Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20242629823
Revista CEFAC
Original Articles

Evaluation of the maturational auditory process in children with the infection by Zika congenital syndrome

Avaliação do processo maturacional auditivo em crianças portadoras da síndrome da infecção congênita pelo Zika vírus

Priscila de A Lucas; Walkiria B Santos; Thalita M de Oliveira; Marcial F Galera

Downloads: 0
Views: 157

Abstract

Purpose: to analyze the absolute latencies of waves I. III and V and the interpeak intervals I-III. III-V and I-V of the ABR recorded from different age groups of children with congenital zika virus infection and their peers without risk indicators for hearing impairment.

Methods: 84 newborns and infants (N=51 study group and N=33 control group) divided into groups with different post-conceptual ages. with the results of their hearing exams analyzed by age group and compared with their peers without other risk indicators for hearing impairment. The assessment of the auditory pathway was conducted through tympanometry. otoacoustic emissions and auditory brain stem responses.

Results: only the latency of wave I and the interpeak III-V showed no significant difference between the study and control groups. The absolute latency and interpeak values found in the study group were significantly lower than those found in the control group.

Conclusion: the maturation of the brain stem in children with ZIKV infection occurred within normal limits. with no retrocochlear disorders until the age of 5 years.

Keywords

Zika Virus; Evoked Potentials, Auditory, Brain Stem; Hearing; Arbovirus Infections

Resumo

Objetivo: analisar as latências absolutas das ondas I. III e V e os intervalos interpicos I-III. III-V e I-V do Potencial Evocado Auditivo de Tronco Encefálico obtidos em diversos grupos etários de crianças portadoras de infecção congênita por zika vírus e nos seus pares sem indicadores de risco para deficiência auditiva.

Métodos: foram recrutados 84 recém-nascidos e lactentes (N=51 grupo de estudo e N=33 grupo controle) separados por grupos com diferentes idades pós-conceptuais. sendo os resultados dos seus exames auditivos analisados por faixa etária e comparados com seus pares sem outros indicadores de risco para deficiência auditiva. A avaliação da via auditiva foi realizada por meio da timpanometria. emissões otoacústicas transientes e potencial evocado de tronco encefálico.

Resultados: somente a latência da onda I e o intervalo interpico III-V não apresentaram diferença significante entre grupo de estudo e controle. Os valores de latências absolutas e interpicos encontrados no grupo de estudo foram menores do que os obtidos no grupo controle de forma significativa.

Conclusão: a maturação do tronco encefálico nas crianças portadoras de infecção por Zika Vírus ocorreu dentro da normalidade. não apresentando alterações retrococleares até a idade de 5 anos. 

Palavras-chave

Zika Virus; Potenciais Evocados Auditivos do Tronco Encefálico; Audição; Infecções por Arbovirus

References

1. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics. 1998;102(5):1161-71. https://doi.org/10.1542/peds.102.5.1161 PMID: 9794949.

2. Joint Committee on Infant Hearing (US JCIH). Year 2019 Position Statement: Principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Interv. 2019;4(2):1-44.

3. Stockard JE, Stockard JJ, Westmoreland BF, Corfits JL. Brainstem auditory-evoked response. Normal variation as a function of stimulus and subjects' characteristics. Arch Neurol.1979;36:823-31. https://doi.org/10.1001/archneur.1979.00500490037006 PMID: 508145.

4. Hall JW. Handbook of auditory evoked responses. Boston: Allyn and Bacon; 1992.

5. Sleifer P, da Costa SS, Cóser PL, Goldani MZ. Dornelles C. Weiss K. Auditory brainstem response in premature and full-term children. Int J Pediatr Otorhinolaryngol. 2007;71(9):1449-56. https://doi.org/10.1016/j.ijporl.2007.05.029 PMID: 17629955.

6. Amorim RB, Agostinho-Pesse RS, Alvarenga K de F. The maturational process of the auditory system in the first year of life characterized by brainstem auditory evoked potentials. J Appl Oral Sci. 2009;17(spe):57-62. https://doi.org/10.1590/S1678-77572009000700010 PMID: 21499656.

7. Ken-Dror A, Pratt H, Zeltzer M, Sujov P, Katzir J, Benderley A. Auditory brain-stem evoked potentials to clicks at different presentation rates: estimating maturation of pre-term and full-term neonates. Electroencephalogr Clin Neurophysiol Potentials Sect. 1987;68(3):209-18. https://doi.org/10.1016/0168-5597(87)90028-1 PMID: 2436880.

8. Morgan DE, Zimmerman MC, Dubno JR. Auditory brain stem evoked response characteristics in the full-term newborn infant. Ann Otol Rhinol Laryngol. 1987;96(2):142-51. https://doi.org/ 10.1177/000348948709600202 PMID: 3566056.

