Tonnquist-Uhlén I, Borg E, Spens K E
Department of Audiology, Hörselkliniken, Karolinska Hospital, Stockholm, Sweden.
Electroencephalogr Clin Neurophysiol. 1995 Jul;95(1):34-41. doi: 10.1016/0013-4694(95)00044-y.
Topographic maps of late auditory evoked potentials were obtained with the Brain Atlas III system in 34 healthy, normal hearing children aged 8-16 years. The stimulus was a 100 msec, 500 Hz tone burst, presented separately to the left and right ears, at 75 dB HL. The resulting auditory evoked potentials showed a prominent N1, after about 100 msec, and a topographic map with a corresponding fronto-lateral focus designated as the focus of N1 (FN1). Foci with varying positions and amplitudes were identified in 33 of 34 subjects after left ear stimulation and in 29 of 32 subjects after right ear stimulation. The topography showed a high degree of stability in most subjects, with the position of the negative "peak" of FN1 in front of the interaural line and with a dominance contralateral to the ear stimulated. There was a significant decrease in the latency of N1 with increasing age. FN1 tended to change position with age and some differences from adults were also observed. In conclusion, a distinct topographic pattern of the N1 component of the late auditory evoked potentials was seen in the majority of children. It remains to be established to what extent this method may be clinically useful for disclosing functional disturbances in the central auditory pathways.
使用Brain Atlas III系统对34名年龄在8至16岁的健康、听力正常的儿童进行了晚期听觉诱发电位地形图检查。刺激为100毫秒、500赫兹的短纯音,分别以75分贝听力级(dB HL)呈现给左耳和右耳。所得到的听觉诱发电位在约100毫秒后显示出明显的N1波,以及一个地形图,其中相应的额外侧焦点被指定为N1焦点(FN1)。在34名受试者中,33名在左耳刺激后以及32名受试者中的29名在右耳刺激后,均识别出了位置和幅度不同的焦点。在大多数受试者中,地形图显示出高度的稳定性,FN1的负“峰”位置在双耳连线前方,且在受刺激耳的对侧占优势。随着年龄增长,N1波的潜伏期显著缩短。FN1倾向于随年龄改变位置,并且还观察到与成年人的一些差异。总之,在大多数儿童中观察到了晚期听觉诱发电位N1成分独特的地形图模式。这种方法在多大程度上可用于临床上揭示中枢听觉通路的功能障碍还有待确定。