Brain-stem auditory evoked potentials in the rat: effects of gender, stimulus characteristics and ethanol sedation

Rat BAEPs varied significantly as a function of gender and ethanol sedation as well as stimulus intensity and repetition rate. All BAEP wave latencies decreased and amplitudes increased with increasing stimulus intensity. Contrary to the prevailing view, the I-IV interpeak latency changed significantly as a function of stimulus intensity. In terms of repetition rate, all BAEP wave latencies increased and amplitudes decreased with increasing repetition rate. Male rats, compared to females, had significantly longer latencies for several BAEP components and interpeak latencies as well as smaller wave II amplitudes across a broad range of stimulus intensities. Males, compared to females, also had longer BAEP wave IV latencies and I-IV interpeak latencies at a slow stimulus repetition rate (8 clicks/sec) but shorter wave IV and I-IV latencies at a fast repetition rate (120 clicks/sec). These gender-dependent differences indicate that male and female rat BAEP data should not be combined indiscriminantly. Ethanol sedation had a statistically significant effect on the I-IV interpeak latency that was judged to be largely independent of core temperature changes. This finding suggests that while sedatives and anesthetics used to immobilize animals may have apparently minor temperature-independent effects on BAEP latencies, these effects can be statistically significant.     

Sex differences in the amplitudes and latencies of the human auditory brain stem potential

Sex differences in the amplitudes and latencies of the auditory brain stem potential (BAEP) were investigated using 3 levels of intensity and 3 stimulus presentation rates. The females displayed consistently larger BAEPs for waves IV, V, VI, VII than the males. The only latency differences which reached significance over all the intensities and rates occurred for wave V. The females showed significantly shorter wave V latencies than the males. Since hearing losses and individually determined click thresholds were comparable between the two groups tested, the exact sources of the uneven distribution of amplitude and latency effects are in question. Differences in the relative distances of the anatomical generators are considered in accounting for the sex differences. Because the precise origin of the sex differences cannot be stated with certainty at this time, attempts to develop normative data for the BAEP should consider the possible influences of sex differences.     

Brain-stem auditory evoked potentials in adults with Down's syndrome.

Brain-stem auditory evoked potentials (BAEPs) were examined in 37 adult patients with Down's syndrome and in 37 age-matched normal subjects. All absolute and interpeak latencies except for the interpeak latency IV-V were shorter in patients than in normal subjects. The amplitude of wave V and the amplitude ratio V/I were smaller in patients than in normal subjects. Short latencies in patients were considered to be due to the smaller size of the brain-stem or to faster conduction velocity. The prolonged interpeak latency IV-V and the smaller wave V may indicate physiological dysfunctions between the upper pons and the lower midbrain.     

Auditory evoked potentials in vertebrobasilar transient ischemic attacks

Brainstem auditory evoked potentials (BAEPs) are affected by stroke or migraine in the vertebrobasilar arterial system. Some studies have reported BAEP changes in vertebrobasilar transient ischemic attacks (TIAs), but others have shown no alterations. We recorded BAEPs in 35 patients with TIAs in the vertebrobasilar system who did not have a stroke, other neurologic disease or significant hearing loss. Thirty patients were recorded after resolution of symptoms, while five individuals still had some resolving signs or symptoms. TIA patients as a group had longer interpeak latencies, but I-III, III-V, and I-V latencies were not significantly longer than in controls. Wave V was significantly longer in latency and lower in amplitude in TIA patients, however. The patients whose TIAs had resolved at absolute and interpeak latencies were within normal limits, but three of five had interpeak latencies at or above three standard deviations beyond the normal mean in the still symptomatic group. One of these was later tested and found to be within normal limits. BAEPs after subsidence of symptoms may add little to the evaluation of vertebrobasilar ischemia, but further AEP analysis may show more definitive differences of diagnostic use. The occasional BAEP abnormality during the resolving transient ischemia supports the recently suggested continuum between ischemia and infarction in the vertebrobasilar territory.     

Longitudinal measurements of brainstem auditory evoked potentials in patients with dementia of the Alzheimer type.

