Rate and filter dependence of the middle-latency response in infants

Increasing the efficiency of neonatal MEG measurements by alternating auditory and tactile stimulation

OBJECTIVE

To evaluate the possible effect of intervening auditory stimulation on somatosensory evoked magnetic fields in newborns.

METHODS

We recorded auditory and tactile evoked responses with magnetoencephalography (MEG) from two groups of healthy newborns. One group (n=11) received only tactile stimuli to the index finger, the other (n=11) received alternating tactile and auditory (vowel [a:] with 300-ms duration) stimuli. The interval between subsequent tactile stimuli was always 2 s. We analyzed the equivalent current dipoles (ECDs) of the main auditory and somatosensory responses.

RESULTS

The ECDs of the tactile responses agreed with activation of the primary somatosensory cortex at ∼60 ms and the secondary somatosensory region at ∼200 ms. The source of the auditory response (∼250 ms) was clearly distinct from those to tactile stimulation and in line with auditory cortex activation. The intervening auditory stimulation did not affect the strength, latency, or location of the ECDs of the tactile responses.

CONCLUSIONS

Auditory and tactile MEG responses from newborns can be obtained in one measurement session.

SIGNIFICANCE

The alternating stimulation can be used to shorten the total measurement time and/or to improve the signal to noise ratio by collecting more data.

Intracranial recording and source localization of auditory brain responses elicited at the 50 ms latency in three children aged from 3 to 16 years

Maturational studies of the auditory-evoked brain response at the 50 ms latency provide an insight into why this response is aberrant in a number of psychiatric disorders that have developmental origin. Here, using intracranial recordings we found that neuronal activity of the primary contributors to this response can be localised at the lateral part of Heschl's gyrus already at the age of 3.5 years. This study provides results to support the notion that deviations in cognitive function(s) attributed to the auditory P50 in adults might involve abnormalities in neuronal activity of the frontal lobe or in the interaction between the frontal and temporal lobes. Validation and localisation of progenitors of the adults' P50 in young children is a much-needed step in the understanding of the biological significance of different subcomponents that comprise the auditory P50 in the adult brain. In combination with other approaches investigating neuronal mechanisms of auditory P50, the present results contribute to the greater understanding of what and why neuronal activity underlying this response is aberrant in a number of brain dysfunctions. Moreover, the present source localisation results of auditory response at the 50 ms latency might be useful in paediatric neurosurgery practice.

Human auditory steady-state responses

Steady-state evoked potentials can be recorded from the human scalp in response to auditory stimuli presented at rates between 1 and 200 Hz or by periodic modulations of the amplitude and/or frequency of a continuous tone. Responses can be objectively detected using frequency-based analyses. In waking subjects, the responses are particularly prominent at rates near 40 Hz. Responses evoked by more rapidly presented stimuli are less affected by changes in arousal and can be evoked by multiple simultaneous stimuli without significant loss of amplitude. Response amplitude increases as the depth of modulation or the intensity increases. The phase delay of the response increases as the intensity or the carrier frequency decreases. Auditory steady-state responses are generated throughout the auditory nervous system, with cortical regions contributing more than brainstem generators to responses at lower modulation frequencies. These responses are useful for objectively evaluating auditory thresholds, assessing suprathreshold hearing, and monitoring the state of arousal during anesthesia.

Forward masking among infant and adult listeners

Psychophysical forward-masked thresholds were estimated for 3- and 6-month-old infants and for adults. Listeners detected a repeated 1000-Hz probe, with 16-ms rise time, no steady-state duration, and 16-ms fall time. Unmasked thresholds were determined for one group of listeners who were trained to respond when they heard the probe but not at other times. In the masking conditions, each tone burst was preceded by a 100-ms broadband noise masker at 65 dB SPL. Listeners were trained to respond when they heard the probe and masker, but not when they heard the masker alone. The masker-probe interval, delta t, was either 5, 10, 25, or 200 ms. Four groups of subjects listened in the masked conditions, each at one value of delta t. Each listener attempted to complete a block of 32 trials including four probe levels chosen to span the range of expected thresholds. "Group" thresholds, based on average psychometric functions, as well as thresholds for individual listeners, were estimated. Both group and individual thresholds declined with delta t, as expected, for both infants and adults. Infants' masked thresholds were higher than those of adults, and comparison of masked to unmasked thresholds suggested that infants demonstrate more forward masking than adults, particularly at short delta t. Forward masking appeared to have greater effects on 3-month-olds' detection than on either 6-month-olds' or adults'. Compared to adults, 6-month-olds demonstrated more forward masking only for delta t of 5 ms. Thus, susceptibility to forward masking may be nearly mature by 6 months of age.

