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| 題名: | Neuromagnetic index of hemispheric asymmetry predicting long-term outcome in sudden hearing loss |
| 作者: | 李柏磊;Li, Lieber Po-Hung;Chen, Kuang-Chao;Lee, Po-Lei;Niddam, David M.;Cheng, Chou-Ming;Chou, Chih-Cher;Hsieh, Jen-Chuen;Shiao, An-Suey |
| 貢獻者: | 資訊電機學院電機工程學系 |
| 關鍵詞: | Adult;Aged;Asymmetry;Auditory Cortex - physiopathology;Biological and medical sciences;Brain Mapping - methods;Diagnosis, Computer-Assisted - methods;Ear and associated structures. Auditory pathways and centers. Hearing. Vocal organ. Phonation. Sound production. Echolocation;Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology;Ears & hearing;Evoked Potentials, Auditory;Female;Fundamental and applied biological sciences. Psychology;Hearing;Hearing loss;Hearing Loss, Sudden - diagnosis;Hearing Loss, Sudden - physiopathology;Hemispheric asymmetry;Humans;Longitudinal Studies;Magnetoencephalography (MEG);Magnetoencephalography - methods;Male;Medical sciences;Middle Aged;Neuroplasticity;Non tumoral diseases;Otorhinolaryngology. Stomatology;Prognosis;Reorganization;Reproducibility of Results;Sensitivity and Specificity;Severity of Illness Index;Studies;Vertebrates: nervous system and sense organs |
| 日期: | 2013-01-01 |
| 上傳時間: | 2026-04-23 14:27:44 (UTC+8) |
| 出版者: | Amsterdam: Elsevier Inc |
| 摘要: | 摘要： The neuromagnetic index of hemispheric asymmetry in terms of ipsilateral/contralateral ratio at acute stage was previously revealed to prognosticate the 1-month hearing outcome of acute unilateral idiopathic sudden sensorineural hearing loss (ISSNHL), showing a dynamic relationship between top- and down-levels of auditory pathway. However, the prognostic effect of reorganization pattern for the long-term results remained elusive. This study aimed to probe the prognosticating relevance of hemispheric asymmetry to the hearing at chronic stage of ISSNHL. Using magnetoencephalography (MEG), inter-hemispheric differences in peak dipole of N100m responses to monaural tones were evaluated in 21 controls and 21 ISSNHL patients at initial and final (12months later) stages. Predictive value of hemispheric asymmetry was assessed by correlating hearing level and ipsilateral/contralateral ratio (I/C) of N100m latency and amplitude. Healthy-side dominance of N100m was observed in ISSNHL initially, and remained in three final prognostic subgroups (complete, partial, and no recovery) of ISSNHL. The initial I/Camplitude on affected-ear stimulation strongly correlated with the hearing level of final stage in ISSNHL. However, there was no prognostic effect of hemispheric asymmetry pattern for the 12-month hearing improvement. The heterogeneity between neuromagnetic index and hearing levels possibly echoed different pathogeneses of ISSNHL. Since a restored hearing status did not necessarily lead toward a normal functional organization, the dynamics of hemispheric asymmetry could actually index a central resilient reorganization in the brain for sound processing in ISSNHL. Our finding showed not only a clinically relevant measure to predict final hearing of ISSNHL, but also a linkage between central plasticity and cochlear lesion. This finding suggests a new perspective, and perhaps new interventions, to diagnose and treat unilateral ISSNHL. ► Initial I/Camplitude on affected-ear stimulation predicted final hearing in ISSNHL. ► Our finding showed dynamics of top–down relationship in auditory pathway. ► Our finding showed a clinically relevant measure to predict final hearing of ISSNHL. ► Our finding showed a linkage between central plasticity and cochlear lesion. ► Our finding suggests a new perspective and intervention to diagnose and treat ISSNHL.
其他題名： Neuroimage
出版者： Amsterdam: Elsevier Inc
出版日期： 2013-01-01
出處： NeuroImage (Orlando, Fla.), 2013-01, Vol.64, p.356-364
版權： 2012 Elsevier Inc.
版權： 2014 INIST-CNRS
版權： Copyright © 2012 Elsevier Inc. All rights reserved.
版權： Copyright Elsevier Limited Jan 1, 2013
識別號： ISSN: 1053-8119
識別號： ISSN: 1095-9572
識別號： EISSN: 1095-9572
識別號： DOI: 10.1016/j.neuroimage.2012.09.002
識別號： PMID: 22982726 |
| 顯示於類別: | [電機工程學系] 期刊論文
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