Brainstem auditory evoked potentials (BAEPs) were recorded from 33 patients with mild-to-moderate dementia of the Alzheimer type (DAT) and 16 age-matched normal controls. There were no significant differences between the two groups on any latency measure (wave V latency, I-V and III-V interpeak latencies). Within the DAT group, there was no association between BAEP latency measures and cognitive status, indexed by scores on the Mini-Mental Status Exam (MMSE). Eight of the DAT subjects were retested 6 months and one year later. Despite significant evidence of continued cognitive decline, there were no changes in BAEP latency measures over time. Furthermore, BAEP latency measures at initial testing did not predict the degree of cognitive decline over the one year time interval. The results show that BAEP latency is unaffected in patients with mild-to-moderate DAT.     

Brain-stem auditory evoked potentials in the alligator. Effects of temperature and hypoxia

Brain-stem auditory evoked potentials (BAEPs) were recorded from young alligators (Alligator mississippiensis), and the effects of hypothermia, hyperthermia and hypoxia on the wave forms were determined. The wave form shape was similar to the human BAEP, although extra waves were routinely seen. The responses were highly repeatable and varied in a predictable manner as a function of stimulus frequency, polarity, intensity, and body temperature. Rarefaction clicks produced longer wave form latencies than condensation clicks. BAEPs were present over the entire temperature range studied (0-36 degrees C). In contrast, mammalian BAEPs disappear over the temperature range of 20-27 degrees C, and seizures occur at 20-21 degrees C. At temperatures below 20 degrees C, the alligator BAEP peak amplitudes decreased with decreased temperature, but latencies only decreased slightly. At temperatures above 20 degrees C the peak amplitudes increased, and the latencies decreased with temperature. Peak I was largely unaffected by temperature change, while peaks IIIa and V increased 0.015 and 0.018 msec/degree C, respectively, at temperatures above 24 degrees C. Transient brain hypoxia, achieved by inverting the alligator, produced a progressive decrease in BAEP waves to an isoelectric amplitude without greatly altered latencies. The reverse sequence of changes was seen during recovery. Postural effects on blood flow were documented in two alligators with implanted flow probes. Carotid artery blood flow decreased 43% with body inversion, in both anesthetized and unanesthetized alligators, but no sequelae from the hypoxia could be detected. Metabolic differences between mammals and the alligator may account for the alligator's resistance to hypothermia, hyperthermia and hypoxia.     

Effects of hypothermia on brainstem auditory evoked potentials in humans

Ten adult patients who underwent open heart surgery under induced hypothermia had brainstem auditory evoked potentials (BAEPs) recorded at 1 degree- to 2 degrees C-steps as body temperature was lowered from 36 degrees C to 20 degrees C to determine temperature-dependent changes. Hypothermia produced increased latencies of BAEP waves I, III, and V; the prolongation was more severe for the later components with the result that interpeak latencies I-III, III-V, and I-V were also prolonged. The temperature-latency relationship was nonlinear and best expressed by exponential curve. The latencies of waves I, III, V and the interpeak latency I-V increased roughly 7% for each 1 degree C drop; they doubled at a temperature around 26 degrees C. The amplitude of the BAEP components had a quasiparabolic relationship to temperature; the amplitude rose with hypothermia to 28 degrees or 27 degrees C, but decreased linearly with further cooling. All BAEP components were present at temperatures above 23 degrees C and absent below 20 degrees C. With rewarming, the changes reversed and BAEPs returned to initial prehypothermia status.     

The severity of dementia and brainstem auditory evoked potentials--peak latency and interpeak latency]

We have examined the correlation of dementia severity and brainstem auditory evoked potentials. The subjects were 80 patients with dementia (20 males, 60 females) whose mean age was 80.7 years. Normal controls were 9 elderly subjects (2 males, 7 females) whose mean age was 80.4 years. The following parameters were measured: peak latencies (I, III and V), interpeak latencies (I-III, III-V and I-V) and interaural latency differences (V PLDs and I-V IPLDs). As for clinical items and sex differences; (1) There were sex differences recognized between peak latency of III and V, interpeak latency of III-V and I-V. (2) There was a significant difference in interaural differences of V PL Ds between vascular dementia and degenerative dementia (dementia of the Alzheimer's type and Parkinson's disease). Duration of illness had no correlation with latencies of BAEPs. Dividing the patients into three groups according to the severity of dementia which are mild, moderate and severe, (3) peak latency of III, V and interpeak latency of I-III, III-V, I-V and interaural latency differences of V PL Ds prolonged significantly with the increasing severity of dementia. From these results, it is suggested that brainstem dysfunction progresses with the increasing severity of the dementia.     

