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[基于脑干电反应测听法(BERA)中的潜伏期偏差对听力障碍进行分类]

[Categorizing hearing disorders based on latency deviations in the BERA (brainstem electric response audiometry)].

作者信息

Hoth S

机构信息

Univ-HNO-Klinik Heidelberg.

出版信息

Laryngol Rhinol Otol (Stuttg). 1987 Dec;66(12):655-60.

PMID:3431315
Abstract

The dependence of latencies of EAEPs (Early Auditory Evoked Potentials) on stimulus intensity has been determined from measurements at 15 normal hearing subjects. The results are in good agreement with an exponential function, which has been empirically found and fitted to the data. The deviation from this function in case of hearing disorders can be classified in terms of a "latency deviation diagram". In the simplest case of a pure conductive hearing loss, the effect on latencies is a mere shift of all values to higher levels. The resultant latency deviation lines can be computed and the results introduced in the diagram. This has been done in Figure 5 for several values of hearing loss between 10 dB and 50 dB. These lines permit a detailed specification of hearing impairment, as is demonstrated in Figure 6: In the case of pure conduction loss, the latency deviation follows the appropriate line. Inner ear pathologies involving recruitment lead to latency deviations which are much steeper than these lines and which tend to vanish at higher stimulus levels. Retrocochlear disorders exhibit a nearly level independent latency deviation diagram.

摘要

已对15名听力正常的受试者进行测量,确定了早期听觉诱发电位(EAEPs)潜伏期对刺激强度的依赖性。结果与通过经验得出并拟合数据的指数函数高度吻合。听力障碍情况下与该函数的偏差可根据“潜伏期偏差图”进行分类。在单纯传导性听力损失的最简单情况下,对潜伏期的影响仅仅是所有值都向更高水平偏移。可以计算出由此产生的潜伏期偏差线,并将结果引入该图中。图5针对10分贝至50分贝之间的几个听力损失值进行了此操作。这些线允许对听力损伤进行详细的说明,如图6所示:在单纯传导性损失的情况下,潜伏期偏差遵循相应的线。涉及重振的内耳病变会导致潜伏期偏差,其比这些线陡峭得多,并且在较高刺激水平时趋于消失。蜗后病变表现出几乎与水平无关的潜伏期偏差图。

相似文献

1
[Categorizing hearing disorders based on latency deviations in the BERA (brainstem electric response audiometry)].[基于脑干电反应测听法(BERA)中的潜伏期偏差对听力障碍进行分类]
Laryngol Rhinol Otol (Stuttg). 1987 Dec;66(12):655-60.
2
[Effect of stimulus rise time and high-pass masking on early auditory evoked potentials].[刺激上升时间和高通掩蔽对早期听觉诱发电位的影响]
Laryngorhinootologie. 1998 Apr;77(4):185-90. doi: 10.1055/s-2007-996958.
3
[Latency behavior of early acoustic evoked potentials in inner ear hearing loss].
Laryngol Rhinol Otol (Stuttg). 1985 Mar;64(3):162-8.
4
[Evoked potentials of the brain stem in normal and pathologic conditions: experience with 692 adult subjects].[正常及病理状态下脑干诱发电位:692例成年受试者的经验]
Acta Otorhinolaryngol Ital. 1989;9 Suppl 24:1-36.
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Clinical interpretation of brainstem evoked response audiometry abnormalities in cochlear pathology.耳蜗病变中脑干诱发电位听力测定异常的临床解读
Acta Med Croatica. 1999;53(3):119-23.
6
[Changes in early auditory evoked potentials in acoustic neuroma].
HNO. 1991 Sep;39(9):343-55.
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[Significance of ERA for differentiating hearing disorders of different origins].[耳声发射(ERA)对鉴别不同病因听力障碍的意义]
HNO. 1983 Apr;31(4):109-16.
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Clinical applications of the auditory brain stem response.
Otolaryngol Clin North Am. 1978 Oct;11(3):709-22.
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[Behaviour of the fast brain stem response P6 under noise influence, an "objective noise audiometry" (author's transl)].[快速脑干反应P6在噪声影响下的行为,一种“客观噪声测听法”(作者译)]
Laryngol Rhinol Otol (Stuttg). 1979 Nov;58(11):822-6.
10
[Neuro-otologic criteria in the diagnosis of tumor-induced hearing disorders. Studies of 300 patients with acoustic neuroma].[肿瘤性听力障碍诊断中的神经耳科学标准。对300例听神经瘤患者的研究]
HNO. 1990 Feb;38(2):50-5.

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[Auditory brainstem responses evoked by direct mechanical stimulation of the ossicular chain. Objective preoperative testing of candidates for implantable hearing aids].[通过直接机械刺激听骨链诱发的听觉脑干反应。可植入式助听器候选者的术前客观测试]
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