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49 Cards in this Set
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evoked potentials
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represent electric responses of the nervous system to sensory stim, consist of sequence of deflections or waves
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characteristics of auditory evoked potentials
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latency
amplitude spectrum variability electrode position |
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strength of evoked potential =
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picking up activity from multiple neurons
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EEG
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recording of random and spontaneous bioelectric activity generated by the CNS w/o sensory stim (way of measuring changes in brain activity)
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EEG fq
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less than 20 Hz
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EEG amp
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20-50 uV (can be up to 300 mV)
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Different types of waves (list)
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delta
theta alpha beta |
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delta waves
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<4 Hz, largest, slowest, associated with sleep
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theta waves
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4-8 Hz, largest and associated with sleep
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alpha waves
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8-13 Hz, indication of wakefulness, seen best w/ eyes closed, can block by mental activity; recorded best over parietal and occipital lobes
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beta waves
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>13 Hz, seen over frontal regions and other regions during intense mental activity, smallest amplitude
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diagnostic uses of EEG
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1.determine brain lesions (brain lesions will affect EEG but not Eps b/c EEG=ongoing and not stim locked)
2. determine sleep disorders |
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How to determine if change in EEG is b/c of sensory stim (ex. aud) or random
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1. look at EEG traces following reps of identical test signals that are above a threshold and superimpose the,. Traces reveal commonalities that were not apparent when traces are viewed separately
2. If aud stim is not greater than the hearing persons thresholds then will not find commonalities |
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what is another way to look for commonalities
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draw baseline through middle of individual traces then positive and negative amplitudes are measures as successive small intervals after onset of signal
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advent of computers
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-computer digitizes electric activity from brain,
-stores positive and negative voltages at successive time points - and then averages them electronically |
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what do you use to measure voltage changes to aud stim
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electrodes
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how long is analysis window or epoch
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seldom longer than 500 msec
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what are patterns of configurations of waves/peaks dependent on
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-equipment variables (size of analysis window, width of filter pass band)
-signal variables (spectrum of signal, presentation rate) -subject variables (age, gender, normal vs. pathologic) -subject state (awake or sleep) |
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why were ABRs discovered relatively late
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b/c low amp in relation to ongoing EEG activity and other and evoked potentials
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ABR
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most widely used aud evoked potential
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types of auditory evoked potentials (list)
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electrocohleography
short latency middle latency long latency sonomotor AEPS postaricular AEP |
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electrochochleography
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1.5-2 msec
3 types: cochlear microphonic summating potential (from IHC) action potential (distal portion of aud nerve, same as wave I of ABR) |
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short latency
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1.5-`0 msec
-transient=single response resulting from presentation of transietnt=single stim (neural units generating these responses are sensitive to onset of stim) ABR occurs fast. steady state short=responses reflecting repeated or continual stim FFR |
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middle latency
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transient middle latency AEP (10-80 ms)
steady state middle latency AEP: 40 Hz AEP |
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long latency
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100-1000 msec after an acoustic even
-cortical responses -cognitive potentials -event-related potentials |
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sonomotor AEPs
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1. myogenic potentials (muscle potnetials-as muscles move they naturally give off electrical potentials)
2. postauricular AEPS-when stim is loud enough, muscle near ear fires in synchrony with acs stim (causes difficulties in determining what is neurally or muscualry generating the potential) 3. neck and scalop muscles can also be activated |
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classification of auditory evoked potentials (list)
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evoked vs. nonevoked
farfied vs. nearfield endogenous vs. exogenous |
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example of evoked and non evoked
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evoked=evoked from stim
nonevoked=muscle activity |
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far field vs. near filed
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far field=from scalp (most AEPs)
near field=EchochG, intraoperative monitoring |
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endogenous
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largely independent of physical features of stim but sensitive to context w/in with stim is presented and ability of subj to recognize or attach meaning to context
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exogenous
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depend on physical feature of stim, if change some acoustic parameter of stim some responses will be sensitive to this
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Characteristics of AEPs: latency
(also characterize different latencies) |
time it takes from onset of stim to occurrence of response (more important for ABR then for later potentials)
short=0-10 ms middle=10-80 long=100-1000 ms |
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what happens in general for later latencies
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larger amplitudes in general
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amplitudes of:
subcortical potentials vs. cortical potentials |
subcortical: <10mV
cortical: >10 mv |
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amplitudes of:
ABR MLR LLAEP |
ABR=.2 mV
MLR=1 mV LLAEP=1-10 mV |
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number of averages needed for
ABR MLR LLAEP |
ABR =2000
MLR=1000 LLAEP =100 |
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spectrum frequency
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the shorter the latency the higher the fq spectrum
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spectrum frequency of:
EEG ABR MLR LLAEP |
EEG=1-15 Hz
ABR=higher than MLR and LLAEP LLAEP=.1-100 Hz |
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characteristics of aud evoked potentials:
VARIABLITY |
shorter latency=shorter variablity
-early exogenous potentials are more related to characteristics of stim and are less variable (can be recorded in sleeping/sedated) |
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characteristics of aud evoked potentials:
ELECTRODE POSITION |
degree to which small shifts in electrode alter waveform morphology
-shorter latency the more far field the response -can record ABR from many different places b/c far-field -want to max electrode position to pull signal out of the noise - |
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characteristics of aud evoked potentials:
SUSCEPTIBILTY TO STATE CHANGES |
the shorter the latency the less susceptible to changes in subject state
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characteristics of aud evoked potentials:
RATE OF MATURATION |
shorter latency the more rapidly maturation proceeds, ear matures before the brain, more peripheral pathways mature before more central pathways
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two major applications of ABR testing
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1. identification of neurological abnormalities
2. estimation of hearing sensitivity |
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when would u choose ABR over behavioral measures?
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-neonates, children adults w/ mental handicaps, patients w/ psychiatric disorders whose voluntary behave responses are too erratic, patients involved in litigation whose lack of cooperation negates the results of more conventionally, l audiomet
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is ABR a test of hearing?
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no it is a test of synchronous neural function; however can use to make inferences about hearing sensitivity based on presence of responses to stim presented at various stim intensities
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how can ABR test neural abnormalities
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ABR most robust in identifying 8th nerve tumors >1cm in diameter, less w/ demyelinating diseases (MS)
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ABR and intraoperative monitoring
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useful in monitoring activity of surgical removal of tumors affecting 8th nerve
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how can an ABR test hearing sensitivity
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ABR is a test of neural function and depends on neural synchrony, if a patient has a neural abnormality it can affect the ability to obtain synchronous neural responses for ABR and then utility to estimate hearing sensitive is compromised
NOTE: ABR does not represent conscious hearing |
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clinical applications of ABR
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-diagnose hearing loss (determine type of loss, degree of loss, config of loss)
-diagnose lesions along aud pathway b/c measuring along aud pathway -higher level potentials=reveal cortical activity for aspects of speech processing -assess attention-diff kind of evoked response she person is paying attention to the acoustic event -cognitive function-window into integrative cortical function |