Auditory electrophysiology

Basic knowledge of: anatomo-physiology and pathology (general and of the audio-vestibular system), biology, biophysics, clinical audiology and paediatric audiology.

Lectures and practical classes in the Audiology laboratory (application of different knowledge of ABR, ASSR, AMLR, ALLR, P300, MMN);
Small group work for analyzing and relating clinical cases and articles, marking tracings and preparing AEP reports and creating research protocols.
Attendance to students in the teachers’ offices/at a distance.

To know define Auditory Evoked Potential (AEP) and to know which variables influence the AEP;
To know how these variables influence the different AEP with special emphasis on Auditory Brainstem Response (ABR);
To know what the possible outcomes in the evaluation by ABR, whether auditory or neurological evaluation;
To interpret ABR by click and tone burst and relate them to possible pathologies;
To interpret Electrocochleography (ECochG) by click and tone burst and relate it to possible pathologies;
To have Knowledge of Auditory Steady State Response (ASSR), Auditory Middle-Latency Response (AMLR), Auditory Late Response (ALPs), P300 and Mismatch Negativity (MMN);
To define AEP, to describe the objectives and fundamental parameters of the AEP;
To enumerate the different variables that influence the AEP and to describe how the different variables influence the ABR, ECochG, ASSR, AMLR, ALPs, P300 and the MMM.
To analyze AEP;
To interpret the ABR of neurological assessment and audiological assessment and to define the electrophysiological threshold;
To relate the results of ABR with possible injury site.

1h – Presentation of the course and marking of dates of assessment;
3h – Electrophysiology and auditory electrophysiology; definition of evoked potential and AEP; Classification and nomenclature of the AEP; the AEP equipment; technological innovations in auditory electrophysiology;
8h – Variables related to the AEP: the stimulus, the acquisition, the individual (non-pathological and pathological), and audiologists;
3h – ECochG by click and tone burst: parameters, assessment, analysis and applications;
10h – ABR: audiologic and neurological assessment; parameters, analysis and applications;
4h – ASSR: parameters, analysis and applications;
3h – AMLR and ALPs: parameters, analysis and applications;
3h – P300 and MMN: parameters, analysis and applications;
6h – Analysis and interpretation of AEP and its relation to possible pathologies;
4h – Evaluation and clarification of doubts.

NAO

Essential:

• Atcherson, S. R., & Stoody, T., M. (2012). Auditory Electrophysiology: A Clinical Guide. New York: Thieme Medical Publishers.
• Burkard, R., Eggermont, J. & Don, M. (2007). Auditory evoked potentials: Basic principles and clinical application. Philadelphia: Lippincott Williams & Wilkins.
• Hall, J. W. (2007). New Handbook of Auditory Evoked Responses. Boston: Person Education, Inc.
• Hall, J. W., & Swanepoel, D. (2010). Objective assessment of hearing: Core clinical concepts in audiology. San Diego: Plural Publishing, Inc.
• Katz, J., Medwetsky, L., Burkard, R., & Hood, L. (2010). Handbook of clinical audiology. 6th ed. Philadelphia: Lippincott Williams & Wilkins.
• Kramer, S. & Brown, D. K. (2019). Audiology: science to practice. 3rd ed. San Diego: Plural Publishing, Inc.
• Monteiro, L. & Subtil, J. (2018). Audiologia, som e audição das bases à clínica. 1ª Ed. Massamá: Círculo Médico.
• Purdy, S. C., & Kelly, A. S. (2008). Auditory evoked response testing in infants and children. In J. R. Madell, & C. Flexer, Pediatric audiology: Diagnosis, technology, and management. New York: Thieme Medical Publishers, Inc.
• Roeser, R., Valente, M., & Hosford-Dunn, H. (2007). Audiology diagnosis: Audiology. 2nd ed. New York: Thieme Medical Publisher, Inc.
• Stach, B. (2010). Clinical Audiology: An Introduction. 2nd ed. New York: Delmar, Cengage Learning.
• Valente, M. & valente, L. M. (2015). Adult Audiology Casebook. NY: Thieme Medical Publishers.

Recommended:

• Gelfand, S. A. (2016). Essentials of audiology. 4th ed. New York: Thieme Medical Publishers, Inc.