Clinical Applications Of The Auditory Brainstem Response

Focusing on the auditory brainstem response (ABR) and its applications in evaluating neural disorders and hearing sensitivity, Clinical Applications of the Auditory Brainstem Response is an essential tool for every audiologist. This practical, hands-on manual provides the information necessary to understand the bases for and applications of the auditory brainstem response in clinical practice, presenting substantive, valuable information on both performance and interpretation of the measures.

Written by experts with extensive clinical and scientific experience, this comprehensive textbook presents the state of the art in auditory evoked potentials. Opening chapters explain the nature of electrical fields that generate surface recorded potentials, summarize the imaging modalities that complement evoked potential studies, and review acoustics and instrumentation. Major sections examine the anatomy and physiology of the auditory periphery, brainstem, and cortex and the principles and clinical applications of auditory, myogenic, visual, somatosensory, and vestibular evoked potentials. Chapters present hands-on laboratory exercises and clinical case studies. A full-color insert includes 3D images from multi-channel evoked potentials and functional imaging.

Written for auditory clinicians and researchers alike, this is the first monograph on this important area of auditory science that traces the international research effort from its origins in the 1970s to the present day. Comprising contributions from experts in a range of disciplines including auditory physiology, engineering, medicine and audiology, the book presents comprehensive and authoritative coverage of the generation and recording of the ASSR and the clinical applications of the response.

Evoked potentials are potentials that are derived from the peripheral or central nervous system. They are time locked with an external stimulus and can be influenced by subjective intentions. Evoked potentials have become increasingly popular for clinical diagnosis over the last few years. Evoked potentials from the visual system are used by ophthalmologists in order to localize the abnormalities in the visual pathway. The otologists are mainly involved in brainstem auditory evoked potentials, while the pediatricians, neonatologists, neurologists and clinical neurophysiologists make use of multimodal stimulation. The psychiatrists and psychologists, generally, examine the slow potentials such as P300 and CNV. Anesthesiologists use short latency somatosensory and visual evoked potentials in order to monitor the effectiveness of the anesthesia. Pharmaco evoked potentials are very promising measures for the quan tification of the effectiveness of drug action on the cerebral cortex. Urologists are more and more involved in pudendal somatosensory evoked potentials and in the intensive care unit evoked potentials are used in order to monitor the functional state of the central nervous system of the patient. This overwhelming number of examinations and exam ina tors clearly demonstrates the need for guidelines and standardization of the methods used. The evoked potential metholody is restricted by the relative poor signal to noise ratio. In many diseases this signal to noise ratio decrease rapidly during the progression of the illness. Optimal technical equipment and methodology are therefore essential.

Written primarily by audiologists familiar with cutting-edge research in a rapidly changing field, Auditory Electrophysiology provides a fresh perspective on the most current advances and practices in the specialty. Research and clinical information are presented separately to facilitate learning and provide a more practical organization of the material. In addition to clinical applications and case studies, this text includes sections on the foundational science and historical background of auditory evoked potentials as well as clinical practice and management.Key Features: Includes case studies written by clinicians who are experts in auditory evoked potentials, helping to highlight clinical applications in the specialty Discusses how auditory electrophysiology techniques are used in central auditory function testing Provides practical guidelines on how to write a clinical report, with easy-to-use templates, helping readers quickly master report writing Contains a chapter on the application of principles of evidence-based practice, to guide clinical technique and analysis of auditory evoked potentials Ideal as an introduction to the field for graduate students in audiology and ENT residents, Auditory Electrophysiology is also a useful guide for clinicians who want to refresh their skills or add to their practice. It fills a gap in the literature for an up-to-date text and reference on all aspects of auditory evoked potentials.

A compendium of information and resources on auditory evoked potentials that focuses on principles and clinical applications. Chapters reflect state-of-the-art techniques by world recognized authors, all of whom have hands-on experience. Contains case studies, charts, graphs, and a list of key terms. Features chapters on electrocochleography, auditory middle latency response, cognitive auditory response, peripheral hearing loss, applications in newborn and infant auditory brainstem response, and a chapter on brain mapping. Otolaryngologists and audiologists in private practice and educational/hospital settings. A Longwood Professional Book.

Auditory Brainstem Evoked Potentials: Clinical and Research Applications provides a solid foundation of the theoretical principles of auditory evoked potentials. This understanding is important for both the development of optimal clinical test strategies, and interpretation of test results. Developed for graduate-level audiology students, this comprehensive text aims to build a fundamental understanding of auditory evoked brainstem responses (ABR), and their relationship to normal and impaired auditory function, as well as its various audiologic and neurootologic applications. In addition to covering the classical onset ABR, the book provides a thorough review of sustained brainstem responses elicited by complex sounds, including auditory steady state response (ASSR), envelope following response (EFR), and frequency following response (FFR), and the growing clinical and research applications of these responses. By exploring why certain stimulus manipulations are required to answer specific clinical questions, the author provides the resources needed for students and clinicians to make reasoned decisions about the optimal protocol to use in a given situation. Key Features: * A full chapter devoted to laboratory exercises * Numerous illustrations to help explain key concepts * Description of neural bases underlying amplitude and latency changes * Troubleshooting techniques * End-of-chapter summaries