9. BRASIL. Protocolo de atenção à saúde e resposta à ocorrência de microcefalia. Ministério da Saúde. 2016;42.

10. Ministério da Saúde. Diretrizes de atenção da triagem auditiva neonatal. Ministério da Saúde. 2012. p. 32.

11. Stach BA, Ramachandran VS. Hearing disorders in children. In: Madell JR, Flexer C. editor. Pediatric audiology: diagnosis. technology. and management. Second edi. New York: Thieme; 2008. p. 3-12.

12. Barbosa MH, Magalhães-Barbosa MC, Robaina JR, Prata-Barbosa A, Lima MA, Cunha AJ. Auditory findings associated with Zika virus infection: an integrative review. Braz J Otorhinolaryngol. 2019;85(5):642-63. https://doi.org/10.1016/j.bjorl.2019.05.002 PMID: 31296482.

13. Zare Mehrjardi M, Poretti A, Huisman TAGM, Werner H, Keshavarz E, Araujo Júnior E. Neuroimaging findings of congenital Zika virus infection: a pictorial essay. Jpn J Radiol. 2017;35(3):89-94. https://doi.org/10.1007/s11604-016-0609-4 PMID: 28074379.

14. Das P, Bandyopadhyay M, Ghugare BW, Ghate J, Singh R. Auditory evaluation of the microcephalic children with brain stem evoked response audiometry (BERA). Indian J Physiol Pharmacol. 2010;54(4):376-80. PMID: 21675037.

15. Jerger J, Jerger S, Mauldin L. Studies in impedance audiometry. Normal and sensorineural ears. Arch. Otolaringol. 1972;96:513-23. https://doi.org/10.1001/archotol.1972.00770090791004 PMID: 4621039.

16. Finitzo T, Albright K, O Neal J. The newborn with hearing loss: detection in the nursery. Pediatrics. 1998;102(6):1452-60. https://doi.org/10.1542/peds.102.6.1452 PMID: 9832584.

17. Rosa LAC, Suzuki MR, Angrisani RG, Azevedo MF. Auditory brainstem response: reference-values for age. CoDAS. 2014;26(2):117-21. https://doi.org/10.1590/2317-1782/2014469in PMID:24918504.

18. Aquino AMCM, Araújo MS. Vias auditivas: periférica e central. In: Aquino AMCM, editor. Processamento auditivo: eletrofisiologia e psicoacústica, editor. São Paulo. Lovise: 2002 p.17-31.

19. Cardenas MF, Idrovo AJ, Velandia R, Molina-Franky J, Alvarado-Socarras JL. Zika Virus infection during pregnancy and sensorioneural hearing loss among children at 3 and 24 months post-partum. J Trop Pediatr. 2019;65(4):328-35. https://doi.org/ 10.1093/tropej/fmy055 PMID: 30252119.

20. Rios AS, Moreira MEL, Frota SMMC, Barros LBP, Zin AA. Hearing screening analysis in children exposed to the Zika vírus. Rev. CEFAC. 2022;24(1):e7421. https://doi.org/10.1590/1982-0216/20222417421s

21. Peloggia A, Ali M, Nanda K, Bahamondes L. Zika virus exposure in pregnancy and its association with newborn visual anomalies and hearing loss. Int J Gynecol Obstet. 2018;143(3):277-81. https://doi.org/10.1002/ijgo.12663 PMID: 30191558.

22. Tenório FCP, Andrade KCL, Carvalho TRS, Pinheiro NS, Marques MCS, Menezes PL. Microcefalia associada ao vírus da Zica: uma avaliação do potencial evocado auditivo de tronco encefálico. Distúrb. Comun. 2019;31(2):339-41.

23. Rosa BCS, Lewis DR. Audiological results in a group of children with microcephalia by congenital Zika virus syndrome. Audiol., Commun. Res. 2020;25:e2293. https://doi.org/10.1590/2317-6431-2020-2293

24. Verján-Carrillo EJ, Zamora EM, Ceja-Espiritu G, Guzman-Esquivel J, Mendonza-Cano O. Factors associated with increased odds of sensorineural hearing loss in infants exposed to the Zika virus during pregnancy. J Infec Dev Ctries. 2021;15(4):590-4. https://doi.org/10.3855/jidc.12623 PMID: 33956662.

25. Vinhaes ES, Santos LA, Dias L, Andrade NA, Bezerra VH, De Carvalho AT. Transient hearing loss in adults associated with Zika virus infection. Clinical Infectious Diseases. 2017;64(5):675-7. https://doi.org/10.1093/cid/ciw770 PMID: 27927858.

