title: A new descriptor of the dual character of the input-output behaviour of the cochlea, with implications for signal-to-noise ratio estimation of brain-stem auditory potentials evoked by alternating polarity clicks.
abstract: The signal-to-noise ratio based on a plus-minus average for residual noise estimation has been systematically computed for brain-stem auditory evoked potentials (BAEPs) evoked by alternating polarity clicks from threshold up to 100 dB nHL in subjects with normal cochlear function. The plus-minus averages have exhibited a systematic dual behaviour in close correspondence with the "L" and "H" portions of the latency-intensity functions: from threshold up to 50 dB SL ("L" segment) they faithfully reflect the post-averaging residual noise. From 50 dB SL upwards the plus-minus averages are contaminated by a signal identified as the differential potential between rarefaction and condensation responses. The plus-minus average is therefore an unreliable indicator of the post-averaging residual noise when alternating polarity clicks louder than 50 dB are used. These findings suggest that for intensities corresponding to the "L" (steep) part of the latency-intensity function, when inner hair cell excitation is dependent on active amplification by the outer hair cells, no difference exists between rarefaction and condensation responses. By contrast, once levels at which the inner hair cells can be directly stimulated are reached, responses to rarefaction and condensation clicks become different.
authors.affiliation: Université Libre de Bruxelles, Brugmann, Brussels, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Deltenre
authors.forename: A L
authors.initials: AL
authors.lastname: Mansbach
mesh_terms: D000161:Acoustic Stimulation; D000293:Adolescent; D000328:Adult; D001300:Audiometry, Evoked Response; D002648:Child; D002675:Child, Preschool; D003051:Cochlea / Q000503:physiopathology*; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology*; D005260:Female; D006314:Hearing Loss, Conductive / Q000503:physiopathology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged