PMID- 23282338 OWN - NLM STAT- MEDLINE DCOM- 20130614 LR - 20131121 IS - 1708-8186 (Electronic) IS - 1499-2027 (Linking) VI - 52 IP - 2 DP - 2013 Feb TI - Refractory effects of the N1 event-related potential in experienced cochlear implant patients. PG - 104-12 LID - 10.3109/14992027.2012.743044 [doi] AB - OBJECTIVE: To determine if cochlear implant (CI) patients exhibit a temporal processing deficit for auditory stimuli, by examining refractory effects of the N1 event-related potential (ERP) component. DESIGN: CI patients and normally-hearing controls were tested in an auditory refractory period paradigm while ERP recordings were collected across the scalp. Participants were presented with brief 500-Hz tones that were separated by inter-stimulus intervals (ISIs) of 500, 1000, or 3000 ms. The amplitude of the N1 was examined as a function of ISI within each group. STUDY SAMPLE: Ten adult CI patients and 13 age-matched normally-hearing controls were tested. Patients had long-lasting severe or profound sensorineural hearing loss prior to implantation, and a minimum of two years experience with CI activation. RESULTS: Unlike normally-hearing controls, CI users showed no refractory effect for tones at 500 ms ISIs compared to 1000 ms. However, similar to controls, recovery from refractoriness was observed in anterior locations at 3000 ms. CONCLUSION: The refractory period threshold, defined as the minimum ISI where different N1 amplitudes are elicited, is greater than 1000 ms in CI patients; at least double that of normally-hearing controls. FAU - Cowper-Smith, Christopher D AU - Cowper-Smith CD AD - Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada. FAU - Green, Janet AU - Green J FAU - Maessen, Heather AU - Maessen H FAU - Bance, Manohar AU - Bance M FAU - Newman, Aaron J AU - Newman AJ LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130103 PL - England TA - Int J Audiol JT - International journal of audiology JID - 101140017 SB - IM MH - Acoustic Stimulation MH - Adolescent MH - Adult MH - Aged MH - Analysis of Variance MH - Audiometry MH - Auditory Cortex/*physiopathology MH - Case-Control Studies MH - Cochlear Implantation/*instrumentation MH - *Cochlear Implants MH - *Correction of Hearing Impairment MH - Electroencephalography MH - *Evoked Potentials, Auditory MH - Female MH - Hearing Loss, Sensorineural/physiopathology/psychology/*rehabilitation MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - Persons With Hearing Impairments/*rehabilitation MH - Psychoacoustics MH - Reaction Time MH - *Refractory Period, Electrophysiological MH - Signal Processing, Computer-Assisted MH - Time Factors MH - Young Adult EDAT- 2013/01/04 06:00 MHDA- 2013/06/15 06:00 CRDT- 2013/01/04 06:00 PHST- 2013/01/04 06:00 [entrez] PHST- 2013/01/04 06:00 [pubmed] PHST- 2013/06/15 06:00 [medline] AID - 10.3109/14992027.2012.743044 [doi] PST - ppublish SO - Int J Audiol. 2013 Feb;52(2):104-12. doi: 10.3109/14992027.2012.743044. Epub 2013 Jan 3.