Frequency following responses and rate change complexes in cochlear implant users.

Frequency following responses and rate change complexes in cochlear implant users.
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DOI:
10.1016/j.heares.2021.108200
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发表时间:
2021-05
期刊:
影响因子:
2.8
通讯作者:
Wouters J
Wouters J
中科院分区:
医学1区
文献类型:
--
作者:
Gransier R;Guérit F;Carlyon RP;Wouters J

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Frequency following responses can be obtained free from stimulation artifacts in cochlear implant users. Auditory change complexes can be evoked with pulse rate changes in cochlear implant users. Electrophysiological responses can potentially be used for the assessment of rate processing in cochlear implant user. The upper limit of rate-based pitch perception and rate discrimination can differ substantially across cochlear implant (CI) users. One potential reason for this difference is the presence of a biological limitation on temporal encoding in the electrically-stimulated auditory pathway, which can be inherent to the electrical stimulation itself and/or to the degenerative processes associated with hearing loss. Electrophysiological measures, like the electrically-evoked frequency following response (eFFR) and auditory change complex (eACC), could potentially provide valuable insights in the temporal processing limitations at the level of the brainstem and cortex in the electrically-stimulated auditory pathway. Obtaining these neural responses, free from stimulation artifacts, is challenging, especially when the neural response is phase-locked to the stimulation rate, as is the case for the eFFR. In this study we investigated the feasibility of measuring eFFRs, free from stimulation artifacts, to stimulation rates ranging from 94 to 196 pulses per second (pps) and eACCs to pulse rate changes ranging from 36 to 108%, when stimulating in a monopolar configuration. A high-sampling rate EEG system was used to measure the electrophysiological responses in five CI users, and linear interpolation was applied to remove the stimulation artifacts from the EEG. With this approach, we were able to measure eFFRs for pulse rates up to 162 pps and eACCs to the different rate changes. Our results show that it is feasible to measure electrophysiological responses, free from stimulation artifacts, that could potentially be used as neural correlates for rate and pitch processing in CI users.
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