Brainstem auditory evoked potentials in chronic renal failure and maintenance hemodialysis

Brainstem auditory evoked potentials (BAEPs) were recorded in 36 chronic uremic patients maintained on hemodialysis and in 10 normal controls. Both absolute response latencies and central transmission times were affected. There were transitory increases in interpeak latencies of I-II and III-V that were reversed by dialysis. A permanent increase in wave III-V interpeak latency was not reversed by dialysis. Wave II-III interpeak latency was unaffected.     

Effects of ketamine anesthesia on the rat brain-stem auditory evoked potential as a function of dose and stimulus intensity

Because ketamine is both an abused substance and a commonly used veterinary anesthetic, its effects on brain and sensory functions are of interest. The present study examined the dose-dependent effects of ketamine anesthesia in the rat, using the brain-stem auditory evoked potential (BAEP) as an objective, quantitative measure of this substance's acute effects on brain and sensory electrophysiology. The animal subjects were 11 young adult female Long-Evans rats. BAEPs were recorded from skull screw electrodes during a baseline period as well as after saline and ketamine treatments. Ketamine was administered (i.p.) in 2 serial doses. The first dose (100 mg/kg) was followed 30-40 min later by a second dose (also 100 mg/kg). Equal volumes of normal saline were also injected serially. An interval of 1-2 weeks occurred between the saline and ketamine treatments, with treatment order counterbalanced. Normothermia was maintained to control for possible temperature-related effects. Ketamine produced prolongations in the latencies of all BAEP components (P1 through P6) that were statistically significant relative to baseline values. These latency shifts were progressively greater for waves P1 through P4 (shifts in P5 and P6 approximated the P4 shift). The effect of the second ketamine injection was to nearly double the latency shifts. Ketamine also had significant and complex effects on BAEP amplitudes that were dependent on dose and stimulus intensity. The results of the present study challenge the belief that the BAEP is resistant to the effects of anesthetics and suggest that the BAEP is useful in characterizing the CNS and sensory effects of these pharmacological agents.     

A Longitudinal Study Of Brainstem Auditory Evoked Potentials Of Preterm Infants

Brainstem auditory evoked potentials (BAEPs) of nine 'healthy' preterm infants were recorded at weekly intervals between 32 and 36 weeks conceptional age to study the relationship between stimulus intensity and central transmission time through the subcortical auditory pathway (i.e. the interval latency between peak I and peak V) as a function of conceptional age. Stimulus intensities of 70, 80 and 90 dB nHTL were used. Changes in click intensity produced changes in the absolute latency of all BAEP peaks, but the interval latency I to V remained constant. The absolute latencies and interval latencies reflected maturity, but varied widely between these preterm infants. The peak V latency and the I to V interval latency decreased with increasing conceptional age. Exponential regression analysis suggested that, above 70 dB nHTL, the time-constant of the calculated exponential function most likely represents maturation and function of the central subcortical pathway, and may give an indication of the infants' development.     

BAEP amplitudes and amplitude ratios: relation to click polarity, rate, age and sex.

BAEP amplitudes and amplitude ratios in 47 healthy subjects aged 4-58 years have been investigated with respect to the simultaneous influence of stimulus polarity, rate, sex and age. The sex effect (larger amplitudes in women than in men) seemed to be most pronounced for wave IV-V amplitude, while the age effects (decreasing amplitudes with age) seem to be largest for the early waves. The amplitude reductions which followed an increment in the stimulus rate from 10 to 50 Hz were generally larger than the reduction following a change in the stimulus polarity from R to C clicks. The rate-induced amplitude reductions depend on click polarity for waves II and V. Thus, adaptation may be different in C click responding neurons as compared to R click responding neurons. The IV-V/I and IV-V/III amplitude ratios were both independent of sex, but the IV-V/I ratio increased significantly with age. Polarity and rate effects depended on age (wave III) but not on sex. Thus, aging may involve alterations of neural function, while the sex-related amplitude differences may be explained by non-neural factors.     

