Estimation of auditory threshold during sleep using brainstem auditory-evoked potentials.

The brainstem auditory-evoked potential (BAEP) is often employed to determine auditory threshold in subjects who are unable to complete traditional behavioural testing. These responses are usually recorded during natural or drug-induced sleep. The effects of sleep on the BAEP threshold have however not been determined. BAEPs were recorded in 8 young adults in wakefulness and during natural sleep. Click stimuli were presented through a hearing aid device at either 0, 5, 10, 20 or 30 dB above the behavioural threshold. The amplitude of wave V decreased and its latency increased with decreases in stimulus intensity. The BAEP waveform was invariant in sleep. The overall mean BAEP threshold was approximately 16 dB above that determined by behavioural methods. This did not significantly vary in the sleeping subject.