Accuracy of cortical evoked response audiometry in the identification of non-organic hearing loss

Cortical evoked response audiometry (CERA) has been used to identify the presence of a non-organic component in cases where compensation for hearing disability is claimed. This study aims at verifying the magnitude of discrepancy between thresholds estimated by CERA and by pure-tone audiometry (PTA)...

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Veröffentlicht in:International journal of audiology 2002-09, Vol.41 (6), p.330-333
Hauptverfasser: TSUI, Betty, WONG, Lena L. N, WONG, Eddie C. M
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container_issue 6
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container_title International journal of audiology
container_volume 41
creator TSUI, Betty
WONG, Lena L. N
WONG, Eddie C. M
description Cortical evoked response audiometry (CERA) has been used to identify the presence of a non-organic component in cases where compensation for hearing disability is claimed. This study aims at verifying the magnitude of discrepancy between thresholds estimated by CERA and by pure-tone audiometry (PTA). Results from 204 claimants (408 ears) with reliable PTA and CERA records showed mean discrepancy values between PTA and CERAT of less than 5 dB at high frequencies. Over 83.2% of claimants had a CERAT and PTA threshold discrepancy within 10 dB. Results suggested that while CERA threshold measurement could not accurately predict PTA in all cases, it could still be used as an objective guideline to rule out the presence of a non-organic component in hearing disability compensation claimants.
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Acoustic Impedance Tests - methods
Adult
Aged
Audiometry, Pure-Tone - methods
Auditory Threshold - physiology
Biological and medical sciences
Disability Evaluation
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Electrodiagnosis. Electric activity recording
Evoked Potentials, Auditory, Brain Stem - physiology
Female
Hearing Disorders - diagnosis
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Nervous system
Non tumoral diseases
Otorhinolaryngology. Stomatology
Reflex, Acoustic - physiology
Severity of Illness Index
Workers' Compensation
title Accuracy of cortical evoked response audiometry in the identification of non-organic hearing loss
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