Valores normativos para potencial evocado auditivo de tronco encefálico binaural em adultos
Normative values for binaural brainstem auditory evoked potential in adults
Antonio Pereira de Carvalho Filho; Hannalice Gottschalck Cavalcanti
Resumo
Palavras-chave
Abstract
Purpose: To analyze the values of the Binaural Auditory Brainstem Response (BI–ABR) to generate normative results of amplitude and latency in normal-hearing adults.
Methods: The clinical study involved 28 participants who underwent anamnesis and audiological evaluation. Those who met the inclusion criteria were submitted to BI–ABR with 2000 stimuli, a presentation rate of 21.1 clicks per second, an intensity of 80 dBnHL, and rarefaction polarity.
Results: The results of the Binaural Auditory Brainstem Response (BI–ABR) were analyzed using descriptive statistics, including mean, standard deviation, and confidence interval. When compared with the literature, they show that the difference between binaural and monaural brainstem responses is not considerable. The study confirms that binaural stimulation increases response amplitude due to the independence of the auditory pathways. The results of this study can serve as a standard of normality for BIC latency and amplitude in normal-hearing adults. No significant differences were observed in wave I, III, and V latencies between the monaural and binaural responses. In contrast, a significant increase in wave V amplitude was observed under binaural stimulation compared to monaural stimulation.
Conclusion: Reference values were established for BI–ABR in adults with normal hearing, including latency and amplitude of the Binaural Interaction Component (BIC). The latency and amplitude measurements of the BI–ABR showed similarities between the right and left ears of normal-hearing individuals.
Keywords
References
1 Bipin Kishore P. Binaural hearing: physiological and clinical view. Arch Otolaryngol Rhinology. 2020;6(2):33-6.
2 Carlini A, Bordeau C, Ambard M. Auditory localization: a comprehensive practical review. Front Psychol. 2024;15:1408073.
3 ElMoazen D, Sobhy O, Abdou R, Abdelmotaleb H. Binaural interaction component of the auditory brainstem response in children with autism spectrum disorder. Int J Pediatr Otorhinolaryngol. 2020;131:109850.
4 Akeroyd MA, Whitmer WM. Spatial hearing and hearing aids. In: Popelka GR, Moore BCJ, Fay RR, Popper AN, editores. Hearing aids. Cham: Springer; 2016. p. 181-215.
5 Gersdorff G, Pean V, Camby S, Barriat S, Lefebvre PP. Factors predictive of binaural hearing restoration by cochlear implant in single-sided deafness. Audiol Neurootol. 2024;29(3):228-38.
6 van Yper LN, Vermeire K, De Vel EFJ, Beynon AJ, Dhooge IJM. Age-related changes in binaural interaction at brainstem level. Ear Hear. 2016;37(4):434-42.
7 Gallun FJ. Impaired binaural hearing in adults: a selected review of the literature. Front Neurosci. 2021;15:610957.
8 Maggu AR, Yu Y, Overath T. The click-evoked auditory brainstem response is not affected in auditory processing disorder: a meta-analysis systematic review. Front Audiol Otol. 2024;2:1369716.
9 Young A, Cornejo J, Spinner A. Auditory brainstem response. Treasure Island: StatPearls Publishing; 2025.
10 Laumen G, Ferber AT, Klump GM, Tollin DJ. The physiological basis and clinical use of the binaural interaction component of the auditory brainstem response. Ear Hear. 2016;37(5):e276-90.
11 Ferber AT, Benichoux V, Tollin DJ. Test-retest reliability of the binaural interaction component of the auditory brainstem response. Ear Hear. 2016;37(5):e291-301.
12 WHO: World Health Organization. World report on hearing [Internet]. Geneva: WHO; 2021 [citado em 2024 Ago 4]. Disponível em:
13 Krishnan A. Auditory brainstem evoked potentials: clinical and research applications. 1st ed. San Diego: Plural Publishing; 2023.
14 Durrant JD, Ferraro JA. Potenciais auditivos evocados de curta latência: eletrococleografia e audiometria de tronco encefálico. In: Musiek FE, Rintelmann WF, editores. Perspectivas atuais em avaliação auditiva. São Paulo: Manole; 2001. p. 193-238.
15 Dobie RA, Norton SJ. Binaural interaction in human auditory evoked potentials. Electroencephalogr Clin Neurophysiol. 1980;49(3-4):303-13.
16 Jalaei B, Azmi MHAM, Zakaria MN. Gender differences in binaural speech-evoked auditory brainstem response: are they clinically significant? Braz J Otorhinolaryngol. 2019;85(4):486-93.
17 Wang S, Yang J, Guo B, Sun W, Zhu M, Shang Y. Study of simultaneous bilateral auditory brainstem response recordings based on spread spectrum technology. J Acoust Soc Am. 2025;158(3):1646-52.
18 Nicknejad R, Zamiri Abdollahi F. Binaural interaction component in auditory evoked potentials: characteristics and potential applications in audiology. Aud Vestib Res. 2020;29(1):1-9.
19 Hall JW. Handbook of auditory evoked responses. Boston: Pearson Education; 2015.
Submitted date:
05/19/2025
Accepted date:
11/26/2025


