BAER; Brainstem auditory evoked potentials; Equine neonatology; Animals; Central Nervous System Diseases/diagnosis; Central Nervous System Diseases/veterinary; Evoked Potentials, Auditory, Brain Stem/physiology; Horse Diseases/diagnosis; Horses; Reference Values; Aging; Central Nervous System Diseases; Evoked Potentials, Auditory, Brain Stem; Horse Diseases; Veterinary (all); General Veterinary
Abstract :
[en] BACKGROUND: Age and rate of acoustic stimulation affect peak latencies in brainstem auditory evoked responses (BAER) in humans. Those effects are unknown in foals.
HYPOTHESIS/OBJECTIVES: Our goals were to (1) establish reference values for BAER in foals by using 3 different stimulation protocols, (2) evaluate the effects of age and stimulation frequencies on BAER tracing in foals up to 6 months old, and (3) compare the data with BAER obtained from foals with central nervous system (CNS) disorders.
ANIMALS: Thirty-nine neurologically normal foals and 16 foals with neurologic diseases.
METHODS: Prospective observational clinical study. BAER recorded by using 3 protocols of stimulation (11.33 repetitions per second [Hz]/70 decibel normal hearing level [dBNHL]; 11.33 Hz/90 dBNHL; 90 Hz/70 dBNHL).
RESULTS: No effect of age was observed in normal foals (P > .005). No significant difference was observed for latencies and interpeak latencies (IPL) when comparing foals with neurologic diseases and normal foals (P > .05), but 78.6% of foals with neurologic diseases had an asymmetry in their tracing, reflecting a difference in conduction time between the left and right side of the brainstem. Increasing the stimulation rate did not improve detection of CNS disorders.
CONCLUSIONS AND CLINICAL IMPORTANCE: We propose BAER reference values for foals up to 6 months of age by using 3 protocols. Most foals with neurologic deficits had abnormal BAER tracing.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Lecoq, Laureline ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés (DCA) > Médecine interne des équidés ; Département de Sciences Cliniques, Université de Montréal, Saint-Hyacinthe, QC, Canada
Gains, M; Département de Pathologie, Université de Montréal, Saint-Hyacinthe, Canada
Blond, L; Département de Sciences Cliniques, Université de Montréal, Saint-Hyacinthe, Canada
Parent, J; Département de Sciences Cliniques, Université de Montréal, Saint-Hyacinthe, Canada
Language :
English
Title :
Brainstem auditory evoked responses in foals: reference values, effect of age, rate of acoustic stimulation, and neurologic deficits.
Markand ON. Brainstem auditory evoked potentials. J Clin Neurophysiol 1994;11:319-342.
Mayhew IG, Washbourne JR. A method of assessing auditory and brainstem function in horses. Br Vet J 1990;146:509-518.
Wilson WJ, Mills PC. Brainstem auditory-evoked response in dogs. Am J Vet Res 2005;66:2177-2187.
Mayhew IG, Washbourne JR. Brainstem auditory evoked potentials in horses and ponies. Vet J 1997;153:107-113.
Parkkonen L, Fujiki N, Makela JP. Sources of auditory brainstem responses revisited: Contribution by magnetoencephalography. Hum Brain Mapp 2009;30:1772-1782.
Levy SR. Brainstem auditory evoked potentials in pediatrics. In: Chiappa KH, ed. Evoked Potential in Clinical Medicine, 3rd ed. Philadelphia, PA: Lipincott-Raven Press; 1997:269-282.
Jiang ZD, Brosi DM, Wilkinson AR. Comparison of brainstem auditory evoked responses recorded at different presentation rates of clicks in term neonates after asphyxia. Acta Paediatr 2001;90:1416-1420.
Jiang ZD, Brosi DM, Wilkinson AR. Auditory neural responses to click stimuli of different rates in the brainstem of very preterm babies at term. Pediatr Res 2002;51:454-459.
Wilkinson AR, Jiang ZD. Brainstem auditory evoked response in neonatal neurology. Semin Fetal Neonatal Med 2006;11:444-451.
Steiss JE, Brendemuehl JP, Wright JC, et al. Nerve conduction velocities and brainstem auditory evoked responses in normal neonatal foals compared to foals exposed to endophyte-infected fescue in utero. Prog Vet Neurol 1991;2:252-260.
Magdesian KG, Williams DC, Aleman M, et al. Evaluation of deafness in American Paint Horses by phenotype, brainstem auditory-evoked responses, and endothelin receptor B genotype. J Am Vet Med Assoc 2009;235:1204-1211.
MacKay RJ, MacKay RJ. Neurologic disorders of neonatal foals. Veterinary Clinics of North America -. Equine Practice 2005;21:387-406.
Jiang ZD, Yin R, Shao XM, et al. Brain-stem auditory impairment during the neonatal period in term infants after asphyxia: Dynamic changes in brain-stem auditory evoked response to clicks of different rates. Clin Neurophysiol 2004;115:1605-1615.
Mayhew IG, Washbourne JR. Short latency auditory evoked potentials recorded from non-anaesthetized thoroughbred horses. Br Vet J 1992;148:315-327.
Poncelet LC, Coppens AG, Deltenre PF. Audiograms estimated from brainstem tone-evoked potentials in dogs from 10 days to 1.5 months of age. J Vet Intern Med 2002;16:674-679.
Sleifer P, da Costa SS, Coser PL, et al. Auditory brainstem response in premature and full-term children. Int J Pediatr Otorhinolaryngol 2007;71:1449-1456.
Mayhew IG. Neurological and neuropathological observations on the equine neonate. Equine Vet J 1988;5(Suppl):28-33.
Sweasey D, Patterson DS, Leadon DP. Chemical composition of the spinal cord in the normal developing fetus and in the premature foal. J Reprod Fertil Suppl 1982;32:563-567.
Poma R, Chambers H, da Costa RC, et al. MRI measurement of the canine auditory pathways and relationship with brainstem auditory evoked responses. Vet Comp Orthop Traumatol 2008;21:238-242.
Munro KJ, Shiu JN, Cox CL. The effect of head size on the auditory brainstem response for two breeds of dog. Br J Audiol 1997;31:309-314.
Triulzi F, Parazzini C, Righini A, et al. Patterns of damage in the mature neonatal brain. Pediatr Radiol 2006;36:608-620.
Freeman S, Sohmer H, Silver S. The effetcs of stimulus repetition rate on the diagnostic efficacy of the auditory nerve-brain-stem evoked response. Electroencephalogr Clin Neurophysiol 1991;78:284-290.
Jiang ZD, Xiu X, Brosi DM, et al. Sub-optimal function of the auditory brainstem in term infants with transient low Apgar scores. Clin Neurophysiol 2007;118:1088-1096.
Harland MM, Stewart AJ, Marshall AE, et al. Diagnosis of deafness in a horse by brainstem auditory evoked potential. Can Vet J 2006;47:151-154.
Unknown. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics 2007;120:898-921.
Strain GM. Deafness prevalence and pigmentation and gender associations in dog breeds at risk. Vet J 2004;167:23-32.
Strain GM, Kearney MT, Gignac IJ, et al. Brainstem auditory-evoked potential assessment of congenital deafness in Dalmatians: Associations with phenotypic markers. J Vet Intern Med 1992;6:175-182.
Tsui PW, McPherson B, Wong EC, et al. Infant hearing screening: Effects of timeline. Clin Otolaryngol 2008;33:108-112.