For more than 40 years, Auditory Brainstem Responses (ABRs) have been used as a diagnostic tool for hearing disorders and brainstem disorders in the pediatric audiology and neurotology and child neurology. While there are many publications in this field, this new volume will review hearing problems and neurological disorders in babies, infants and children, and discuss important new advances such as ABR figure and threshold changes with infant development. The book will also cover auditory neuropathy, its numerous and new sub-classifications. Readers will be thoroughly briefed on all the new perspectives in interpreting data. Researchers and clinicians will find the text to be a valuable tool in the correct diagnosis of hearing problems and neurological diseases among babies and infants.
Author(s): Kimitaka Kaga
Series: Modern Otology and Neurotology
Publisher: Springer
Year: 2022
Language: English
Pages: 263
City: Tokyo
Preface
Contents
Abbreviations
Part I: Introduction
Chapter 1: History of ABR and EABR
1.1 Auditory Evoked Potentials (AEPs)
1.2 Electrically Auditory Brainstem Responses (EABRs)
References
Part II: ABRs
Chapter 2: Origins of ABR
2.1 Origins of the ABR
2.1.1 Experiment 1: Whole Brainstem Mapping Study in the Cat
2.1.2 Experiment 2: Medial Geniculate Body Mapping Study in the Cat. ABR Wave P6
2.2 Experiment 3: Origins of the Six Waves of the ABR Waveform in the Cat as Determined by Depth Recordings and Lesion Studies
2.2.1 Cochlear Nerve (Eighth Cranial Nerve): ABR Wave P1
2.2.2 Cochlear Nucleus: ABR Wave P2
2.2.3 Superior Olivary Complex: ABR Wave P3
2.2.4 Inferior colliculus in the Midbrain: ABR Wave P4 and P5
2.2.5 Medial Geniculate Body: ABR Wave P6
2.2.6 Comments
References
Chapter 3: Gestational Development of the Human Auditory System Including the Cochlea and the Central Auditory Pathways
3.1 Gestational Development of Inner Ear
3.2 Development of the Inner Ear Hair Cells and the Ganglion Cells
3.2.1 Formation of the Otic Vesicle and the Development of the Inner Ear During Gestation
3.2.2 Differentiation of Inner Ear Hair Cells within the Organ of Corti
3.2.3 Differentiation of the Spiral Ganglion Cells within the Cochlea
3.2.4 Innervation of the Inner Ear Hair Cells
3.3 Development of the Central Ascending Auditory Pathway
3.3.1 Gestational Development of Myelination of the Human Cochlear Nerve
3.3.2 Development of the Rhombencephalon (Medulla Oblongata)
3.3.2.1 The Developmental Origin of the Cochlear Nucleus and Its Neural Proliferation
3.3.2.2 Migration of the Cochlear Nucleus During Fetal Development
3.3.2.3 Differentiation Between the Development of the Primary and Secondary Cochlear Nuclei
3.3.2.4 Myelination of the Auditory Neural Substrate
3.4 Development of the Mesencephalon (Inferior Colliculus)
3.4.1 Differentiation of the Inferior Colliculus in the Midbrain
3.4.2 Myelination of the Inferior Colliculus
3.5 Development of the Diencephalon (Medial Geniculate Body)
