AVS Reflexes and Evoked Potentials Flashcards
Is evoked spontaneous?
no, it needs something to stimulate it to get a response
what are potentials?
measure voltage changes that we evoked by a sound
ex: receptor, resting membrane, action potentials
How do we test our acoustic reflexes?
ART and reflex decay
what frequencies do we test for ART
500 Hz, 1000 Hz, 2000 Hz, 4000 Hz
What frequencies do we test for reflex decays
500 Hz, 1000 Hz
what is the normal range for testing ARTs?
70-90 dB above pure tone AC threshold
what are the reflexes for the vestibular system?
Vestibulo-ocular (eyes)
Vestibulocollic (neck)
Vestibulospinal (spinal cord)
negative polarity at one end and a positive polarity at the other end
dipole
Needle electrodes during a surgery
near field
disc/surface electrodes in a clinical office
far field
What are the cochlear microphonic?
alternating current potential that follows the waveform of the evoking stimulus
mimics the stimulus and AC looks like a sine wave
generated by the outer hair cells mainly (some contribution from IHC)
What is summation potential
direct current produced in the cochlea in response to a sound
derived mainly from IHC but some OHC as well
ABR wave I?
distal CN VIII (cochlea area of spiral ganglia)
ABR wave II?
proximal CN VIII (Closer to BM) (approaching brainstem)
ABR wave III?
cochlear nucleus
ABR wave IV?
SOC
ABR wave V?
LL / IC
What does an ABR do?
measures absoute latency (where did it occur)
interpeak latency
amplitudes
amplitude ratio
what is the largest and most stable wave of an ABR?
Wave V - IC and LL
normal time at peak one of ABR
1.5 msec
normal time between waves 1 and 5 in ABR
5.5 msec
normal time at peak III of ABR
3.5 msec
normal time at peak II of ABR
2.5 msec
normal time at peak IV of ABR
4.5 msec
normal time at peak V of ABR
5.5 msec
what is the overall interpeak latency of waves I-V of ABR
4 msec
What does wave I also represent?
compound action potential of ECochG