Mann Navpreet, Sidhu Rajinder Singh, Babbar Rashmi
Senior Resident, Department of Physiology, Maulana Azad Medical College , New Delhi, India.
J Clin Diagn Res. 2012 Dec;6(10):1640-3. doi: 10.7860/JCDR/2012/4896.2621. Epub 2012 Dec 15.
Brainstem Auditory Evoked Potentials (BAEP) show variations with age, sex and other physiological factors. The gonadal steroids may also alter the neuronal functioning, but an electrophysiological evidence is sparse. This study was undertaken to analyze the auditory evoked response in females of the reproductive age group during four different hormonal states of the menstrual cycle.
This was a prospective, single centered, longitudinal study. The waves of BAEP were recorded in 50 young females (of the ages of 19-36 years, who used no hormonal therapy) during four different phases of the same menstrual cycle. The peak latencies of the waves, I, II, III, IV and V, IPL I-III, I-V and III-V and the amplitude ratio, V/I were recorded and statistically analyzed.
A significant increase in the peak latencies of the waves, I-V in the oestrogen peak mid cycle was observed, while a significant decrease in the progesterone peak mid-luteal phase was observed. However, IPL did not show any statistically significant change in the above two phases. All the parameters did not show significant changes in the menstrual and the pre-menstrual phases.
The results indicated the BAEP changes in the mid follicular and the mid luteal phases of the menstrual cycle, thus suggesting the changes which were attributable to oestrogen and progesterone.
脑干听觉诱发电位(BAEP)会随年龄、性别及其他生理因素而变化。性腺类固醇也可能改变神经元功能,但电生理证据稀少。本研究旨在分析育龄期女性在月经周期的四种不同激素状态下的听觉诱发电反应。
这是一项前瞻性、单中心、纵向研究。在50名年轻女性(年龄19 - 36岁,未接受激素治疗)月经周期的四个不同阶段记录BAEP的波形。记录波I、II、III、IV和V的峰潜伏期、IPL I - III、I - V和III - V以及波幅比V/I,并进行统计学分析。
观察到在月经周期中期雌激素峰值时,波I - V的峰潜伏期显著增加,而在黄体中期孕酮峰值时显著降低。然而,IPL在上述两个阶段未显示出任何统计学上的显著变化。所有参数在月经期和经前期均未显示出显著变化。
结果表明月经周期中卵泡中期和黄体中期BAEP发生变化,从而提示这些变化归因于雌激素和孕酮。