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Auditory brainstem response in obstructive sleep apnea.

S J Wetmore1, C Henderson, N W Doshier

  • 1Department of Otolaryngology and Maxillofacial Surgery, University of Arkansas for Medical Sciences, Little Rock 72205.

The Laryngoscope
|May 1, 1988
PubMed
Summary
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Obstructive sleep apnea (OSA) may cause brainstem dysfunction, indicated by prolonged auditory brainstem response (ABR) latencies. These ABR abnormalities may resolve after OSA treatment.

Area of Science:

  • Neuroscience
  • Sleep Medicine
  • Audiology

Background:

  • Auditory brainstem response (ABR) is utilized to investigate brainstem involvement in obstructive sleep apnea (OSA) pathophysiology.
  • Previous studies on ABR in OSA patients have yielded inconsistent findings.
  • The impact of pathological sleepiness in OSA on brainstem function requires further elucidation.

Purpose of the Study:

  • To assess auditory brainstem response (ABR) characteristics in patients with obstructive sleep apnea (OSA) before and after treatment.
  • To investigate the potential correlation between OSA severity and ABR abnormalities.
  • To determine if rapid-rate auditory stimuli can reveal differences in ABR between OSA patients and controls.

Main Methods:

  • Auditory brainstem response (ABR) was recorded in 27 preoperative OSA patients and 17 healthy controls using click stimuli at slow (11.7 Hz) and fast (57.7 Hz) rates.

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  • ABR was re-evaluated postoperatively in 18 OSA patients.
  • Statistical analysis was performed to compare ABR parameters between groups and conditions.
  • Main Results:

    • No significant differences in ABR were observed between preoperative OSA patients and the control group.
    • Preoperative ABR recordings showed statistically significant prolonged latencies for wave III and interpeak latency (IPL) I-III compared to postoperative recordings (p < 0.01).
    • Fast-rate ABR testing did not provide additional diagnostic value.

    Conclusions:

    • While normal sleep does not induce ABR abnormalities, the excessive sleepiness associated with OSA may lead to measurable brainstem dysfunction.
    • Prolonged ABR latencies observed in OSA patients may indicate reversible brainstem abnormalities.
    • Treatment of OSA may lead to the resolution of these auditory pathway alterations.