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Published on: June 2, 2014
Auditory evoked brainstem responses and medial olivocochlear efferent system in migraine patients with phonophobia
Emre Soylemez1, Aydın Sinan Apaydin2, Tugce Gurel Soylemez3
1Department of Audiometry, Karabuk University, Karabuk, Turkiye.
Objective:
This study aims to investigate Auditory Evoked Brainstem Responses (ABR) and Distortion Product Otoacoustic Emission (DPOAE) suppression in migraine patients with and without phonophobia.
Methods:
Thirty-two migraine patients with normal hearing and 30 healthy individuals were included in the study. Migraine characteristics and phonophobia status of migraine patients were noted. The patients were divided into two groups according to their phonophobia status. All participants underwent ABR, DPOAE and DPOAE suppression.
Results:
Migraine patients had less DPOAE suppression (1481 and 2222 hz) and shorter ABR wave latencies compared to the control group (p < 0.05). Twelve (37.5%) of the migraine patients did not have phonophobia, and 20 (62.5%) had phonophobia. Phonophobia was not found to affect DPOAE suppression (p > 0.05). However, ABR wave I and V latencies in migraine patients with phonophobia were shorter than in healthy individuals (p < 0.05).
Conclusion:
There are changes in the auditory evoked brainstem responses and medial olivocochlear efferent system of migraine patients. While phonophobia in migraine patients does not affect the medial olivocochlear efferent system, it may affect auditory evoked brainstem responses.
Insights
Migraine patients show altered auditory brainstem responses and medial olivocochlear function. Phonophobia in migraineurs doesn't impact otoacoustic emissions but may influence auditory evoked brainstem responses.
Area of Science:
- Neuroscience
- Audiology
- Ophthalmology
Background:
- Migraine is a complex neurological disorder.
- Phonophobia, a common migraine symptom, suggests heightened sensory sensitivity.
- Auditory function in migraineurs requires further investigation.
Purpose of the Study:
- To investigate Auditory Evoked Brainstem Responses (ABR) and Distortion Product Otoacoustic Emission (DPOAE) suppression in migraine patients.
- To compare auditory function between migraine patients with and without phonophobia and healthy controls.
Main Methods:
- Included 32 migraine patients and 30 healthy controls.
- Assessed ABR, DPOAE, and DPOAE suppression.
- Categorized migraine patients based on phonophobia status.
Main Results:
- Migraine patients exhibited reduced DPOAE suppression and shorter ABR wave latencies compared to controls.
- Phonophobia did not significantly affect DPOAE suppression.
- Migraine patients with phonophobia showed shorter ABR wave I and V latencies than controls.
Conclusions:
- Migraine patients display alterations in auditory evoked brainstem responses and the medial olivocochlear efferent system.
- Phonophobia in migraineurs may influence ABR but not the medial olivocochlear efferent system.
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