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Category: Volume 07 Issue 06 June 2019
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Title: A Brainstem Auditory Evoked Potential Study to find out Auditory Pathway Status among Children with Speech & Language Impairment

Authors: Dr Sonali Majumdar, Dr Hiya Bhattacharya, Prof (Dr) Malay Dasgupta

 DOI: https://dx.doi.org/10.18535/jmscr/v7i6.147

Abstract

Background: Speech and Language impairment in children   have multifactorial aetiology. Among them, hearing problem plays an important role. Brainstem Evoked Response Audiometry (BERA), which can assess Brainstem Auditory Evoked Potential (BAEP), is an useful and objective screening tool toevaluate functional integrity of auditory pathway.

Aims: The study was done to observe changes of BAEP parameters in children with delayed speech and to assess auditory pathway involvement based on BERA findings.

Methods: This cross sectional study, done in Eastern region of India, included Two fifty children (n=250) with delayed speech and one twenty normal children.  The cases were divided into four groups according to age -Group 1(<1yr); Group 2(1-3yrs); Group3 (3-6yrs); Group 4(6-12yrs). BAEP values of each group was compared with corresponding control group of similar age and intra group comparison was also performed. Statistical analysis was done by Student t test, ANOVA and Tukey HSD post-hoc test.

Results: BAEP findings of groups were

Group 1- statistically significant prolongation of wave I in right ear

Group 2-statistically significant prolongation of Waves I, V and I-V inter peak latency in both the ears.

Group 3- statistically significant prolongation of   all the Waves and I-V inter peak latency in left side and significant delay of all waves except wave I in right side.

Group 4- statistically significant prolongation of I, V Waves and I-V inter peak latency in left side and statistically significant delay of wave I in right side.

 In intra group comparison.

statistically significantly prolongations were seen in

  • right sided wave I latencyin group 2 than group 3
  • right sided wave V and I-V inter wave latencies in group 1,2,3 than Group 4.

Out of 250 children, 157 children showed absent waves either in one or both the ears.

Conclusions: This study identified significant dysfunction of auditory pathway in children with delayed speech. Thereby it indicates the necessity of BERA as screening method.

Keywords: Children, Delayed speech, Auditory pathway, BERA.

References

  1. Psarommatis IM, Goritsa E, Douniadakis D, Tsakanikos M, Kontrogianni AD, Apostolopoulos N. Hearing loss in speech-language delayed children. Int J Pediatr Otorhinolaryngol.2001 May 11;58(3):205-10.
  2. Aminoff MJ. Electrodiagnosis in clinical neurology.4thedition, Part II, San Francisco: Churchill Livingstone; 1999:451-491.
  3. Ray R, Ghosh N. A demographic study of hearing loss among children below 5 yrs in a rural tertiary care hospital. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS).2018 August;17(8): PP 39-42. DOI: 10.9790/0853-1708113942.
  4. Al-Kandari JM, Alshuaib WB, Joe M . BERA in children with hearing loss and delayed speech. Electromyogr Clin Neurophysiol.2006 Jan-Feb;46(1):43-9.
  5. Tomblin JB,Bruce J,Jacob J. Oleson, Ambrose SE, Walker E, Moeller MP. The Influence of Hearing Aids on the Speech and Language Development of Children With Hearing Loss. JAMA Otolaryngol Head Neck Surg. 2014 May 1; 140(5): 403–409. doi: 1001/jamaoto.2014.267.
  6. Husain A.A Auditory Brain Stem Evoked Responses (ABRS) in Children with Delayed Speech (DS) a Diagnostic Problem. IJO & HNS. 1994;46(4): P191-96.
  7. Psillas G, Psifidis A, Antoniadou-Hitoglou M, Kouloulas A. Hearing assessment in pre-school children with speech delay. Auris Nasus Larynx. 2006; 33:259–63.
  8. King C, Warrier CM, Hayes E, Kraus N. Deficits in auditory brainstem pathway encoding of speech sounds in children with learning problems. Neurosci Lett. 2002; 319:111–15.
  9. Filippini R, Schochat E. Brainstem evoked auditory potentials with speech stimulus in the auditory processing disorder.Braz J Otorhinolaryngol. 2009; 75:449–55.
  10. Rogers DJ, Boseley ME, Adams MT, Makowski RL, Hohman MH. Prospective comparison of handheld pneumatic otoscopy, binocular microscopy, and tympanometry in identifying middleear effusions in children. Int J Pediatr Otorhinolaryngol. 2010Oct;74(10):1140-3. DOI: 10.1016/j.ijporl.2010.06.015.
  11. Hoffmann A, Deuster D, Rosslau K, Knief A, Am Zehnhoff-Dinnesen A, Schmidt CM. Feasibility of 1000 Hz tympanometry in infants: tympanometric trace classification and choice of probetone in relation to age. Int J Pediatr Otorhinolaryngol. 2013 Jul;77(7):1198-203. DOI: 10.1016/j.ijporl.2013.05.001
  12. Mazlan R, Kei J, Hickson L, Gavranich J, Linning R. Test-retestreproducibility of the 1000 Hz tympanometry test in newborn and six-week-old healthy infants. Int J Audiol. 2010Nov;49(11):815-22. DOI: 10.3109/14992027.2010.493182.

Corresponding Author

Dr Hiya Bhattacharya

Residential address- 52B, Shambhunath Pandit Street, Flat no- 303, beside Bangur Institute of Neurosciences, Kolkata-700025, West Bengal, India