Auditory brainstem response audiometry Health Dictionary

Auditory Brainstem Response Audiometry: From 1 Different Sources


(ABR audiometry, brainstem evoked response audiometry, BSER) an objective test of hearing that measures the electrical activity in the auditory nerve and *brainstem following sound stimulation using repeated clicks or brief tones.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Auditory Nerve

See VESTIBULOCOCHLEAR NERVE.... auditory nerve

Audiometry

The testing of hearing.... audiometry

Brainstem

A stalk of nerve tissue that forms the lowest part of the brain and links with the spinal cord. The brainstem acts partly as a highway for messages travelling between other parts of the brain and spinal cord. It also connects with 10 of the 12 pairs of cranial nerves (which emerge directly from the underside of the brain) and controls basic functions such as breathing, vomiting, and eye reflexes. Brainstem activities are below the level of consciousness, and they operate mainly on an automatic basis.

The brainstem is composed of 3 main parts: the midbrain, pons, and medulla. The midbrain contains the nuclei (nervecell centres) of the 3rd and 4th cranial nerves. It also contains cell groups involved in smooth coordination of limb movements. The pons contains nerve fibres that connect with the cerebellum. It also houses the nuclei for the 5th–8th cranial nerves. The medulla contains the nuclei of the 9th–12th cranial nerves. It also contains the “vital centres” (groups of nerve cells that regulate the heartbeat, breathing, blood pressure, and digestion (information on which is relayed via the 10th cranial nerve (see vagus nerve). Nerve-cell groups in the brainstem, known collectively as the reticular formation, alert the higher brain centres to sensory stimuli that may require a conscious response. Our sleep/wake cycle is controlled by the reticular formation.

The brainstem is susceptible to the same disorders that afflict the rest of the central nervous system (see brain, disorders of). Damage to the medulla’s vital centres is rapidly fatal; damage to the reticular formation may cause coma. Damage to specific cranial nerve nuclei can sometimes lead to specific effects. For example, damage to the 7th cranial nerve (the facial nerve) leads to facial palsy. Degeneration of the substantia nigra in the midbrain is thought to be a cause of Parkinson’s disease.... brainstem

Immune Response

The body’s defensive reaction to microorganisms, cancer cells, transplanted tissue, and other substances or materials that are recognized as antigenic or “foreign”.

The response consists of the production of cells called lymphocytes, substances called antibodies, or immunoglobulins, and other substances and cells that act to destroy the antigenic material.

(See also immune system.)... immune response

Response Rate

The number of completed or returned survey instruments (questionnaires, interviews, etc) divided by the total number of persons who would have been surveyed if all had participated. Usually expressed as a percentage.... response rate

Visual Evoked Response

Stimulation of the retina of the EYE with light causes changes in the electrical activity of the cerebral cortex (see BRAIN). These changes can be measured from outside the skull and can give valuable information about the state of the visual pathway from the retinal ganglion cells to the occipital cortex. Not only can it determine that function is normal, it can also help to diagnose some causes of poor VISION.... visual evoked response

Fight-or-flight Response

Arousal of the sympathetic part of the autonomic nervous system in response to fear but which also occurs in anxiety disorders. Adrenaline (epinephrine), noradrenaline (norepinephrine), and other hormones are released from the adrenal glands and nervous system, leading to a raised heart-rate, pupil dilation, and increased blood flow to the muscles. These effects make the body more efficient in either fighting or fleeing the apparent danger.... fight-or-flight response

Impedance Audiometry

A hearing test used to investigate the middle ear in cases of conductive deafness.... impedance audiometry

Auditory

adj. relating to the ear or to the sense of hearing.... auditory

Auditory Brainstem Implant

a device similar to a *cochlear implant except that the electrode stimulates the auditory parts of the *brainstem rather than the cochlea. It is used to restore hearing of profoundly deaf people who have had damage to both auditory nerves and are hence unsuitable for cochlear implantation. It consists of an electrode that is permanently implanted on the surface of the brainstem. An external device with a microphone and an electronic processing unit pass information to the electrode using radio-frequency waves. The implant is powered by batteries in the external part of the device. It is most commonly used in patients with *neurofibromatosis type II who have had bilateral *vestibular schwannomas.... auditory brainstem implant

