Coats A C
Arch Otolaryngol. 1978 Dec;104(12):709-17.
Latency-intensity (L-i) functions for (1) the auditory nerve action potential (AP) N1 peak, (2) the brain stem evoked response (BER) V peak, and (3) the N1-V interval were related to hearing level and lesion location. The AP L-l curves tended to steepen with increasing 4 to 8 kHz hearing level. This relationship was identical for cochlear and retrocochlear ears, except for a few retrocochlear ears with "inappropriate AP perservation." Both high-frequency cochlear loss and retrocochlear abnormality prolonged peak V latency, but retrocochlear abnormality generally prolonged it more. Among cochlear-loss ears, as 4 to 8 kHz hearing levels increased, N1-V intervals decreased and L-i curve slopes increased. In contrast, retrocochlear abnormality greatly prolonged N1-V intervals. As a retrocochlear sign, N1-V prolongation was slightly more reliable than V prolongation.
(1)听神经动作电位(AP)N1波峰、(2)脑干诱发电位(BER)V波峰以及(3)N1-V间期的潜伏期-强度(L-i)函数与听力水平和病变位置相关。随着4至8kHz听力水平的升高,AP的L-i曲线趋于变陡。除了少数存在“不适当AP保留”的蜗后耳外,这种关系在耳蜗性和蜗后性耳中是相同的。高频耳蜗性听力损失和蜗后性异常均会延长V波峰潜伏期,但蜗后性异常通常延长得更多。在耳蜗性听力损失耳中,随着4至8kHz听力水平的升高,N1-V间期缩短,L-i曲线斜率增加。相比之下,蜗后性异常会极大地延长N1-V间期。作为一种蜗后体征,N1-V间期延长比V波峰潜伏期延长稍可靠一些。