Speech ABR has been suggested as a marker of central auditory processing. The results of this study support earlier work on the differential susceptibility to noise of the F0 and F1 components of the evoked response. In the case of F0, the results support the view that in speech, the pitch of resolved harmonics and that of unresolved harmonics are processed in different but interacting pathways that converge in the upper brainstem. Pitch plays an important role in speech perception, and speech ABR can offer a window into the neural extraction of the pitch of speech and how it may change with hearing impairment.

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Hearing thresholds were estimated in normal-hearing term and preterm neonates of <35 weeks of age using multiple-stimulus auditory steady-state responses (ASSRs). The tresholds, expressed in decibel sound pressure level, at signal frequencies of 500, 1000, 2000 and 4000 Hz were 44.30 ± 9.88, 27.80 ± 6.79, 26.77 ± 6.09 and 32.87 ± 6.12 for the term group and 49.11 ± 9.44, 26.38 ± 6.59, 26.74 ± 7.57 and 35.90 ± 8.23 for the preterm group. Significant threshold differences were measured between the groups at 500 and 4000 Hz, while the thresholds at 1000 and 2000 Hz were similar. The signal and noise levels as well as signal-to-noise ratio of responses were also measured and found to be similar. These results indicate that ASSRs can be effectively measured with a similar signal-to-noise ratio in both groups, but that there is a significant maturational effect occurring during gestation at the level of structures which participate in the formation of the ASSR at 500 and 4000 Hz.

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