Area-Under-the-Curve Measure of the Auditory Middle Latency Response (AMLR) From Birth to Early Adulthood

The area-under-the-curve (AUC) measure of the auditory middle latency response (AMLR) waveform was derived and analyzed from recordings in 50 subjects with normal hearing. The AUC metric is believed to represent the total amount of neural energy contributing to the evoked response. This proposed method of measure, therefore, may provide an alternative method of quantifying the response. The subjects were divided into five age groups ( n = 10 for each group): infants, children, preteens, teens, and adults. Ipsilateral and contralateral recordings of the AMLR were obtained at two stimulus levels (70 and 40 dB nHL) and at two stimulus rates (11.3 and 3.3/s). AUC measures were obtained for each recording at 70 and 40 dB nHL and at 3.3 and 11.3 clicks/s. These area measurements were compared among the five age groups for significant differences due to age. According to the results, no significant differences in the AUC of the AMLR waveform existed as a function of age.

Auditory development reflected by middle latency response

The auditory middle latency response (MLR) seems to have a relatively long developmental time course, extending through the first decade of life. Characteristics of each MLR component change developmentally not only with respect to waveform morphology but also with respect to response reliability, dependence on awareness state, and stimulus rate. Both human and animal studies indicate that these complex changes may be a result of multiple generating systems that show multiple time courses of development. This framework has practical ramifications in that clinical and research studies of MLR in young children must take into account the development sequence. Furthermore, it cannot be assumed a priori that research results obtained from adults will apply to young children. The complexity of the process raises intriguing questions regarding the functional development of auditory perception.

Auditory-evoked response morphology in profoundly-involved multi-handicapped children: comparisons with normal infants and children

The developmental and difference/defect theories have been used to explain auditory development in some multi-handicapped children. If developmental factors influence auditory response behaviors, it might be predicted that evoked potentials measured from the central auditory nervous system would reflect similar developmental influences in multi-handicapped children. The purpose of this study was to compare auditory-evoked-potential waveform morphology between profoundly-involved multi-handicapped children and normal infants and children. Auditory brainstem response (ABR) and middle-latency response (MLR) morphology were examined from waveform descriptions, wave detection, latency, amplitude, and spectral energy measures. The majority of handicapped subjects exhibited response morphology unlike that of normal children or infants. ABR/MLR morphology for handicapped children was characterized by depressed responses and substantial waveform variability. The results of this study tended to support the difference/defect theory.

Middle latency response in children with learning disabilities: preliminary findings

The objective of this investigation was to determine if auditory middle latency responses (MLR) obtained from children with learning disabilities (LD) differ from those obtained from children without LD. Simultaneous recordings of auditory brainstem and middle latency responses were obtained in both vertex-ipsilateral (V-I) and vertex-contralateral derivations (V-C) in 22 children (11 LD and 11 normal) in the age range of eight to twelve years whose peripheral hearing was within normal limits to bilateral. The results indicate that for specific recording conditions, the latencies of middle latency responses differ significantly between children with LD and a normal group of children.

Normative data for 40-Hz event-related potentials to 500-Hz tonal stimuli in young and elderly subjects

Recordings of 40-Hz event-related potentials (ERPs) were obtained in 81 young subjects (18-40 years) and in 20 elderly subjects (60-77 years) with hearing normal for their age. The stimuli were 500-Hz logons. The first negative peak (N1) of the response was analyzed. With increasing intensity the amplitude of the responses increased and the latency decreased for all subjects. The 40-Hz ERP was obtained within 10 dB of the behavioral threshold for more than 80% of the population under study. The N1 was prolonged in latency and enhanced in amplitude in the older subjects. No differences were found between young and elderly subjects regarding binaural interaction, or in responses elicited by ipsi- and contralateral stimulation. From the clinical point of view, the 40-Hz ERP recordings of young and elderly subjects are similar.

