The Auditory Brainstem Response

An invaluable reference for diagnosing common auditory disorders Written by the foremost authorities in the field, Audiology: Diagnosis presents the basic concepts and essential clinical information for diagnosing auditory disorders, otologic diseases, and vestibular dysfunction. The book provides a thorough review of fundamental principles of diagnosis, including the basic procedures, the anatomy and physiology of the auditory system, imaging techniques, instrumentation, calibration, and more. It also covers the clinical tests essential for assessing the type and degree of hearing loss and for determining the etiological factors underlying the patient's disorder. Chapters address such important topics as ototoxicity and pharmacology in the audiology practice, and utilizing functional brain imaging and radiologic techniques. Highlights: New information on effective methods for neonatal hearing screening, assessment of vestibular disorders, the genetics of hearing loss, and recent advances in testing for auditory processing disorders in children and adults Chapter outlines to rapidly acquaint reader with topics to be discussed Pearls, pitfalls, controversial points, and special considerations providing recommendations and comments on key aspects of patient care Audiology: Diagnosis is one part of a three-volume series, which is completed by Audiology: Treatment and Audiology: Practice Management. Together these books provide audiologists and students in graduate programs with an invaluable resource for each stage of management.

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.

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 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.

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.

Some well-known age-related neurological diseases include Parkinson's disease, Alzheimer's disease, deafness, and blindness. Even more common are the problems of aging which are not due to disease but to more subtle impairments in neurobiological systems, including impairments in vision, memory loss, muscle weakening, and loss of reproductive functions, changes in body weight, and sleeplessness. As the average age of our society increases, diseases of aging continue to become more common, and conditions associated with aging need more attention by doctors and researchers. In 1991, patients over the age of 65 saw their doctors an average of eight times per year. Research funding is provided by the Neuroscience and Neuropsychology of Aging (NNA) Program, which is run by the National Institute on Aging. This book offers a comprehensive overview of all topics related to functional impairments which are related to the aging brain and nervous system. It is organized according to four general functions: movement, senses, memory, and neuroendocrine regulation. Written by the leading researchers in the field, this comprehensive work addresses both impairments associated with diseases and not associated with diseases, making it easier to understand the mechanisms involved. Functional Neurobiology of Aging is an important reference for professionals and students involved in aging research, as well as physicians who need to recognize and understand age-related impairments. Organized by function, making it easy to find and understand the material Addresses impairments both associated with diseases and not associated with diseases Written by leading researchers in the field Most comprehensive source of information on the neurobiology of aging