3.5.1 Differentiation of the Medial Geniculate Body
3.5.2 Myelination of the Medial Geniculate Body
3.5.3 Development of the Telencephalon (the Auditory Cortex)
3.5.4 Neuronal Differentiation within the Auditory Cortex
3.5.5 Myelination of the Auditory Radiation
3.5.6 Cytoarchitectural and Axonal Maturation of the Human Auditory Cortex
References
Chapter 4: ABR Recording Technique and the Evaluation of Peripheral Hearing Loss
4.1 Requirements Necessary to Obtain ABR Recordings
4.1.1 Location (Montage) and Application of ABR Electrodes
4.1.2 Description of the Click Stimuli Employed to Provoke the ABR
4.2 ABR Wave V Peak Latency-Intensity Curves
4.2.1 ABRs from Normal Hearing Subjects
4.3 Peripheral Hearing Loss
4.3.1 Conductive Hearing Loss as it Effects the ABR
4.3.2 Sensorineural Hearing Loss as Manifest by the ABR
4.4 Audiogram Patterns Compared to ABR Findings
4.4.1 ABR Findings of Patients with a Low-Frequency Hearing Loss but with Normal High-Frequency Hearing
4.4.2 ABR Recordings from Each Ear of a Patient with a Typical Noise-Induced Hearing Loss (an Audiometric Concave Frequency Loss Pattern)
4.5 ABR Recordings from Patients with High-Frequency Hearing Loss with Otherwise Normal Hearing Thresholds, Audiometrically, at the Low and Middle Frequencies
4.6 Unusual ABR Findings
4.6.1 A “Bump” in the ABR Appearing within the Expected Latency Range of Wave I (~ 1 Msec) with no Subsequently Evoked ABR Waves
4.6.2 Unusual ABR Findings Wherein Only Wave I or Waves I and II Are Evoked
4.6.3 The Influence of Incomplete Brainstem Maturation in Preterm Infants and the Progression of Their ABRs with Development
References
Chapter 5: Auditory Neuropathy Spectrum Disorders
5.1 The First Report of Auditory Nerve Disease and Auditory Neuropathy in 1996
5.2 Auditory Neuropathy Spectrum Disorders (ANSD) in Newborns
5.3 Our Classification of ANSD in Newborns, Infants, and Children
5.4 ANSD for Type III and Cochlear Implantation
5.5 Genetic Mutation
5.6 Adults AN and Newborns ANSD
References
Chapter 6: Normalization and Deterioration of Auditory Brainstem Response (ABR) in Child Neurology
6.1 Normalization and Deterioration of ABR in Children
6.1.1 What Constitutes the Difference Between Normal and Abnormal ABR?
6.1.2 What Causes the Normalization and Deterioration of the ABR?
6.2 Normalization
6.2.1 Normal Development of the ABR
6.2.2 Clinical Appreciation at NICU
6.2.3 Improvement of Conductive Hearing Loss
6.2.4 ABR Changes Pre- and Post-surgical Resection of Tumors on the Brainstem or Cerebellar
6.2.5 Normalization of the ABR as a Result of Effective Medical Treatment
6.2.6 Normalization of the ABR of Unknown Etiology
6.2.6.1 Case Reports Showing Normalization of the ABR of Unknown Etiology
Five Patients Without Chromosomal Abnormalities
Nine Patients with Chromosomal Abnormalities Including Down Syndrome and ABR Improvement
6.2.6.2 What Could Be the Underlying Cause/Causes of Normalization of the ABR in These Patients with Chromosomal Aberration?