A comparison of brainstem auditory evoked responses evoked by rarefaction and condensation stimulation in control subjects and in patients with Wernicke-Korsakoff syndrome and multiple sclerosis

Brainstem auditory evoked responses (BAER) evoked by rarefaction and condensation stimulation were compared in patients with Wernicke-Korsakoff syndrome (WKS) and multiple sclerosis (MS) and click polarity-related differences in topodiagnosis were found in 24% of the WKS and 40% of the MS patients. These results suggest the need to record BAER routinely with both stimulus polarities separately if practicable. BAER from rarefaction and condensation stimulation were recorded from control subjects of both sexes to provide control data for the patient study and also to investigate the interaction between sex and click polarity. BAER latency and amplitude differences between males and females were found to be independent of click polarity. However, the study did show an interaction between female sex and click polarity-related BAER latency differences although differences in amplitude and waveform morphology were essentially independent of sex. This further emphasises the importance of taking into account the variables of sex and stimulus polarity in establishing BAER control values.     

Processing and analysis techniques for brain-stem auditory evoked potentials with localization of brain-stem lesions

A computer assisted method of exact automatic measurement of BAEPs, mainly for the purpose of localization of brain-stem lesions, is described. The method presents analogue curves with superimposed confidence regions for the amplitudes and peak latencies of separate waves. The numerical output presents peak latencies, amplitudes, interpeak time intervals and central conduction times, all with normative values (60 healthy subjects), and +/- 2 and +/- 3 S.D. intervals and automatic labelling of pathological parameters (outside the chosen statistical limits). With the exception of the identification of separate waves in the often greatly distorted pathological BAEP the whole processing and display of the results are fully automatic.     

Pentobarbital-induced changes in the mouse brainstem auditory evoked potential as a function of click repetition rate and time postdrug

The effects of pentobarbital (80 mg/kg, i.p.) and saline injections on the BAEP were studied in 10 adult female BDF1 mice. Pentobarbital anesthesia induced statistically significant increases in the amplitudes and latencies of various BAEP components relative to preinjection and saline control values. These pentobarbital-induced changes were maximal shortly after drug administration and dissipated over time in a pattern similar to a drug elimination curve. Since pentobarbital and fast stimulus repetition rates are considered to be 'synaptic stressors', it was predicted that pentobarbital anesthesia and click repetition rate would have combined effects on the BAEP. This prediction was partially supported in that pentobarbital-induced changes in P4 amplitude and latency were significantly dependent on click repetition rate. The pentobarbital-induced effects on earlier BAEP components, however, proved to be largely independent of click rate. Pentobarbital-associated changes in the BAEP were not due to such factors as core temperature changes, circadian variations, and stress. The importance of anesthetic-induced changes in the BAEP for clinical and experimental studies is discussed.     

Sex and ear differences of brain-stem acoustic evoked potentials in a sample of normal full-term newborns. Normative study

The present paper reports a normative study of the BAEPs recorded from 80 normal full-term newborns by using a rarefaction click at 70, 60, 40, 20 dB HL. Positive, negative peaks and the relative amplitudes were measured. Means, standard deviations and 95% and 99% confidence limits were calculated for each component, for positive and negative IPLs and amplitude ratios. A normality test distribution showed that each component had normal distribution except for wave PIII at 70 dB and at 60 dB HL because of its index of kurtosis and for IPLs PII-PIII and NII-NIII at 70 and 60 dB HL. MLRA was performed and significant statistical differences were found for sex, ears and intensities. Females had the latencies of waves PIII, PIV, PV, NII and NIV shorter than males. The BAEPs obtained from the left ear had shorter latencies for positive and negative peaks. Latencies, amplitude and morphology of the BAEPs vary with variations of the intensity. The IPLs PII-PV, PIII-PV and PIV-PV were not affected by changes of intensity.     

