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Updated: Jun 2, 2026

Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
The maturational process of the auditory system in the first year of life characterized by brainstem auditory evoked
Raquel Beltrão Amorim1, Raquel Sampaio Agostinho-Pesse, Kátia de Freitas Alvarenga
1Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
Insights
Brainstem auditory evoked potentials (BAEP) track auditory nerve and brainstem activity in infants. Latency of BAEP waves matures significantly in the first year, with brainstem components showing the most change.
Area of Science:
- Neuroscience
- Audiology
- Developmental Pediatrics
Background:
- Brainstem auditory evoked potentials (BAEP) reflect electrophysiological activity from the cochlear nerve to the inferior colliculus.
- Infancy is a period of significant neuronal plasticity, influencing BAEP maturation.
- BAEP responses mature around 18 months in full-term newborns, resembling adult patterns.
Purpose of the Study:
- To establish normative values for BAEP absolute latencies (waves I, III, V) and inter-peak intervals (I-III, III-V, I-V) in full-term infants.
- To assess BAEP in infants without hearing impairment risk factors within a specific audiology program.
- To provide reference data for infant hearing health evaluations.
Main Methods:
- BAEP were recorded using rarefaction click stimuli at 80 dBnHL, 21.1 c/s, with a 30-3000 Hz filter and 2000-stimulus average.
- A cohort of 86 infants was analyzed, categorized by gestational and chronological age (0-29 days, 30 days-5 months 29 days, >6 months).
- Preterm infants (n=12) and full-term infants (n=74) were included in the analysis.
Main Results:
- Wave I absolute latency in infants was comparable to adults by the first month, indicating mature auditory nerve function.
- Waves III and V absolute latencies showed a progressive decrease with age.
- This age-related decrease in latency for waves III and V signifies the maturation of brainstem axons and synaptic processes.
Conclusions:
- Infant age is a critical determinant of BAEP component absolute latencies, particularly for brainstem-generated potentials.
- The findings highlight the dynamic maturation of the auditory pathway during the first year of life.
- Established normative data are essential for accurate interpretation of BAEP in infants.
Unlabelled:
The study of brainstem auditory evoked potentials (BAEP) allows obtaining the electrophysiological activity generated in the cochlear nerve to the inferior colliculus. In the first months of life, a period of greater neuronal plasticity, important changes are observed in the absolute latency and inter-peak intervals of BAEP, which occur up to the completion of the maturational process, around 18 months of life in full-term newborns, when the response is similar to that of adults.
Objective:
The goal of this study was to establish normal values of absolute latencies for waves I, III and V and inter-peak intervals I-III, III-V and I-V of the BAEP performed in full-term infants attending the Infant Hearing Health Program of the Speech-Language Pathology and Audiology Course at Bauru School of Dentistry, Brazil, with no risk history for hearing impairment.
Material And Methods:
The stimulation parameters were: rarefaction click stimulus presented by the 3ª insertion phone, intensity of 80 dBnHL and a rate of 21.1 c/s, band-pass filter of 30 and 3,000 Hz and average of 2,000 stimuli. A sample of 86 infants was first divided according to their gestational age in preterm (n=12) and full-term (n=74), and then according to their chronological age in three periods: P1: 0 to 29 days (n=46), P2: 30 days to 5 months 29 days (n=28) and P3: above 6 months (n= 12).
Results:
The absolute latency of wave I was similar to that of adults, generally in the 1st month of life, demonstrating a complete process maturity of the auditory nerve. For waves III and V, there was a gradual decrease of absolute latencies with age, characterizing the maturation of axons and synaptic mechanisms in the brainstem level.
Conclusion:
Age proved to be a determining factor in the absolute latency of the BAEP components, especially those generated in the brainstem, in the first year of life.
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