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The SP-AP compound wave in patients with auditory neuropathy
Yunyun Lu1, Qian Zhang, Yuting Wen
1Department of Otolaryngology-Head and Neck Surgery, Chao Yang Hospital, Beijing, PR, China.
Conclusions:
This study suggests that the asynchronization of the cochlear afferent pathway may be one mechanism of the etiopathogenesis of auditory neuropathy.
Objective:
To investigate the characteristics of the SP-AP compound wave and its generating mechanism in patients with auditory neuropathy.
Subjects And Methods:
The electrocochleogram (ECochG) was recorded with external ear canal electrode in patients with auditory neuropathy and normal subjects. The peak-latency, amplitude, and time course of the SP-AP compound wave were measured by using an 'assessor-blind' study. The discrepancy between the two groups was evaluated by statistical analysis.
Results:
The SP-AP compound waveform in the auditory neuropathy patient group was unrepresentative. The transient character of the SP-AP compound wave was more atypical than that for the normal cases. SP dominance (-SP/AP>0.4) appeared. The amplitude of both AP and SP was lower than that of the control group. The width of the SP-AP compound wave at one-third of its peak was greater than that of the control group.
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