ORIGINAL ARTICLE
BRAINSTEM AUDITORY EVOKED POTENTIALS AND FREQUENCY-FOLLOWING RESPONSES IN PATIENTS WITH TRAUMATIC BRAIN INJURY
,
 
Daniela Gil 4, A-B,E,G
 
 
 
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1
Departamento de Fonoaudiologia, Universidade Federal de São Paulo- UNIFESP, Brazil
 
2
Departamento de Fonoaudiologia, Universidade Federal de São Paulo - UNIFESP, Brazil
 
3
Departamento de Fonoaudiologia, Center for Advanced Electrophysiology and Neuroaudiology – CENA, Brazil
 
4
Departamento de Fonoaudiologia, Universidade Federal de São Paulo - UNIFEP, Brazil
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Publication date: 2022-03-29
 
 
Corresponding author
Ana Karina Lima Buriti   

Departamento de Fonoaudiologia, Universidade Federal de São Paulo- UNIFESP, Botucatu, 04023-900, São Paulo, Brazil
 
 
J Hear Sci 2022;12(1):21-28
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Traumatic brain injuries (TBIs) damage the peripheral and central auditory pathways, impairing the patient’s sensory and cognitive processing with possible impacts on their quality of life. The objective of this study was to assess the integrity of neural processing in individuals with mild TBI.

Material and methods:
A descriptive, quantitative study on 10 people who had suffered mild TBI. We used two procedures: brainstem auditory evoked potentials (BAEPs) using click stimuli at 80 dBSPL and frequency-following responses (FFRs) using a complex (speech) stimulus, the syllable /da/, presented monaurally to the right and left ears.

Results:
Abnormal results in the BAEP assessment were characterized as prolonged latencies of waves I, III, and V and interpeak intervals I–III and I–V, bilaterally, whereas in the FFR analysis there were prolonged or absent V, A, D, E, F, and O, components bilaterally.

Conclusions:
Mild TBI negatively impacts the neural processing of auditory information, as we observed longer latencies and/or absent components in the BAEP and FFR.

 
REFERENCES (25)
1.
Plotnik R, Stefani MA. Traumatismo cranioencefálico. In: Nasi LA et al. Rotinas em Pronto-Socorro. 2ª ed. Porto Alegre: Artmed, 2005. pp. 289–310.
 
2.
Magalhães ALG, Souza LC, Faleiro RM, Teixeira AL, Miranda AS. Epidemiologia do traumatismo cranioencefálico no Brasil. Rev Bras Neurol, 2007; 53(2): 15–22.
 
3.
Šarkić B, Douglas JM, Simpson A. Peripheral auditory dysfunction secondary to traumatic brain injury: a systematic review of literature. Brain Inj, 2019; 33(2): 111–28.
 
4.
Davis TM, Hill BD, Evans KJ, Tiffin S, Stanley N, Fields K, et al. P300 event-related potentials differentiate better performing individuals with traumatic brain injury: A preliminary study of semantic processing. J Head Trauma Rehabil, 2017; 32(4): E27–E36.
 
5.
Dockree PM, Robertson IH. Electrophysiological markers of cognitive deficits in traumatic brain injury: A review. Int J Psychophysiol, 2011; 82: 53–60.
 
6.
Oleksiak M, Smith BM, St Andre JR, Caughlan CM, Steiner M. Audiological issues and hearing loss among veterans with mild traumatic brain injury. J Rehabil Res Dev, 2012; 49(7): 995–1004.
 
7.
Lew HL, Jerger JF, Guillory SB, Henry JA. Auditory dysfunction in traumatic brain injury. J Rehabil Res Dev, 2007; 44(7): 921–8.
 
8.
Abd al-Hady MR, Shehata O, el-Mously M, Sallam FS. Audiological findings following head trauma. J Laryngol Otol, 1990;104(12): 927–36.
 
9.
Tsubokawa T, Nishimoto H, Yamamoto T, Kitamura M, Katayama Y, Moriyasu N. Assessment of brainstem damage by the auditory brainstem response in acute severe head injury. J Neurol Neurosurg Psychiatry, 1980; 43: 1005–11.
 
10.
Jani NN, Laureno R, Mark AS. Deafness after bilateral midbrain contusion: a correlation of magnetic resonance imaging with auditory brain stem evoked responses. Neurosurgery, 1991; 29(1): 106–9.
 
11.
Atcherson SR, Steele M. Auditory processing deficits following sport-related or motor vehicle accident injuries. Brain Disord Ther, 2016; 5: 204.
 
12.
Munjal SK, Panda NK, Pathak A. Relationship between severity of traumatic brain injury (TBI) and extent of auditory dysfunction. Brain Inj, 2010; 24(3): 525–32.
 
13.
Kraus N, Anderson S, White-Schwoch T. The frequency-following response: a window into human communication. In: Kraus N. et al. (eds.). Springer: Handbook of Auditory Research, 2017. pp. 1–16.
 
14.
Werff KRV, Rieger B. Brainstem evoked potential indices of subcortical auditory processing after mild traumatic brain injury. Ear Hear, 2017; 38(4): e200–e214.
 
15.
Rower MJ, Carlson C. Brainstem auditory evoked potentials in postconcussion dizziness. Arch Neurol, 1980; 37: 679–83.
 
16.
Kraus N, White-Schwoch T. Do concussions leave a lasting imprint on the hearing brain? Hear J, 2017; 70(5): 42–5.
 
17.
Jasper HH. The ten-twenty electrode system of the International Federation. Electroenceph Clin Neurophysiol, 1958; 10: 371–5.
 
18.
Skoe E, Krizman J, Anderson S, Kraus N. Stability and plasticity of auditory brainstem function across the lifespan. Cereb Cortex, 2015; 25: 1415–26.
 
19.
Ledwidge PS, Molfese DL. Long-term effects of concussion on electrophysiological indices of attention in varsity college athletes: an event-related potential and standardized low-resolution brain electromagnetic tomography approach. J Neurotrauma, 2016; 33(23): 2081–90.
 
20.
Kraus N, Lindley T, Colegrove D, Krizman J, Otto-Meyer S, Thompson E, et al. The neural legacy of a single concussion. Neurosci Lett, 2017; 646: 21–3.
 
21.
Musiek FE, Chermak G. Testing and treating (c)APD in head injury patients. Hear J, 2008; 61(6): 36–8.
 
22.
Beeckmans K, Crunelle C, Ingelgom SV, Michiels K, Dierckx E, Vancoillie P, et al. Persistent cognitive deficits after whiplash injury: a comparative study with mild traumatic brain injury patients and healthy volunteers. Acta Neurol Belg, 2017; 117: 493–500.
 
23.
Thompson EC, Krizman J, White-Schwoch T, Nicol T, LaBella CR, Kraus N. Difficulty hearing in noise: a sequela of concussion in children, Brain Inj, 2018; 32(6): 763–9.
 
24.
Martin BA, Tremblay KL, Korczack P. Speech evoked potentials: from the laboratory to the clinic. Ear Hear, 2008; 29(3): 285–313.
 
25.
Song, JH, Banai K, Russo NM, Kraus N. On the relationship between speech- and nonspeech-evoked auditory brainstem responses. Audiol Neurotol, 2006; 11: 233–41.
 
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