Somatosensory evoked potentials in neonates and infants: developmental and normative data

Fifty-two sets of cortical somatosensory evoked potentials (SEPs) were recorded from 23 normal children between the ages of 1 day and 13 weeks with median nerve stimulation. Two bandpass settings 5-1500 Hz and 30-3000 Hz were used; rate of stimulation was 1.1 Hz and sweep-time was 200 msec. The state of wakefulness was documented, but SEPs were obtained and evaluated independently of the child being awake or asleep during the recording. SEPs were present in every recording. The bandpass 30-3000 Hz best differentiated positive and negative early potentials. The bandpass 5-1500 Hz was helpful in some cases, as late slow waves were recorded with this setting. Normative data were established. Mean values were calculated for 3 age groups: 0-2 weeks, 2-6 weeks and 7-13 weeks. P15 and N20 were the first components seen in the newborn, with the P22 becoming the major component by 2-3 weeks of age. The study indicates that maturation of the somatosensory system is fastest during the first 3 weeks of life.

Low frequency hearing threshold determination in newborns, infants and mentally retarded children by middle latency responses

Middle latency (10-50 ms) responses (MLR) evoked by tone-pips (1,000 Hz 500 Hz) and early (0-10 ms) auditory evoked potentials (EAEP) evoked by chicks were recorded on 68 newborn babies (premature or at term), infants and children, some with central nervous system or psychiatric disorders, who had normal or impaired hearing. MLR were obtained either during sleep, chloral-hydrate sedation or ketamine anesthesia. Thresholds estimated from MLR and EAEP were compared to those from subsequent psychoacoustic pure tone testing. We confirm that MLR provide good threshold estimates for hearing in the low frequency range, whereas click evoked EAEP are good threshold indicators only for high frequencies.

Filter effects and low stimulation rate on the middle-latency response in newborns

Auditory middle-latency responses (MLR) have been recorded in 25 newborns at 60 dB nHL using two wide band-pass filter conditions and a slow stimulation rate of 2/s. With both types of filter, the MLR consisted in an initial positive wave followed by a negative component (Na) and a positive component (Pa). In newborns, this positive component appears in the vicinity of 45 ms and is more prolonged than the Pa of the MLR in adults. The probability of obtaining MLR after averaging only 500 signals was higher with a high-pass filter setting of 10 Hz (12 dB/octave), as compared with 5 Hz (12 dB/octave). No significant differences were found in the detectability rate of MLR between the two-filter band-pass settings. It is important to note that some MLR were unstable and not easily replicable. Therefore, the clinical application of these components is still doubtful.

Human middle-latency auditory evoked potentials: vertex and temporal components

We recorded middle-latency (20-70 msec) auditory evoked potentials (MLAEPs) to monaural and binaural clicks in 30 normal adults (ages 20-49 years) at 32 scalp locations all referred to a balanced non-cephalic reference. Our goal was to define the MLAEP components that were present at comparable latencies and comparable locations across the subject population. Group and individual data were evaluated both as topographic maps and as MLAEPs at selected electrode locations. Three major components occurred between 20 and 70 msec, two well-known peaks centered at the vertex, and one previously undefined peak focused over the posterior temporal area. Pa is a 29 msec positive peak centered at the vertex and present with both monaural and binaural stimulation. Pb is a 53 msec positive peak also centered at the vertex but seen consistently only with binaural and right ear stimulation. TP41 is a 41 msec positive peak focused over both temporal areas. TP41 has not been identified in previous MLAEP studies that concentrated on central scalp locations and/or used active reference electrode sites such as ears or mastoids. Available topographic, intracranial, pharmacologic, and lesion studies indicate that Pa, Pb and TP41 are of neural origin. Whether Pa and/or Pb are produced in Heschl's gyrus, primary auditory cortex, remains unclear. TP41 is probably produced by auditory cortex on the posterior lateral surface of the temporal lobe. It should prove of considerable value in experimental and clinical evaluation of higher level auditory function in particular and of cortical function in general.

40-Hz steady-state responses in newborns and in children

The authors investigated the 40-Hz steady-state responses (SSR) in 32 full-term newborns and in 10 normal children (5-8 years old), using 500-Hz tone bursts. The 40-Hz SSR threshold is located at about 50 and 30 dB nHL in newborns and older children, respectively. The latencies of both P1 and N1 waves decreased significantly with age, while the amplitudes increased. No significant latency and amplitude intersex differences have been observed. Moreover, with age, the 40-Hz SSR became more stable, their test-retest replicability improved, and P1-N1 wave occurrence increased. The authors finally discuss the possible underlying mechanisms of these findings and conclude that the 40-Hz SSR are difficult to obtain and are scarcely reliable in defining the low-frequency threshold in newborns. The stability and reliability of the responses increase with age, and the electrophysiological and behavioral thresholds to low-frequency stimuli tend to overlap.