It seems likely that the response to [ei] within the complete syllable reflects changes of cortical activation caused by amplitude or spectral change at the transition from consonant to vowel. The change from aperiodic to periodic stimulation may also produce changes in cortical activation that contribute to the observed response. Whatever the mechanism, the important conclusion is that the auditory cortical evoked potential to complex, time-varying speech waveforms can reflect features of the underlying acoustic patterns. Such potentials may have value in the evaluation of speech perception capacity in young hearing-impaired children.

In this article, the authors show that aging differentially affects peoples' ability to automatically and voluntarily process auditory information. Young, middle-aged, and older adults matched behaviorally in an auditory discrimination task showed similar patterns of neural activity indexing the voluntary and conscious detection of deviant (i.e., target) stimuli. In contrast, a negative wave indexing automatic processing (the mismatch negativity) was elicited only in young adults for near-threshold stimuli. These results indicate that aging affects the ability to automatically register small changes in a stream of homogeneous stimuli. However, this age-related decline in automatic detection of small change in the auditor environment can be compensated for by top-down controlled processes.

The effects of age on discriminating simultaneous sounds were investigated by comparing the hearing threshold in detecting a mistuned harmonic in young, middle-aged, and older adults. The stimuli were complex sounds containing multiple harmonics, one of which could be "mistuned" so that it was no longer an integer multiple of the fundamental. Older adults had higher thresholds than middle-aged or young adults. The effect of age was greater for short than for long duration sounds and remained even after controlling for hearing sensitivity. The results are consistent with an age-related decline in parsing simultaneous auditory events, which may contribute to the speech perception difficulties in the elderly.

No abstract

A high preimplant speech score, auditory verbal therapy, and postlingual deafness statistically correlate with higher postimplant speech scores 1 year after cochlear implantation. Device type, caloric response and hearing aid use preimplantation, age at surgery, and sex do not statistically correlate with either poor or excellent speech discrimination scores postcochlear implantation.