26. Nogueira RFA, Lucas PA, Cintra RR, Dutra GCPL, Oliveira TM. Characterization of auditory brainstem response in newborns infected by Zika virus. Audiol., Commun. Res. 2020;25:e2309. https://doi.org/10.1590/2317-6431-2020-2309

27. Lopes EBN, Bragato SGN, Ramsdorf FBM, Berlanga JFU. Caracterização de crianças com microcefalia presumidamente por síndrome congênita do Zika vírus da região oeste de Mato Grosso. Research. Society and Development. 2021;10(16):e42101623438. https://doi.org/10.33448/rsd-v10i16.23438

28. Santos AL, Costa AM, Pai JD, Costa SGA, Nobre TDB, Leite ML et al. Imaginological findings of magnetic resonance in children with microcephaly by Congenital Zika Virus: literature review. Brazilian J Health Review. 2021;4(5):20339-52. https://doi.org/10.34119/bjhrv4n5-148

29. Niemeyer B, Muniz BC, Gasparetto EL, Ventura N, Marchiori E. Síndrome congênita pelo vírus Zika e achados de neuroimagem: o que sabemos até o momento? Radiol Bras. 2017;50(5):314-22. https://doi.org/10.1590/0100-3984.2017.0098

30. Schuler-Faccini L, Ribeiro EM, Feitosa IML, Horovitz DDG, Cavalcanti DP, Pessoa A et al. Possível associação entre a infecção pelo vírus zika e a microcefalia: Brasil. 2015. Weekly. 2016;65(3):59-62. PMID: 26820244.

31. Amorim RB, Agostinho-Pesse RS, Alvarenga KF. The maturational process of the auditory system in the first year of life characterized by brainstem auditory evoked potentials. J Appl Oral Sci. 2009;17(N.spe.):57-62. https://doi.org/10.1590/s1678-77572009000700010 PMID: 21499656.

32. Guilhoto LMFF, Quintal VS, da Costa MTZ. Brainstem auditory evoked response in normal term neonates. Arq Neuropsiquiatr. 2003;61(4):906-8. https://doi.org/10.1590/S0004-282X2003000600003

33. Ken-Dror A, Pratt H, Zeltzer M, Sujov P, Katzir J, Benderley A. Auditory brain-stem evoked potentials to clicks at different presentation rates: estimating maturation of pre-term and full-term neonates. Electroencephalogr Clin Neurophysio. 1987;68(3):209-18. https://doi.org/10.1016/0168-5597(87)90028-1 PMID: 2436880.

34. Munhoz MSL, Silva MLG, Caovila HH, Ganança MM, Frazza MM. Neuroanatomofisiologia da audição. In: Munhoz MSL, Caovila HH, Silva MLG, Ganança MM, editors. Audiologia Clínica; série otoneurológica. Volume 2; São Paulo: Atheneu; 2000. p.191-200.

35. Abramov DM, Saad T, Gomes-Junior SC, Silva DS, Araújo I, Moreira MEL et al. Auditory brainstem function in microcephaly related to Zika virus infection. Neurology. 2018;90(7):e606-e614. https://doi.org/10.1212/WNL.0000000000004974 PMID:29352094.

36. Angrisani RG, Diniz EM, Guinsburg R, Ferraro AA, Azevedo MF, Matas CG. Auditory pathway maturational study in small for gestational age preterm infants. CoDAS. 2014;26(4):286-93. https://doi.org/10.1590/2317-1782/201420130078 PMID: 25211687.

37. Muniz LF, Maciel RJF, Ramos DS, Albuquerque KMG, Leão ÂC, Van Der Linden V et al. Audiological follow-up of children with congenital Zika syndrome. Heliyon. 2022;8(1):e08720. https://doi.org/10.1016/j.heliyon.2022.e08720 PMID:35059518.

38. Sanfins MD, Brandão L, Skarzynski PH, Griz S, Melo A. Auditory evaluation in a case of hearing loss in an infant with congenital zika syndrome (CZS). J Hear Sci. 2021;11(1):65-71. https://doi.org/10.17430/JHS.2021.11.1.7

39. Almeida LC, Muniz LF, Maciel RJ, Ramos DS, Albuquerque KM, Leão ÂM et al. Hearing and communicative skills in the first years of life in children with congenital Zika syndrome. Braz J Otorhinolaryngol. 2022;88(1):112-7. https://doi.org/10.1016/j.bjorl.2020.05.007 PMID: 32616394.

40. Sicchieri BB. Aspectos da linguagem e do comportamento de crianças sem microcefalia expostas à infecção materna pelo vírus Zika [dissertation]. Marília (SP): Universidade Estadual Paulista; 2021.
 


Submitted date:
09/11/2023

Accepted date:
01/23/2024

663d088aa95395444e4abc13 cefac Articles

Revista CEFAC

Share this page
Page Sections