This study presents a new measure of the hemodynamic changes to an auditory stimulus in newborns. Nineteen newborns born at 28-41 wk and aged 1 to 49 d were studied in waking and/or sleeping state, for a median time of 4 min 40 s before, 2 min 40 s during, and 3 min 5 s after an acustic stimulus (tonal sweep of frequency increasing from 2 to 4 kHz, intensity 90 dB SPL) originating 5 cm from the external auditory meatus. The emitter and detector optodes were placed over the left or right temporal region, corresponding to T3 or T4 EEG electrodes. Near-infrared transmission spectroscopy (NIRS) through tissue is made possible by the transparency of biologic tissue to light in the near-infrared region (750 -1000 nm). The noninvasive nature of the technique and the portability of the device, combined with the relative transparency of the neonatal head, explain the early applications of the machine in neonatal intensive care units, to the observation of hemodynamic brain responses. Our study presents a method for applying NIRS to the testing of central auditory response in newborns by using an acustic stimulus, a tonal sweep with a frequency increasing from 2 to 4 KHz. The incident near-infrared light from the transmitting optode is scattered through the tissues, and the reflected light is read by a receiving optode. The amount of the light that a compound absorbs is dependent upon the wavelength of the incident light upon it, and is described by the spectrum of a single compound. Brain absorption of the light is due to the main cerebral chromophores, oxyhemoglobin (HbO 2 ), deoxyhemoglobin (Hb), and oxidized cytochrome oxidase (CtOx) and is determined by the oxygenation status of the compound. Through NIRS we measured the loss of the intensity due to absorption of the incident photons by these solutes; this loss or attenuation is usually measured in units of OD (OD) and can be calculated using the Beer-Lambert law. For an absorbing compound dissolved in a nonabsorbing medium, the attenuation (A) is proportional to the concentration of the compound in the solution (c), the specific extinction coefficient of the compound (␣) and the optical path length (