural recruitment (as measured by wave V amplitude), but that destructive phase interactions still exist along the cochlea partition, particularly in the low frequency portions of the cochlea where more latency jitter is expected. The clinical implications of these findings are discussed.
啁啾声诱发的 ABR 被认为比 click 诱发的 ABR 更具有同步性,这是基于啁啾刺激同时激发耳蜗的低频、中频和高频区域的假设。在这项研究中,我们使用了多种工具来分析在 32 名年龄在 18 岁至 55 岁(平均年龄为 24.8 岁,标准差为 7.1 岁)的正常听力受试者中,40dB HL 刺激的啁啾声和 click 诱发的 ABR 的同步性。与 click 诱发的 ABR 相比,啁啾声诱发的 ABR 具有更大的波 V 幅度,但在总和中没有早期波,波 V 潜伏期方差更大,高频成分的 FFT 幅度更小,高频成分的相位方差更大。这些结果强烈表明,在这项研究中,啁啾声诱发的 ABR 比 click 诱发的 ABR 具有更低的同步性。有人提出,啁啾刺激提供的时间补偿足以增加神经募集(如波 V 幅度所示),但在耳蜗分区中仍然存在破坏性的相位相互作用,特别是在耳蜗的低频部分,预期会有更多的潜伏期抖动。讨论了这些发现的临床意义。