Latencies of auditory steady-state responses recorded in early infancy

Jane Alaerts1, Heleen Luts, Bram Van Dun

  • 1ExpORL, Department of Neurosciences, KU Leuven, Belgium. Jane.Alaerts@med.kuleuven.be

Insights

Auditory steady-state responses (ASSRs) in infants show higher thresholds and variable latencies compared to adults. These findings provide a clinical reference for assessing hearing in high-risk infants and understanding auditory development.

Area of Science:

  • Audiology
  • Neuroscience
  • Developmental Pediatrics

Background:

  • Infants at risk for hearing loss require reliable audiological assessments.
  • Auditory steady-state responses (ASSRs) are a key objective measure for hearing assessment.
  • Understanding normative ASSR data in infants is crucial for early diagnosis and intervention.

Purpose of the Study:

  • To establish normative auditory steady-state response (ASSR) thresholds and latency estimates in infants.
  • To compare infant ASSR data with adult norms.
  • To investigate the relationship between ASSR thresholds and behavioral hearing thresholds (BHTs) in infants.
  • To examine developmental changes in ASSR latency within the infant group.

Main Methods:

  • Auditory steady-state responses (ASSRs) were measured in 111 ears of 70 infants aged -4 to 19 weeks.
  • ASSR thresholds in normal-hearing infants were compared to adult data.
  • The correlation between ASSR thresholds and behavioral hearing thresholds (BHTs) was analyzed.
  • Latency of ASSRs in response to 50 dB SPL stimuli was compared between infants and adults.
  • Developmental changes in infant ASSR latency were evaluated based on age groups.

Main Results:

  • Infant ASSR thresholds were, on average, 12 dB higher than adult thresholds.
  • Strong correlations were found between infant ASSR thresholds and BHTs across frequencies (0.75–0.87).
  • ASSR latency was influenced by carrier frequency, with higher frequencies yielding shorter latencies in both infants and adults.
  • Infant ASSR latencies were generally longer than adult latencies, with significant age-related differences observed within the infant group.

Conclusions:

  • Normative ASSR data for infants are essential for accurate hearing assessment in this population.
  • ASSRs demonstrate a strong relationship with behavioral thresholds in infants.
  • Auditory system maturation, reflected in ASSR latency, continues during early infancy.
  • These findings offer valuable clinical reference for interpreting ASSR results in high-risk infants.

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