Research on the brainstem auditory evoked potential in 788 children with autism spectrum disorders in South China

NING Shu-yao, CHEN Wen-xiong, YANG Si-yuan, LI Jia-ling, LIANG Hua-bing, HU You-xiu

Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (7) : 775-778.

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Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (7) : 775-778. DOI: 10.11852/zgetbjzz2020-1812
Clinical Research

Research on the brainstem auditory evoked potential in 788 children with autism spectrum disorders in South China

  • NING Shu-yao, CHEN Wen-xiong, YANG Si-yuan, LI Jia-ling, LIANG Hua-bing, HU You-xiu
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Abstract

Objective To investigate the characteristics of brainstem auditory evoked potential (BAEP) in children with autism spectrum disorder (ASD) and normal hearing threshold in South China. Methods The BAEP records of ASD children in Guangzhou Women and Children's Medical Center between 2013 and 2018 were retrospectively reviewed. Healthy controls matched by age and gender were also recruited. The thresholds,wave absolute latencies (AL),wave inter peak intervals (IPL),Ⅰ-Ⅲ/Ⅲ-Ⅴ inter peak interval ratio and Ⅴ/Ⅰ amplitude ratio of BAEP between both groups were analyzed and compared. And the BAEP data of the children would be excluded from both groups if the hearing threshold of his/her ear exceeded 30 dB nHL. Results A total of 788 ASD children and 150 healthy controls were included. BAEP data of 1 530 ears in ASD group and 300 ears in control group were included in final analysis. All participants in the two groups could differentiate into well-defined waveforms of BAEP at 90 dB nHL sound stimulation. 1) The absolute latencies of wave Ⅰ,wave Ⅲ,wave V and inter peak intervals of Ⅰ-Ⅲ of ASD children were significantly longer than those of children in control group (Z=-2.006,-3.986,-2.552,-2.405,P<0.05).2) The abnormal ratio of Ⅰ-Ⅲ/Ⅲ-Ⅴ inter peak interval of ASD group (3.14%) was significantly higher than that of the control group(P<0.001). Conclusions There are distinct changes in BAEP in ASD children,especially the abnormal prolongation of brainstem conduction time,suggesting that ASD children may have brainstem dysfunction,which may lead to the damage of related information transmission.

Key words

autism spectrum disorder / brainstem auditory evoked potential / children

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NING Shu-yao, CHEN Wen-xiong, YANG Si-yuan, LI Jia-ling, LIANG Hua-bing, HU You-xiu. Research on the brainstem auditory evoked potential in 788 children with autism spectrum disorders in South China[J]. Chinese Journal of Child Health Care. 2021, 29(7): 775-778 https://doi.org/10.11852/zgetbjzz2020-1812

References

[1] American psychiatric association.Diagnostic and statistical manual of mental disorders (DSM)[J]. Codas. 2013,25(2):191-192.
[2] 刘贤,林穗方,陈文雄,等. 中国孤独症谱系障碍患病率Meta分析[J]. 中国儿童保健杂志,2018,26(4):280-285.
[3] Matta SM,Hill-Yardin EL,Crack PJ. The influence of neuroinflammation in autism spectrum disorder[J]. Brain Behav Immun,2019,79:75-90.
[4] 潘映辐. 临床诱发电位学[M].2版.北京:人民卫生出版社。2000:354,356.
[5] World Health Organization. Newborn and infant hearing screening-Current issues and guiding principles for action outcome of a WHO informal consultation[R]. Geneva,Switzerland:WHO,2010.
[6] Wolff JJ,Gu H,Gerig G,et al. Differences in white matter fiber tract development present from 6 to 24 month in infants with autism[J]. Am J Psychiatry,2012,169(6):589-600
[7] Roth DA,Muchnik C,Shabtai E,et al. Evidence for atypical auditory brainstem responses in young children with suspected autism spectrum disorders[J]. Dev Med Child Neurol,2012,54(1):23
[8] Talge NM,Tudor BM,Kileny PR. Click-evoked auditory brainstem responses and autism spectrum disorder:A meta-analytic review[J]. Autism Res,2018,11(6):916-927.
[9] Miron O,Daphne,Ari-Even Roth,et al. Auditory brainstem response in infants and children with autism spectrum disorder:A meta-analysis[J]. Autism Res,2018,11(2):355-363.
[10] Santos M,Marques C,Pinto AN,et al. Autism spectrum disorders and the amplitude of auditory brainstem response wave Ⅰ[J]. Autism Res,2017,10(7):1300-1305.
[11] 吴学文,刘明宇,王凤君,等. 6岁以内孤独症儿童听性脑干反应特征分析[J].听力学及言语疾病杂志,2015,23(5):466-469
[12] American Clinical Neurophysiology Society:Guideline 9A:Guidelines on evoked potentials[J]. Clin Neurophysiol,2006,23:125-137
[13] 屠仁军,谢维. 孤独症的神经生物学研究进展[J]. 中华精神科杂志,2017,50(1):77-80.
[14] Cellot G,Cherubini E. GABA ergic signaling as therapeutic target for autism spectrum disorders[J]. Front Pediatr,2014,2:70.
[15] Yang X,Si T,Gong Q,et al. Brain gray matter alterations and associated demographic profiles in adults with autism spectrum disorder:a meta-analysis of voxel-based morphometry studies[J]. Aust N Z J Psychiatry,2016,50(8):741-753.
[16] Amaral DG,Schumann CM,Nordahl CW. Neuroanatomy of autism[J]. Trends Neurosci,2008,31(3):137-145
[17] Richard EF,Manuel FC,S Hossein F,et al. Neuropathological mechanisms of seizures in autism spectrum disorder[J].Front Neurosci,2016,10(10):192
[18] Toma C,Torrico B,Hervas A,et al. Exome sequencing in multiplex autism families suggests a major role for heterozygous truncating mutations[J]. Mol Psychiatry,2014,19(7):784-790.
[19] Talkowski ME,Maussion G,Crapper L,et al. Disruption of a large intergenic noncoding RNA in subjects with neuro-developmental disabilities[J]. Am J Hum Genet. 2012,91(6):1128-1134.
[20] Gai X,Xie HM,Perin JC,et al. Rare structural variation of synapse and neurotransmission genes in autism[J]. Mol Psychiatry,2012,17(4):402-411.
[21] 陈文雄. 孤独症70年:从Kanner 到DSM-Ⅴ[J]. 临床儿科杂志,2013,31(11):1001-1004.
[22] 邹小兵,邓红珠. 美国精神疾病诊断分类手册第5版“孤独症谱系障碍诊断标准”解读[J]. 中国实用儿科杂志,2013,(8):561-563.
[23] 苏雪云,郭家俊.上海市自闭谱系障碍儿童早期干预现状调查[J].幼儿教育(教育科学),2011,30(6):47-50.
[24] 中华医学会儿科学分会发育行为学组,中国医师协会儿科分会儿童保健专业委员会,儿童孤独症诊断与防治技术和标准研究项目专家组.孤独症谱系障碍患儿常见共患问题的识别与处理原则[J].中华儿科杂志,2018,56(3):174-178.
[25] Miron O,Ari-Even Roth D,Lidia V,et al. Prolonged auditory brainstem responses in infants with autism.[J].Autism research :official journal of the International Society for Autism Res,2016,9(6):689-695.
[26] Roth D A E,Muchnik C,Shabtai E,et al. Evidence for atypical auditory brainstem responses in young children with suspected autism spectrum disorders[J]. Dev Med Child Neurol,2012,54(1):23-29.
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