Auditory processing in patients with temporal lobe epilepsy: A systematic review and meta-analysis

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-10-10 DOI:10.1016/j.yebeh.2024.110069

Dimitra Angeli , Eirini Kelmali , Vasilios K. Kimiskidis , Doris-Eva Bamiou , Vasiliki Maria Iliadou

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Abstract

Background

Hearing efficiency is known to influence and interact with communication and mental health. Hearing impairment may be hidden when co-occurring with neurological disorders.

Purpose

We performed a systematic review and meta-analysis in order to address the following questions: 1) which specific tools of auditory processing show clear deficits, separating Temporal Lobe Epilepsy (TLE) patients from normal controls,2) How well is TLE evaluated in terms of hearing and auditory processing?

Methods

The study inclusion criteria were: 1) patients diagnosed with temporal lobe epilepsy, 2) presence of a normal control group, 3) auditory processing assessment using auditory stimuli with behavioral tests and/or P300 or Mitch Match Negativity (MMN) latency and/or amplitude, 4) publications written in English, 5) publication date after 2000. 132 articles were retrieved and based on PRISMA & PICO criteria 23 articles were analyzed.

Results

Temporal resolution and processing as measured by the behavioral tests of Gaps-In-Noise (GIN) and Duration Pattern Test (DPT) document deficiencies in TLE patients and separate them from normal controls. Electrophysiology as measured by MMN & P300 shows statistically significant differences in TLE patients compared to controls with patients showing deficient auditory processing. A clear difference between studies with psychoacoustic assessment as opposed to electrophysiology ones may be due to lacking or incomplete evaluation of peripheral hearing by gold standard tools (76.9% in electrophysiology studies).

Conclusion

Auditory processing is deficient in patients with TLE. There is a clear need to evaluate hearing efficiency before proceeding to auditory processing evaluation with behavioral or electrophysiological tests.

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颞叶癫痫患者的听觉处理：系统回顾和荟萃分析。

背景众所周知，听力效率会影响交流和心理健康，并与之相互作用。目的：我们进行了一项系统回顾和荟萃分析，以解决以下问题：1）哪些特定的听觉处理工具显示出明显的缺陷，将颞叶癫痫（TLE）患者与正常对照组区分开来；2）从听力和听觉处理的角度对 TLE 进行评估的效果如何？研究的纳入标准是1）确诊为颞叶癫痫的患者；2）存在正常对照组；3）使用行为测试和/或 P300 或匹配负性（MMN）潜伏期和/或振幅的听觉刺激进行听觉处理评估；4）用英语撰写的出版物；5）出版日期在 2000 年之后。共检索到 132 篇文章，根据 PRISMA 和 PICO 标准对 23 篇文章进行了分析：结果：通过噪声间隙（GIN）和持续时间模式测试（DPT）等行为测试测量的时间分辨率和处理能力记录了TLE患者的缺陷，并将他们与正常对照组区分开来。通过MMN和P300测量的电生理学结果显示，与对照组相比，TLE患者在听觉处理方面存在显著的统计学差异。心理声学评估研究与电生理学研究之间的明显差异可能是由于缺乏金标准工具对外周听力的评估或评估不完整（电生理学研究中的比例为76.9%）：结论：听觉处理在TLE患者中存在缺陷。结论：TLE 患者的听觉处理能力存在缺陷，因此在通过行为学或电生理学测试进行听觉处理评估之前，显然需要对听力效率进行评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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