0
ARTICLE |

Human Auditory Nerve Action Potentials and Brain Stem Evoked Responses:  Effects of Audiogram Shape and Lesion Location

Alfred C. Coats, MD; James L. Martin, PhD
Arch Otolaryngol. 1977;103(10):605-622. doi:10.1001/archotol.1977.00780270073012.
Text Size: A A A
Published online

• Simultaneously recorded auditory nerve action potentials (APs) and brain stem auditory-evoked responses (BSERs) were correlated with audiogram shape and with location of pathologic condition. High frequency (4 to 8 kHz) hearing loss (1) prolongs AP and BSER latency, (2) shortens the interval between the first AP peak (N1) and the fifth BSER peak (V), and (3) creates relatively large latency differences between condensation and rarefaction responses (thus bringing into question the common practice of combining condensation and rarefaction responses). Ears with retrocochlear deficits in the subjects in the study were detected reliably by prolonged N1 to V interval and increased BSER peak V latency. The reliability of these retrocochlear signs was further increased by allowing for the effects of audiogram shape. Another retrocochlear sign, termed "inappropriate AP preservation," was positive in 40% to 50% of the retrocochlear ears.

(Arch Otolaryngol 103:605-622, 1977)

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();