The
auditory steady state evoked response
(ASSR) is a brain response elicited
by a continuous or steady state acoustic
stimulus. ASSRs are evoked by modulated
tonal stimuli and provide frequency
– specific measures of hearing
sensitivity across a wide rage of frequencies
(250 to 8000 Hz). The primary clinical
application for Auditory Steady-State
Evoked Response is for detailed frequency-specific
hearing assessment in babies. Since
ASSR measures electrophysiological responses
to sounds, it allows us to objectively
assess how well a subject hears. This
is especially useful in patients who
are unable or unwilling to give reliable
behavioral responses. ASSR can be reliably
recorded in sleeping neonates and children.
They are evoked by frequency-specific
tonal stimuli, can be detected objectively
using statistical algorithms, have thresholds
that are highly correlated with behavioral
audiogram thresholds, and can be used
to estimate the behavioral pure tone
audiogram. The estimated audiograms
obtained from ASSR testing provide a
basis for determining whether the child
requires a cochlear implant or not