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Revista Cubana de Investigaciones Biomédicas

versión impresa ISSN 0864-0300versión On-line ISSN 1561-3011

Resumen

ALVERO GONZALEZ, Leidy Mabel et al. Auditory evoked responses obtained by a broad-band chirp stimulus. Rev Cubana Invest Bioméd [online]. 2019, vol.38, n.2, pp.136-152.  Epub 30-Sep-2019. ISSN 0864-0300.

Introduction:

Estimation of audition through brainstem auditory evoked potentials obtained by chirp stimuli is an alternative of recent application. It has been shown by several authors that this type of stimulation compensates for retardation of the sound wave in the coding of frequencies, generating auditory evoked responses with components of higher amplitudes.

Objectives:

Design and develop a broad-band chirp stimulus to be implemented in the AUDIX system and conduct a control series evaluation of its viability to register brainstem auditory evoked potentials in normal-hearing subjects.

Methods:

The formulations used to generate the stimulus were implemented as a function on Matlab® and then incorporated into the AUDIX system with the following technical specifications: sampling frequency: 48 kHz, frequency composition (rising): 350-11 300 Hz, and total duration: 4.95 ms. BAEP registries were obtained with chirp and click stimuli at a fixed intensity level (60 dB nHL) in nine normal-hearing adult subjects (18 ears).

Results:

The chirp stimulus designed had a functional behavior similar to the one reported in the literature. When compared with the click-BAEP, the V wave of chirp-BAEP displayed significantly higher amplitude values (chirp/click amplitude ratio: 1.62), with an average gain of 54 % (p< 0.001, n= 18, Wilcoxon rank test).

Conclusions:

The broad band chirp stimulus designed proved to be more efficient than the click stimulus to obtain registries of Brainstem Auditory Evoked Potentials. Regarding V wave amplitude, the system was found to function linearly (better neural synchrony). This type of stimulation could be very useful in neonatal hearing screening programs, since a higher amplitude V wave could facilitate its fast and easy detection and possible automation.

Palabras clave : brainstem auditory evoked potentials; chirp; click; V wave; normal hearing; amplitude.

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