6.2.7 Recovery from Severe Anoxic Events with Normalization of the ABR
6.2.7.1 ABRs in Anoxia
6.2.7.2 Case Reports of Anoxic Patients with Unexpected ABR Recovery
6.2.7.3 Discussion of Anoxic Patients with Unexpected ABR Recovery
6.3 Deterioration of ABR in Child Neurology: Neurological Assessment of Childhood Deterioration of the ABR
6.3.1 Loss or Decline of Hearing Acuity
6.3.1.1 Intrauterine Infections
6.3.1.2 Neurocutaneous Syndrome as a Category of Genetically Determined Systemic Diseases with Central Nervous System Involvement
6.3.1.3 Progressive Hearing Loss in NICU Patients and the Graduates from NICU
Patients with Hearing Loss Discovered in NICUs and in NICU Graduates
Case Presentation of Patients With or Without PPHN and Delayed Hearing Impairment
The Cause of the Later Deterioration of Hearing in Patients
6.3.2 Deterioration of ABR in Degenerative Diseases
6.3.2.1 Slow Virus Infection
6.3.2.2 Subacute Sclerosing Panencephalitis
6.3.3 Leukodystrophies
6.3.3.1 Adrenoleukodystrophy (ALD)
6.3.3.2 Krabbe Disease, Globoid Cell Leukodystrophy (GLD)
6.3.3.3 Metachromatic Leukodystrophy (MLD)
6.3.3.4 Alexander Disease (AXD)
6.3.3.5 Pelizaeus-Merzbacher Disease (PMD)
6.3.3.6 Leukodystrophy of Unknown Origin
6.3.4 Lysosomal Diseases
6.3.4.1 Lipidosis
Tay-Sachs Disease
Metachromatic Leukodystrophy (MLD)
Globoid Cell Leukodystrophy (GLD), Krabbe Disease
Mucopolysaccaridosis (MPS)
Gaucher Disease
6.3.5 Degenerative Diseases of Cerebral Gray Matter
6.3.5.1 Neuronal Ceroid Lipofuscinosis
6.3.5.2 Nieman-Pick Disease Type C (NPC)
6.3.5.3 Mitochondrial Diseases
6.3.6 Degenerative Diseases Mainly Effecting the Cerebellum and Spinal Cord (Spinocerebellar Degeneration, SCD)
6.3.6.1 Dentate-Rubro-Pallido-Luysian Atrophy
6.3.6.2 Joubert Syndrome
6.3.7 Degenerative Disease of Peripheral Nervous System
6.3.7.1 Charcot-Marie-Tooth Disease
6.3.7.2 Giant Axonal Neuropathy
References
Chapter 7: Hypoxic and Anoxic Brain Damage
7.1 Hypoxic and Anoxic Brain Damage in Infants and Children
7.2 Hypoxic Brain Damage in Near-Suffocation (Hypoxic) Group
7.3 Brain Damage in the Near-Drowning (Anoxic) Group
7.4 Pathophysiology of Hypoxic and Anoxic Brain Damage Due to Near-Suffocation and Near-Drowning Accidents
7.5 Effects of Deep Hypothermia and Circulatory Arrest on the ABR and the EEG Undergoing Cardiac Surgery
7.6 ABRs from the Cat During Artificial Respiratory Arrest and Restoration
References
Chapter 8: Only Wave I, II of the ABR with Residual Hearing Acuity
8.1 Introduction
8.2 Pelizaeus–Merzbacher Disease
8.3 Adrenoleukodystrophy
8.4 Metabolic Disease
8.4.1 Gaucher’s Disease
8.4.2 Tay–Sachs Disease
8.4.2.1 Case Report
8.5 Brainstem Tumor
8.5.1 Case Report
References
Chapter 9: Auditory Agnosia and Later Cortical Deafness in a Child over 29 Years Follow-Up
9.1 Bilateral Auditory Cortex Lesions and Hearing
9.2 Case Report: Long-Term Follow-Up of a Pediatric Patient over 29 Years Who Manifested Auditory Agnosia and Later Cortical Deafness Caused by Herpes Encephalitis
9.3 Schema of the Auditory Cortex or the Auditory Radiation Lesions in Auditory Agnosia and Cortical Deafness
9.4 Cortical Deafness Following Auditory Agnosia
References
Part III: Electrically Evoked ABRs (EABRs)
Chapter 10: Electrically Evoked Auditory Brainstem Responses (EABRs), Recording Techniques, Normal (Control) and Abnormal Waveforms of the EABR
10.1 Two Types of EABRs Recordings for Patient
10.2 EABR Recording Protocol
10.2.1 Montage of Skin Needle Electrodes for Recording EABRs
10.2.2 Electrical Stimulation from Intracochlear Electrodes
10.2.3 Recording Conditions
10.3 Measurement of the Amplitudes and Latencies of eIII and eV
