Auditory brainstem responses to continuous natural speech in human listeners

Speech is an ecologically essential signal whose processing begins in the subcortical nuclei of the auditory brainstem, but there are few experimental options for studying these early responses under natural conditions. While encoding of continuous natural speech has been successfully probed in the cortex with neurophysiological tools such as electro- and magnetoencephalography, the rapidity of subcortical response components combined with unfavorable signal to noise ratios has prevented application of those methods to the brainstem. Instead, experiments have used thousands of repetitions of simple stimuli such as clicks, tonebursts, or brief spoken syllables, with deviations from those paradigms leading to ambiguity in the neural origins of measured responses. In this study we developed and tested a new way to measure the auditory brainstem response to ongoing, naturally uttered speech. We found a high degree of morphological similarity between the speech-evoked auditory brainstem responses (ABR) and the standard click-evoked ABR, notably a preserved wave V, the most prominent voltage peak in the standard click-evoked ABR. Because this method yields distinct peaks at latencies too short to originate from the cortex, the responses measured can be unambiguously determined to be subcortical in origin. The use of naturally uttered speech to evoke the ABR allows the design of engaging behavioral tasks, facilitating new investigations of the effects of cognitive processes like language processing and attention on brainstem processing.\n\nSIGNIFICANCE STATEMENTSpeech processing is usually studied in the cortex, but it starts in the auditory brainstem. However, a paradigm for studying brainstem processing of continuous natural speech in human listeners has been elusive due to practical limitations. Here we adapt methods that have been employed for studying cortical activity to the auditory brainstem. We measure the response to continuous natural speech and show that it is highly similar to the click-evoked response. The method also allows simultaneous investigation of cortical activity with no added recording time. This discovery paves the way for studies of speech processing in the human brainstem, including its interactions with higher order cognitive processes originating in the cortex.