Department of Audiology and Speech Therapy, Physiotherapy and Occupational Therapy, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
Unit of Genetic, Children's Institute of Hospital of Clinics, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
Eur J Med Genet. 2021 Mar;64(3):104163. doi: 10.1016/j.ejmg.2021.104163. Epub 2021 Feb 9.
Individuals with Williams Syndrome (WS) have specific auditory characteristics, including hypoacusis and hyperacusis, and music appreciation skills. Little is known about the functionality of the central auditory nervous system (CANS) for sound processing in WS. Thus, the objective of the present study was to evaluate the functionality of the CANS in individuals with WS, based on auditory event-related potentials, as far as cognitive and behavioral aspects are concerned. The study was carried out with 17 individuals, seven females and ten males, between seven and 17 years old, with WS, and 17 individuals with typical development matched by sex and chronological age to individuals with WS. None of these individuals had middle ear impairment or hearing loss. The subjects were evaluated for intelligence quotient, loudness discomfort level, and auditory event-related potentials with Tone Burst stimuli, on the oddball paradigm; the parents also answered the MTA-SNAP-IV questionnaire. Hyperacusis was found in six WS individuals and two individuals with typical development. In the present study, WS individuals present longer latency and reduced amplitude for P1, N1, N2 and P3 components. These results, suggesting a delay and hypoactive responses of the CANS in this syndrome, that cannot be related to the cognitive or behavioral aspects of these individuals, but it indicates a cortical immaturity to process acoustic stimuli.
患有威廉姆斯综合征(WS)的个体具有特定的听觉特征,包括听力减退和听力过敏,以及音乐欣赏能力。对于 WS 患者的中枢听觉神经系统(CANS)对声音处理的功能知之甚少。因此,本研究的目的是评估 CANS 的功能,基于听觉事件相关电位,就认知和行为方面而言。该研究共纳入 17 名个体,其中 7 名女性和 10 名男性,年龄在 7 至 17 岁之间,患有 WS,以及 17 名性别和年龄与 WS 患者相匹配的典型发育个体。这些个体均无中耳损伤或听力损失。对这些受试者进行智商、响度不适水平和听觉事件相关电位( Tone Burst 刺激,在 oddball 范式下)评估;父母还回答了 MTA-SNAP-IV 问卷。6 名 WS 个体和 2 名典型发育个体存在听力过敏。在本研究中,WS 个体的 P1、N1、N2 和 P3 成分潜伏期延长,振幅降低。这些结果表明,该综合征的 CANS 反应延迟和功能低下,不能与这些个体的认知或行为方面相关,但表明皮质对处理声音刺激不成熟。