10.4 Typical Waveform of the EABR in Control (Normal) Subjects
10.4.1 EABRs Waveforms Recorded from Each of the Twelve Intracochlear Electrodes of an Intracochlear Implant
10.4.2 Amplitudes and Latencies of EABR Waves eIII and eV Evoked by Independent Stimulation of Each of the Twelve Nodes of the Intracochlear Electrode
10.5 Comparison of the Thresholds of EABR Wave V Recorded from 6 Odd Numbered Nodes of an Implanted Electrode in Children and the Distribution of the Recorded Latencies of eII, eIII, and eV from the Apical Electrode in Adults
10.5.1 Thresholds of EABR Waves eV Following Six Odd Numbered Stimulated CI Electrode Nodes of the Twelve Nodes Available
10.5.2 Latencies of eII, eIII, and eV Following Stimulation of the Apical Electrode Node of the CI
10.6 Developmental and Aging Influence on EABRs Recorded by Selected Three Stimulus Electrodes as Routine Examination
10.6.1 Typical EABR of a One-Year-Old Female
10.6.2 Comparison of EABR Wave eV Latencies from the Contralateral Mastoid (Channel 1) and Nape Recordings (Channel 2) from Five Different Age Groups: One-Year-Olds, Infants, Children, Adults, Elderly
10.7 Comparison of EABR Waves Recorded from the Bionics and the Cochlear Companies’ CI
10.8 Abnormal Waveform Classification of EABRs During Cochlear Implantation Under General Anesthesia
References
Chapter 11: Inner Ear Malformation and Cochlear Nerve Deficiency
11.1 Introduction
11.2 A Novel and Simple Grading
11.2.1 Grading According to Observation of Modiolus Deficiency and/or Cochlear Nerve Deficiency
11.2.2 Patient Characteristics of Each Different Grade
11.2.3 EABR Responses and Categories of Auditory Performance (CAP) Scores
11.3 EABR Waves of Patients in Each Grade
11.3.1 EABR Waves of Patients in Grade I (Table 11.1)
11.3.2 EABR Waves of Patients in Grade II (Table 11.2)
11.3.3 EABR Waves of Patients in Grade III (Table 11.3)
11.3.4 EABR Waves of Patients in Grade IV (Table 11.4)
References
Chapter 12: Auditory Neuropathy
12.1 Introduction
12.2 Auditory Neuropathy
12.2.1 Pathophysiology of Auditory Neuropathy
12.2.2 Genetics of Auditory Neuropathy
12.2.3 Cochlear Implantation for Auditory Neuropathy
12.3 Electrical Auditory Brainstem Responses and Auditory Neuropathy
12.3.1 The Usefulness of Electrical Auditory Brainstem Responses in Auditory Neuropathy
12.3.2 Electrical Auditory Brainstem Responses in Genetic Auditory Neuropathy
12.3.3 Electrical Auditory Brainstem Responses in Patients with DIAPH3 Mutation
12.3.4 Electrical Auditory Brainstem Responses in Patients with OTOF Mutations
12.3.5 Electrical Auditory Brainstem Responses in Patients with OPA1 Mutations
12.3.6 Electrical Auditory Brainstem Responses in Patients with Demyelinating Disease
12.3.7 New Classification for Electrical Auditory Brainstem Responses in Auditory Neuropathy
12.4 Conclusion
References
Part IV: Particular Topics
Chapter 13: Common Cavity Deformity
13.1 Definition and Embryological View
13.2 CT and MRI of Common Cavity Deformities
13.3 EABRs of Common Cavity Deformities
13.4 Latencies and Thresholds of EABRs
13.5 Postoperative Hearing and Speech Development
13.6 Developmental Changes in the Vestibular Ocular Reflex (VOR) and in the Acquisition of Postural Control in Infants with Common Cavity Deformities
13.7 Conclusion
References
Chapter 14: Galvanic VEMP
14.1 Auditory VEMPs and Galvanic (Electrically Stimulated) VEMP
14.2 Stimulation and Recording of Galvanic VEMPs
14.2.1 Recording
14.2.2 Galvanic Stimulation
14.3 Typical Response of Galvanic VEMP
14.4 Galvanic VEMP in Auditory Neuropathy
14.5 Galvanic VEMPs from Cochlear Implants
References
Index