The Auditory Brainstem Responses in Patients with Unilateral Cochlear Hearing Loss

  • M. Sinan YilmazEmail author
  • Mehmet Guven
  • Suleyman Cesur
  • Haldun Oguz
Original Article


The aim of our study is to analyze changes occurring in the auditory brainstem response (ABR) according to stimulus parameters in unilateral cochlear hearing loss cases. Twenty-nine cases (14 male, 15 female) with unilateral sensorineural hearing loss (SNHL) were investigated. All cases had cochlear SNHL on one side whereas normal hearing on the other side. All cases underwent ABR testing with varying stimulus intensity levels and stimulus repetition rates (SRRs). Results were compared and their correlation with audiogram shapes investigated. As stimulus intensity levels decreased on both ears, latencies expanded and amplitudes decreased in all traces of ABR. Latencies of ears with cochlear hearing loss were observed to be longer than those in normal ears. Responses to SRR increases were similar on both ears. Audiogram shapes should be taken into consideration while performing ABR in order to address asymmetric SNHL. The interpretation of ABR changes with various stimulus levels may provide a better understanding of cochlear pathologies associated with hearing loss in the future.


The auditory brainstem response Unilateral cochlear hearing loss Stimulus intensity Stimulus repetition rate 


Conflict of Interest

The authors do not have any financial relationship with any organization and have no conflict of interest.


  1. 1.
    Cox C, Hack M, Metz D (1981) Brainstem evoked response audiometry; normative data from the preterm infant. Audiology 20:53–64PubMedCrossRefGoogle Scholar
  2. 2.
    Jiang ZD, Wu YY, Wilkinson AR (2009) Age related changes in BAER at different click rates from neonates to adults. Acta Pediatr 98:1284–1287CrossRefGoogle Scholar
  3. 3.
    Hultcrantz M, Simonoska R, Stenberg AE (2006) Estrogen and hearing: a summary of recent investigations. Acta Otolaryngol 126:10–14PubMedCrossRefGoogle Scholar
  4. 4.
    Keith WJ, Greville KA (1987) Effects of audiometric configuration on the auditory brainstem response. Ear Hear 8:49–55PubMedCrossRefGoogle Scholar
  5. 5.
    Watson DR (1996) The effects of cochlear hearing loss, age and sex on the auditory brainstem response. Audiology 35:246–258PubMedCrossRefGoogle Scholar
  6. 6.
    Prosser S, Arslan E, Conti G, Michelini S (1983) Evaluation of the monaurally evoked brainstem response in the diagnosis of sensorineural hearing loss. Scand Audiol 12:103–106PubMedCrossRefGoogle Scholar
  7. 7.
    Picton TW, Stapells DR, Campbell KB (1983) Effect of stimulus repetition rate on the auditory brainstem responses. Am J Otol 4:226–234Google Scholar
  8. 8.
    Thornton ARD (1987) Stimulus, recording and subject factor influencing ABR diagnostic criteria. Br J Audiol 21:183–189PubMedCrossRefGoogle Scholar
  9. 9.
    Hwang JH, Chao JC, Ho HC, Hsiao SH (2008) Effects of sex, age and hearing asymmetry on the interaural differences of auditory brainstem responses. Audiol Neurotol 13:29–33CrossRefGoogle Scholar
  10. 10.
    Pittman AL, Stelmachowicz PG (2003) Hearing loss in children and adults: audiometric configuration, asymmetry, and progression. Ear Hear 24:198–205PubMedCrossRefGoogle Scholar
  11. 11.
    Giroux AP, Pratt LW (1983) Brainstem evoked response audiometry. Ann Otol Rhinol Laryngol 92:183–186PubMedGoogle Scholar
  12. 12.
    vd Drift JF, Brocaar MP, von Zanten GA, Lamore PJ (1988) Inaccuracies in the measurement of auditory brainstem response data in normal hearing and cochlear hearing loss. Audiology 27:109–118Google Scholar
  13. 13.
    Sininger YS (1993) Auditory brainstem response for objective measure of hear. Ear Hear 14:23–30PubMedCrossRefGoogle Scholar
  14. 14.
    Rodrigues GRI, Lewis DR (2010) Threshold prediction in children with sensorineural hearing loss using the auditory steady-state responses and tone-evoked auditory brain stem response. Int J Pediatr Otorhinolaryngol 74:540–546PubMedCrossRefGoogle Scholar
  15. 15.
    Chiappa KH, Gladstone KJ, Young RR (1979) Brainstem auditory evoked responses; studies of waveform variations in 50 normal human subject. Arch Neurol 36:81–87PubMedCrossRefGoogle Scholar
  16. 16.
    Hecox K, Cone B, Blaw ME (1982) Brainstem auditory evoked response in diagnosis of pediatric neurologic disease. Neurology 31:832–840CrossRefGoogle Scholar
  17. 17.
    Hyde ML (1985) The effect of cochlear lesions on the ABR. In: Jacobson JT (ed) The auditory brainstem response, 3rd edn. College Hill Press, BostonGoogle Scholar
  18. 18.
    Swan IRC (1989) Diagnostic vetting of individuals with asymmetric sensorineural hearing impairment. J Laryngol Otol 103:823–826PubMedCrossRefGoogle Scholar
  19. 19.
    Hendrix RA et al (1990) The use of diagnostic testing in asymmetric sensorineural hearing loss. Otolaryngol Head Neck Surg 103:593–598PubMedGoogle Scholar
  20. 20.
    Cueva RA (2004) Auditory brainstem response versus magnetic resonance imaging for the evaluation of asymmetric sensorineural hearing loss. Laryngoscope 114:1686–1692PubMedCrossRefGoogle Scholar
  21. 21.
    Lin YH, Ho HC, Wu HP (2009) Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss. Auris Nasus Larynx 36:140–145PubMedCrossRefGoogle Scholar
  22. 22.
    Marttila TI, Karikoski JO (2006) Comparison between audiometric and ABR thresholds in children. Contradictory findings. Eur Arch Otorhinolaryngol 263:399–403PubMedCrossRefGoogle Scholar
  23. 23.
    Gorga MP, Johnson TA, Kaminski JR et al (2006) Using a combination of click and tone burst evoked auditory brainstem response measurements to estimate pure-tone thresholds. Ear Hear 27:60–74PubMedCrossRefGoogle Scholar
  24. 24.
    Rowe MJ (1981) The brainstem auditory evoked responses in neurological disease: a review. Ear Hear 2:41–51PubMedCrossRefGoogle Scholar
  25. 25.
    Yagi T, Kaga K (1979) The effect of click repetition rate on latency on the auditory brainstem responses and the clinical use for neurological diagnosis. Arch Otolaryngol 222:91–97Google Scholar

Copyright information

© Association of Otolaryngologists of India 2011

Authors and Affiliations

  • M. Sinan Yilmaz
    • 1
    Email author
  • Mehmet Guven
    • 1
  • Suleyman Cesur
    • 1
  • Haldun Oguz
    • 2
  1. 1.Department of ORLMinistry of Health Sakarya Training and Research HospitalSakaryaTurkey
  2. 2.Department of ORLMinistry of Health Ankara Training and Research HospitalAnkaraTurkey

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