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  • Title: Effects of electrode placement on the auditory brainstem response using ear canal electrodes.
    Author: Beattie RC, Lipp LA.
    Journal: Am J Otol; 1990 Sep; 11(5):314-9. PubMed ID: 2240172.
    Abstract:
    The effects of electrode placement on the latency and amplitude of the auditory brainstem response (ABR) were investigated in normal-hearing subjects. Ear canal (EC) electrodes were used in conjunction with surface electrodes to obtain ABRs. Three electrode combinations were evaluated: (1) vertex-EC-EC; (2) vertex-EC-neck; and (3) forehead-EC-neck. Absolute and interwave latencies and absolute and relative amplitudes were computed for Waves I, III, and V at 75 dB SL. Standard errors of measurement (SEmeas) revealed excellent test-retest reliability for latency (SEmeas = 0.06 ms) but only fair reliability for amplitude (SEmeas = 55 nv). No reliability differences were observed among the three electrode combinations. No significant latency or interwave latency differences were found among the three montages. No amplitude differences were found for Waves I and III among the montages. However, the Wave V amplitude was larger for the vertex-EC-EC and vertex-EC-neck montages than for the forehead-EC-neck montage. Because the vertex-EC-EC montage does not require additional electrodes on the contralateral neck, this montage is recommended.
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