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Akustisch evozierte Potenziale (AEP)

  • Chapter
Objektive Audiometrie im Kindesalter

Zusammenfassung

Das Kapitel enthält alle in der Praxis angewendeten Verfahren der elektrischen Reaktionsaudiometrie (ERA) zur Messung und audiologischen Interpretation der akustisch evozierten Potenziale (AEP). Es ist gemäß der heutigen Sichtweise konsequent in transiente und stationäre Reizantworten unterteilt. Dem steht die Unterteilung nach der Latenzzeit gegenüber, von den frühen, mit der Elektrocochleographie (ECochG) und BERA (brainstem electric response audiometry) gemessenen FAEP bis hin zu den späten (kortikalen) mit der CERA gemessenen SAEP und den ereigniskorrelierten Potentialen (EKP oder ERP). Die diagnostischen Aussagen gründen sich auf den elementaren Nachweis der Reizantwort bis zu ihrer Beschreibung durch differenzierte Kriterien (Morphologie, Latenzzeit, Amplitude, Latenzdifferenzen, Seitendifferenzen). Ausnahmen bilden die im Rahmen des Neugeborenen-Hörscreenings eingesetzten AABR (automated auditory brainstem responses) und die ASSR (auditory steady state responses), die rein dichotom genutzt werden und sich dadurch gut für eine automatische Auswertung eignen. Mit Berücksichtigung auch der aktuellen Entwicklungen wie der Chirp-BERA wird die Leistungsstärke der AEP in Bezug auf die Bestimmung von Identität und Ausmaß einer Hörstörung verdeutlicht.

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Authors and Affiliations

  1. Audiologie und Pädaudiologie, Uniklinik Köln; Klinik für HNO-Heilkunde, Kopf- und Hals-Chirurgie, Kerpener Str. 62, 50937, Köln, Deutschland

    M. Walger Prof. Dr. rer. nat.

  2. Funktionsbereich Audiologie, Univ.-HNO-Klinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland

    S. Hoth Prof. Dr. rer. nat.

  3. Abteilung für Experimentelle Audiologie, Otto-von-Guericke-Universität Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Deutschland

    R. Mühler Priv.-Doz. Dr. rer. nat. habil.

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  1. M. Walger Prof. Dr. rer. nat.
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Walger, M., Hoth, S., Mühler, R. (2014). Akustisch evozierte Potenziale (AEP). In: Objektive Audiometrie im Kindesalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44936-9_5

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