Effects of Number and Interstimulus Interval of Tone Pips on Fast Responses

Abstract

Effects of stimulus number and interstimulus interval on auditory-evoked fast responses (BSR: Jewett's V, and middle-latency components: Na, Pa and Nb) were studied by using 1000- and 500-Hz tone pips in 6 normal human adults. At a stimulus intensity of 50 dB SL, 500 stimuli evoked BSRs and the middle-latency components in all cases. At a stimulus intensity of 30 dB SL, 1000 stimuli were necessary to evoke BSRs and Na in all 6 subjects. Even 4 000 stimuli were not sufficient for identifying Pa in 1 subject and Nb in 3 subjects. The largest mean peak-to-peak amplitude was the Na-Pa amplitude, but, differences across subjects were large. On the other hand, the BSR-Na amplitude showed relatively small differences across subjects. The BSR latencies were highly stable across subjects. These characteristics indicate that the BSR-Na component is more suitable as an indicator for objective audiometry than either the Na-Pa or Pa-Nb component. The BSR-Na amplitude did not show a decrease as the interstimulus interval was decreased from 104 to 32 ms. On the other hand, the Na-Pa amplitude significantly decreased as the interstimulus interval was decreased from 104 to 42 ms, and the Pa-Nb amplitude also significantly decreased as the interstimulus interval was decreased from 104 to 73 ms. Therefore, because of its resistance to the effects of high rates of stimulation, the BSR-Na component appears to be a suitable audiometric index in the clinical situation where time constraints are a consideration.

Key Words:

• Electric response audiometry
• Brain stem response
• Frequency-specific fast responses
• Stimulus number
• Interstimulus interval
• Objective audiometry