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Speech evoked auditory brainstem response findings in children with epilepsy.
Elkabariti, Rasha Hamdi; Khalil, Lobna Hamed; Husein, Rasha; Talaat, Hossam Sanyelbahaa.
Afiliación
  • Elkabariti RH; Department of Otolaryngology, Audiology Unit, Ain Shams University, Egypt.
  • Khalil LH; Department of Otolaryngology, Audiology Unit, Ain Shams University, Egypt.
  • Husein R; Department of Pediatrics, Ain Shams University, Egypt.
  • Talaat HS; Department of Otolaryngology, Audiology Unit, Menoufiya University, Egypt. Electronic address: Sanyelbhaa@yahoo.com.
Int J Pediatr Otorhinolaryngol ; 78(8): 1277-80, 2014 Aug.
Article en En | MEDLINE | ID: mdl-24890007
OBJECTIVES: Children with epilepsy are at a considerable risk of cognitive impairment and school failure. Previous studies have typically documented abnormal responses in children with epilepsy at cortical level using speech stimuli. Recent studies reported that abnormal neural encoding of a speech syllable could be detected at the level of the brainstem using speech-evoked auditory brainstem response (ABR). The aim of this study is to investigate speech-evoked (ABR) results in children with epilepsy. METHODS: The study group consisted of 38 recently diagnosed epileptic children; none of them has received antiepileptic therapy. They were 22 males and 16 females with age 9.1 ± 3.1 years. The control group consisted of 38 healthy normal hearing children with matched age and gender distribution. All subjects underwent full history taking, basic audiologic evaluation including pure-tone, speech audiometry and immittance testing. Click ABR response was recorded monaurally from both ears at 90 dB nHL then speech ABR was recorded monaurally from each ear at 80 dB SPL. RESULTS: Though the study group disclosed normal click ABR compared to age matched normative values, speech-evoked ABR revealed a delayed waves V and A latencies in both ears. These findings reflect abnormal neural encoding of speech at the level of brainstem. The younger the age of epileptic child the more prolonged wave A latency and increased V/A inter-latency values. CONCLUSIONS: Speech-evoked ABR results denote abnormal timing in the brainstem; such brainstem abnormality could be detected by speech evoked ABR rather than conventional click evoked ABR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Audiometría del Habla / Potenciales Evocados Auditivos del Tronco Encefálico / Epilepsia Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Int J Pediatr Otorhinolaryngol Año: 2014 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Irlanda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Audiometría del Habla / Potenciales Evocados Auditivos del Tronco Encefálico / Epilepsia Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Int J Pediatr Otorhinolaryngol Año: 2014 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Irlanda