Determining the upper limits of stimulation for auditory steady-state response measurements.

Abstract:

OBJECTIVE:To determine the maximum stimulus levels at which a measured auditory steady-state response (ASSR) can be assumed to be a reliable measure of auditory thresholds. DESIGN:ASSR thresholds were measured at octave frequencies from 500 to 4000 Hz in 10 subjects with profound hearing loss. These subjects provided no behavioral responses to sound at the limits of pure-tone audiometers and at the limits of the stimulus levels produced by the ASSR device. Subjects were divided into two groups of five, with repeated measures obtained within the same session in one group and repeated measures obtained in a separate session on a different day in the other group. RESULTS:ASSR thresholds were observed in all 10 subjects at each of four frequencies and in both trials. On average, these ASSR thresholds were observed at 100 dB HL (SD = 5 dB). Because these responses were at least 18 to 22 dB below the limits of the equipment where all subjects had no behavioral responses, it is reasonable to conclude that the ASSRs were not generated by the auditory system. CONCLUSIONS:An artifact or distortion may be present in the recording of ASSRs at high levels. These data bring into question the view that there is a wider dynamic range for ASSR measurements compared with auditory brain stem response measurements, at least with current implementation.

journal_name

Ear Hear

journal_title

Ear and hearing

authors

Gorga MP,Neely ST,Hoover BM,Dierking DM,Beauchaine KL,Manning C

doi

10.1097/01.aud.0000130801.96611.6b

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

302-7

issue

3

eissn

0196-0202

issn

1538-4667

pii

00003446-200406000-00010

journal_volume

25

pub_type

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