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未康复个体的听觉皮层兴奋性——来自听觉脑干诱发电位的证据。

Auditory cortical stimulability in non habilitated individuals - An evidence from CAEPs.

作者信息

Palaniswami Hariprakash, Abraham Aju, Yerraguntla Krishna

机构信息

Department of Speech and Hearing, Manipal College of Health Professionals, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Department of Audiology and Speech Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, India.

出版信息

J Otol. 2022 Jul;17(3):146-155. doi: 10.1016/j.joto.2022.05.001. Epub 2022 May 20.

Abstract

OBJECTIVE

The effect of long term auditory deprivation on Cortical Auditory Evoked Potentials (CAEPs) especially in human models is not well explored. Hence, the current study was aimed to investigate the effects of long-term auditory deprivation and stimulability of auditory cortex in non habilitated congenitally deaf adolescents and adults using CAEPs.

METHODS AND RESULTS

A total of 27 non-habilitated congenitally deaf adolescents/adults with age and gender matched normal hearing adolescents/adults participated in the study. The congenitally deaf group was fitted with high gain hearing aids (first fit). Further, the CAEPs were recorded. The obtained CAEP components were assessed for group effect, source and topographical differences. The between group analysis for CAEP responses showed a significant difference only for P2 latency and amplitude. The source analysis revealed that, in the normal hearing group for CAEPs, the sources were within the temporal regions. However, in the congenitally deaf group, along with the temporal cortex, the bilateral prefrontal cortex also was activated.

CONCLUSION

The findings revealed that it is possible to stimulate and evoke a matured CAEP response from a long deprived auditory system with adequate acoustic stimulation. The presence of CAEP responses is indicative of the functionality of the innate auditory pathway and the crossmodal plasticity in long auditory deprived individuals.

摘要

目的

长期听觉剥夺对皮质听觉诱发电位(CAEPs)的影响,尤其是在人体模型中的影响,尚未得到充分研究。因此,本研究旨在使用CAEPs来调查长期听觉剥夺对未接受康复训练的先天性耳聋青少年和成年人听觉皮质的刺激能力的影响。

方法与结果

共有27名未接受康复训练的先天性耳聋青少年/成年人以及年龄和性别匹配的正常听力青少年/成年人参与了本研究。先天性耳聋组佩戴了高增益助听器(初次佩戴)。此外,记录了CAEPs。对获得的CAEP成分进行了组效应、来源和地形差异评估。CAEP反应的组间分析显示,仅在P2潜伏期和波幅上存在显著差异。来源分析表明,在正常听力组的CAEPs中,来源位于颞叶区域内。然而,在先天性耳聋组中,除了颞叶皮质外,双侧前额叶皮质也被激活。

结论

研究结果表明,通过适当的听觉刺激,有可能从长期剥夺听觉的系统中激发成熟的CAEP反应。CAEP反应的存在表明先天性听觉通路的功能以及长期听觉剥夺个体的跨模态可塑性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/9270565/1ea5233427c8/gr1.jpg

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