脑干听觉诱发电位课件.pdfVIP

Brainstem Auditory Evoked Potentials(BAEP) R 林岱樓/ V.S. 黃啟原 Date: 2013.08.09 Introduction • Auditory Evoked Potentials(AEP) has been divided to 3 type as short-latency(~10ms), intermediate, and long-latency. • Auditory brainstem response (ABR) is a neurologic test of auditory brainstem function. First described by Jewett and Williston in 1971 Click or tone burst Vertex Forehead Ac; Mc Ai Mi /img/term/brainstem-auditory-evoked-potentials-2156_0.jpg Stimulation • Click stimuli: – monophasic square pulse of 100-μsec duration – Rate: 10 Hz – Frequency of click: broad-band, wide frequency range • Intensity: 60-65dB – Increased if hearing loss is present – Loud enough without discomfort • Stimuli can reach the other ear via air and bone conduction with volume attenuation(40~70dB) and generate the evoked potential of contra-lateral ear – If no noise masking, the delayed V wave was noted – If masking(30~40dB), no elicit any reproducible BAEPs • Compression click ; Rarefaction click Recording • Recording electrodes: vertex(Cz) and both ear lobes or mastoid(smaller wave I) ; ground forehead • Impedance: 5 kΩs or less (also equal between electrodes) • Avoid needle electrodes • A typical analog filter bandpass: 100 or 150 to 3000Hz • A epoch duration: 10.24msec • The analog-to-digital conversion should use at least 256 points per epoch, sampling interval 0.4msec, sampling rate of 25000Hz • The number of epochs per trial is typically 2000, although a larger number may be required if the poor singal to noise ratio Handbook of clinical audiology 6th edition, Katz, 2009 Physiology • ABR typically uses a click stimulus that generates a response fro