National Acoustic Laboratories Library

Characteristics of cochlear microphonics in infants and young children with auditory neuropathy (Record no. 2898)

MARC details
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fixed length control field 02801nam a22001577a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20180620160609.0
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fixed length control field 180620b ||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Transcribing agency National Acoustics Laboratories
245 ## - TITLE STATEMENT
Title Characteristics of cochlear microphonics in infants and young children with auditory neuropathy
520 3# - SUMMARY, ETC.
Summary, etc Conclusions: Cochlear microphonics (CMs) play an important role in the diagnosis of auditory neuropathy (AN). It is necessary<br/>and helpful to diagnose the sites-of-lesion in infants and children with AN by analyzing the patterns of CM amplitudes and I/O<br/>functions together. Objectives: To investigate the characteristics and clinical significance of CMs in the diagnosis of AN among<br/>infants and children. Methods: A total of 36 infants and children (16 males and 20 females) were divided into two groups.<br/>Group A included 15 children (30 ears) with auditory brainstem response (ABR) absent and distortion product otoacoustic<br/>emissions (DPOAEs) present and group B included 21 children (30 ears) with ABR absent and DPOAEs absent. Fifteen<br/>normal-hearing infants (30 ears) made up the control group. Click eliciting CMs were recorded at stimulus levels of 100, 90,<br/>80, and 70 dB nHL for each ear using a button electrode placed at the top of the forehead. A tube-clamping method was used to<br/>distinguish CMs from artifacts, and an averaging algorithm was used to obtain a clear CM waveform. The time delay and<br/>amplitude of CMs were measured in both children with AN and normal-hearing infants on (C–R)/2 waveforms, and an I/O<br/>function curve for each group was plotted with the stimulating level as input and the CM amplitude as output. Results: The<br/>largest identifiable CMs were generally found between 0.5 and 0.8 ms after stimulation with mean delay of 0.63 ± 0.04 ms in<br/>both group A and the control group, and 0.63 ± 0.07 ms in group B. There was no significant difference between the AN group<br/>and the control group in CM time delay. There was no significant difference (p > 0.05) between group A (AN with OAEs<br/>present, 0.47 ± 0.15 mV) and the control group (0.45 ± 0.13 mV) in CM amplitude, while CM amplitudes in children with AN<br/>with DPOAEs absent (0.24 ± 0.08 mV) were significantly lower than those in either the control group or group A (p < 0.01).<br/>The amplitude of CMs reduced with stimulus intensity in all the subjects. There was obvious nonlinearity in group A and the<br/>control group, while there was a more linear tendency in amplitude increasing on the I/O function curve in group B.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Cochlear microphonics, auditory neuropathy, vestibulocochlear nerve diseases, evoked potentials, auditory brainstem, hearing loss
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Wei Shi
773 0# - HOST ITEM ENTRY
Relationship information (September 2011)
Title Acta Oto-Laryngologica
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Universal Decimal Classification
Koha item type Journal article

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