Auditory Canal

(auditory meatus) the canal leading from the pinna to the eardrum.... auditory canal

Auditory Dyssynchrony

see auditory neuropathy spectrum disorder.... auditory dyssynchrony

Auditory Neuropathy Spectrum Disorder

(auditory neuropathy, auditory dyssynchrony) a form of hearing loss characterized by normal cochlear function as measured by *otoacoustic emissions or detection of *cochlear microphonics but abnormal or absent *middle ear reflexes and abnormal *auditory brainstem responses.... auditory neuropathy spectrum disorder

Auditory Processing Disorder

(APD, central auditory processing disorder, CAPD) a series of conditions characterized by difficulty in hearing and processing auditory information, especially in poor acoustic environments, despite normal or near-normal ear function. It may be due to genetic factors, maturational delay in the central nervous system, or focal abnormalities of the central nervous system (such as tumours). Treatments include *hearing therapy, *auditory skills training, educational support, use of *assistive listening devices, and training with computerized therapy tools.... auditory processing disorder

Auditory Skills Training

a method of teaching people to use their hearing to its best potential, undertaken in the treatment of *auditory processing disorder.... auditory skills training

Auditory Steady State Response

(ASSR) an objective test of hearing that measures the electrical activity in the auditory nerve and *brainstem following sound stimulation using a modulated continuous tone.... auditory steady state response

Auditory Verbal Therapy

(AVT) a technique for teaching deaf children to communicate that focuses on speech and residual hearing rather than sign language.... auditory verbal therapy

Biological Response Modifier

(BRM) a therapeutic agent, such as *interferon or *interleukin, that influences the body’s defence mechanisms to act against infection and disease. In small amounts, these substances are produced naturally by the body; larger doses have been genetically developed for use against rheumatoid arthritis, hepatitis, and cancer (especially melanoma and renal cancer).... biological response modifier

Brainstem Evoked Response Audiometry

see auditory brainstem response audiometry.... brainstem evoked response audiometry

Central Auditory Processing Disorder

see auditory processing disorder.... central auditory processing disorder

Children’s Auditory Performance Scale

(CHAPS) a questionnaire designed to assess children’s hearing abilities in certain situations. It is used in the diagnosis of *auditory processing disorder.... children’s auditory performance scale

Cortical Evoked Response Audiometry

(CERA) an objective test of hearing that measures the electrical activity in the *cerebral cortex following sound stimulation.... cortical evoked response audiometry

Immuno- Combining Form Denoting Immunity Or Immunological Response.

... immuno- combining form denoting immunity or immunological response.

Obscure Auditory Dysfunction

(OAD, King–Kopetzky syndrome) hearing difficulty, especially in noisy environments, in an individual with a normal *audiogram: a form of *auditory processing disorder. Treatment includes *hearing therapy.... obscure auditory dysfunction

Response

n. the way in which the body or part of the body reacts to a *stimulus. For example, a nerve impulse may produce the response of a contraction in a muscle that the nerve supplies.... response

Response Prevention

a form of *behaviour therapy given for severe *obsessions. Patients are encouraged to abstain from rituals and repetitive acts while they are in situations that arouse anxiety. For example, a hand-washing ritual might be treated by stopping washing while being progressively exposed to dirt. The anxiety then declines, and with it the obsessions.... response prevention

Systemic Inflammatory Response

see shock.... systemic inflammatory response

Visual Reinforcement Audiometry

(visual reinforced audiometry, VRA) a behavioural test of hearing for children aged approximately 6 to 30 months in which the subject sits between two calibrated loudspeakers. A sound is generated from one loudspeaker. Children who turn towards the sound are rewarded by brief illumination of a toy adjacent to the loudspeaker. Older children can be tested with headphones, rather than using the loudspeakers, to enable each ear to be tested separately. The test can be adapted for use with older subjects who have learning disabilities.... visual reinforcement audiometry



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