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Auditory brain stem responses in infantile spasms

K Kaga, R R Marsh, Y Fukuyama

    International Journal of Pediatric Otorhinolaryngology
    |March 1, 1982
    PubMed
    Summary
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    Infants with infantile spasms often have auditory brain stem evoked responses (ABRs) abnormalities, indicating brain stem involvement. This, along with psychomotor retardation, explains their poor response to sound.

    Area of Science:

    • Neuroscience
    • Audiology
    • Pediatrics

    Background:

    • Infantile spasms are associated with neurological dysfunction.
    • Infants with infantile spasms often exhibit inattention to auditory stimuli.
    • The precise level of auditory pathway lesion in these infants is not well understood.

    Purpose of the Study:

    • To investigate auditory brain stem evoked responses (ABRs) and behavioral thresholds in infants with infantile spasms.
    • To determine the site of auditory pathway dysfunction in infants experiencing infantile spasms.
    • To correlate auditory findings with psychomotor status.

    Main Methods:

    • Auditory brain stem evoked responses (ABRs) were measured, including thresholds, wave latencies, and interval latencies.
    • Behavioral audiometric thresholds were assessed using conditioned-orientation-reflex (COR) audiometry.

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  • ABR data were compared to age-matched controls.
  • Main Results:

    • Thirty percent of infants with infantile spasms displayed abnormal ABRs compared to controls.
    • ABR abnormalities included wave disappearance, prolonged V-I interval, and absent responses, indicating brain stem dysfunction.
    • Eighty-six percent of patients had elevated behavioral thresholds, suggesting cortical dysfunction due to psychomotor retardation, not peripheral hearing loss.

    Conclusions:

    • Brain stem involvement is a significant finding in infants with infantile spasms.
    • Auditory inattention in these infants is primarily linked to psychomotor retardation and associated cortical dysfunction.
    • ABR testing is crucial for identifying central auditory pathway lesions in infantile spasms.