Brain-stem auditory evoked potentials in squirrel monkey (Saimiri sciureus)

To more fully characterize brain-stem auditory evoked potentials (BAEPs) in non-human primates, BAEPs were recorded from chronically implanted epidural electrodes in 10 squirrel monkeys (Saimiri sciureus). The effects of stimulus intensity, repetition rate, and anesthesia (ketamine 20 mg/kg i.m.) on peak latencies and inter-peak intervals were evaluated. Monkey wave forms consisted of approximately 7 peaks (I-VII), each exhibiting similar latencies across sessions, with later peaks exhibiting greater variability. In some subjects, additional peaks (IIa, IIIa) and slow potentials were recorded. The slow potentials provided a substratum for peaks IV through VII. As with human, monkey peaks exhibited systematic changes in latency with changes in stimulus intensity or repetition rate. These shifts included significant decreases in latency with increasing intensity for peaks I-IV and increases in latency with increases in repetition rate for peaks III, V, and VI. Inter-peak intervals were similar to those observed in human. Furthermore, ketamine anesthesia significantly delayed the latencies of most peaks (except I, V, and VII). Some differences between monkey and human BAEPs were evident in the relative amplitude of specific peaks. For example, peak V is typically most prominent in human, while this was true for peak III in monkey. The similarities between unanesthetized monkey and human inter-peak intervals suggest that the times required for impulses to reach particular brain-stem areas are conserved across primate species that vary in brain size. This supports the hypothesis that comparably numbered BAEP peaks in monkey and human index homologous processes. The data also suggest that the differences between animal and human BAEPs commonly reported may result from the use of anesthetics. In summary, unanesthetized monkey BAEPs resemble human BAEPs in morphology, number of peaks, polarity, latency variability, inter-peak intervals, slow potentials superimposed on the high-frequency peaks, and variations in morphology, amplitude, and resolution of peaks as a function of recording site. Thus, unanesthetized monkey BAEPs may be an excellent model for investigating the neural substrates of human BAEP or for determining species differences in acoustic processing among primates.     

BAEP latency changes during nocturnal sleep are not correlated with sleep stages but with body temperature variations

Serial BAEPs and polysomnograms were recorded during nocturnal sleep in 8 normal subjects. Wave V latency and the I-V interval were found to increase significantly during stages II, III + IV and paradoxical sleep when compared to waking. Trend curves of BAEP latencies showed that these shifts were independent of sleep stages and reversed at the end of the night. BAEP changes were found to be related to physiological hypothermia during the night.     

Age-related latency changes in the brain-stem auditory evoked potentials

The effects of age on the brain-stem auditory evoked potentials were studied on 156 healthy subjects with ages ranging from 18 to 76 years. The latencies of peaks I-VII and the interpeak latencies of I-III, III-V and I-V were consistently shorter for the female group than the male group. The females also had higher peak amplitude than the males. The effects of sex on the peak and interpeak latencies were observed in all age groups. There was a small progressive prolongation in the peak latency with increasing age, particularly peak V. Although a correlation between the age and the I-III interval was not observed, there was also a small increase with age in the interpeak latencies of III-V and I-V.     

Acute and chronic effects of carbamazepine, phenytoin, valproate and vinpocetine on BAEP parameters and threshold in the guinea pig.

OBJECTIVE: To characterize the acute and chronic effects of the antiepileptic drugs (AEDs): carbamazepine (CBZ), phenytoin (PHT), valproic acid (VPA) and vinpocetine (VPC), at doses 20, 6, 30 and 2mg/kg, respectively, on the latencies and amplitudes of the waves of brainstem auditory evoked potentials (BAEPs) elicited by a supra-threshold stimulus alongside BAEP threshold. METHODS: BAEPs elicited by a stimulus of high (100dB nHL) intensity and BAEP thresholds were obtained at 4 and 8kHz: before, after the start of treatment, and following 28 days of a daily injection of the AEDs. RESULTS: After the start of treatment BAEPs were unchanged. After the long term treatment, CBZ and PHT increased P3 and P4 wave peak latencies and reduced P4 amplitude. Chronic VPA did not modify BAEP waves, and chronic VPC reduced P3 and P4 latencies. P1 and P2 were unchanged. BAEP thresholds at 4 and 8kHz were increased by CBZ, PHT and VPA, and decreased by VPC. CONCLUSIONS: The chronic administration of several AEDs modifies BAEP waves of retro-cochlear origin. SIGNIFICANCE: Alterations in the generators of the later waves of BAEPs underlie, in most cases, the changes in hearing sensitivity produced by the long term treatment with AEDs at therapeutic relevant doses.