Biomedical subjects

Robert V Harrison

Publications and source records attributed to Robert V Harrison.

At least 19 recordsLinked to original sources

PubMed2006

Auditory responses in cochlear implant users with and without GJB2 deafness.

OBJECTIVE/HYPOTHESIS: It is reasonable to suppose that the pattern of sensorineural damage along the length of the cochlea depends on the etiology of a hearing loss (HL). In GJB2-related deafness, we hypothesize that gap junction deficits are uniformly distributed and will result in similar damage along the length of the cochlea as compared with non-GJB2 subjects. We assessed this by measuring patterns of neural activity and hearing from apical versus basal cochlear implant electrode regions. STUDY DESIGN: This was a prospective, blind, controlled study. METHODS: Blood from 301 pediatric cochlear implant users was analyzed for mutations in GJB2 by direct sequencing. After exclusion of patients with monoallelic GJB2 mutations, associated syndromes, or risk factors for HL that were not congenital, 39 children with biallelic GJB2 mutations and 58 without GJB2 mutations were evaluated. Hearing was measured before implantation at frequencies ranging from 250 Hz to 8 kHz. After implantation, neural activity at the apical and basal ends of the implanted array was measured using electrically evoked compound action potentials of the auditory nerve (ECAPs) and evoked stapedius reflexes (ESRs). RESULTS: GJB2 and non-GJB2 groups were not significantly different with respect to sex, age at implantation, duration of auditory deprivation, hearing aid use, duration of aided hearing, ear implanted, implant model, or depth of insertion (P>.05). Children with GJB2-related HL had greater similarities between low- and high-frequency residual hearing and between neural activity electrically evoked at apical and basal regions of the cochlea as compared with children with non-GJB2-related HL who demonstrated larger deficits in basal regions. CONCLUSION: Results suggest more consistent spiral ganglion survival along the length of the cochlea in GJB2-related HL as compared with non-GJB2-related HL, which appears to involve a decreasing gradient of spiral ganglion survival from the apex to the base of the cochlea. Our findings support our premise that in GJB2-related HL, dysfunction of gap junctions likely occurs to a similar degree in the apical and basal regions of the cochlea. This knowledge might be used to customize implantable devices for patients with HL in the future.

Adolescent↗

PubMed2006

Temporal bone imaging in GJB2 deafness.

OBJECTIVE: To describe temporal bone findings on computed tomography (CT) imaging in GJB2-related hearing loss (HL). We asked whether evaluation of the temporal bone is required in individuals with biallelic GJB2 mutations. STUDY DESIGN: Randomized, blinded, controlled, prospective measurement. METHODS: Blood from 264 pediatric cochlear implant users was analyzed for mutations in the GJB2 gene. Thirty-six aspects of the temporal bone on CT imaging were evaluated in 53 individuals (106 ears) with biallelic disease causing GJB2 mutations. A subset of patients was age matched and compared with normally hearing individuals. Subjects with biallelic GJB2 mutations were tested for mutations in the SLC26A4 gene to rule out Pendred syndrome as a confounding cause of large vestibular aqueduct syndrome. RESULTS: Approximately 53% of ears of subjects (72% of subjects) with biallelic GJB2 mutations had at least one temporal bone anomaly. The most common findings were 1) dilated endolymphatic fossa (28%); 2) hypoplastic modiolus (25%); 3) large vestibular aqueduct (8%); 4) hypoplastic horizontal semicircular canal (8%); 5) hypoplastic cochlea (4%). Compared with normally hearing individuals, the GJB2 group had hypoplasia of the cochlear nerve canal, lateral semicircular canal vestibule, internal auditory canal (t tests, P < .001), and were 11 times more likely to have a hypoplastic modiolus. Dilated endolymphatic fossae were 1.4 times more common in the GJB2 group, and large vestibular aqueducts were 3 times more common in the GJB2 group, as compared with normally hearing controls. CONCLUSIONS: Temporal bone anomalies are common in GJB2-related HL, and imaging of the temporal bone should be included in routine evaluation of these individuals.

Child↗

PubMed2006

Multidimensional voice program analysis in profoundly deaf children: quantifying frequency and amplitude control.

Characterization of the vocal profile of profoundly deaf children using an objective voice analysis was carried out in a university-based pediatric otolaryngology clinic. 21 persons ages 3.5 to 18 years were assessed. From each sustained phonation of the vowel /a/ the following acoustic variables were extracted: fundamental frequency (F0), jitter percentage, shimmer percentage, fundamental frequency variation (vF0), peak amplitude variation (vAM), and first, second, and third formant frequencies (F1, F2, F3). Mean F0 was 267.8 Hz and consistent with established normative data. Mean measurements of jitter (0.88%) and shimmer (3.5%) were also within normal limits. The notable feature of the acoustic analysis was a statistically significant elevation in vF0 (2.81%) and vAM (23.58%). With the exception of one subject, the F1, F2, and F3 formant frequencies were comparable to those for normal hearing children. Auditory deprivation results in poor long-term control of frequency and amplitude during sustained phonation. The inability to maintain a sustained phonation may represent the partial collapse of an internal model of voice and speech.

Adolescent↗

PubMed2005

Tone responses in core versus belt auditory cortex in the developing chinchilla.

Single-unit responses to tone pip stimuli were isolated from numerous microelectrode penetrations of core primary auditory cortex (AI) and a dorsocaudal (DC) belt region in the ketamine-anesthetized chinchilla (laniger). Results are reported at postnatal day 3 (P3), P15, P30, and from adult animals. The AI core could be distinguished from the DC belt on the basis of its strict tonotopic organization, evident in all chinchillas studied (including the youngest). Averaged by age group and compared to their core counterparts, belt neurons generally had similar absolute (spike rate) thresholds and onset latencies (at a given sound pressure level), but lower maximum spike rates, broader tuning bandwidths, and more complex (multipeaked) receptive fields. Most notably, the fraction of complex belt units in the near-newborn (P3) group was high (approximately 50%), and did not systematically increase with age, while that of complex core units was approximately 10% at P3 and increased steadily to about 40% in adulthood. These results provide further evidence to support the hypothesis that, at least to some extent, core and belt auditory cortex may constitute parallel processing streams which represent different aspects of complex acoustic stimuli.

Aging↗

PubMed2005

An evoked potential study of the developmental time course of the auditory nerve and brainstem in children using cochlear implants.

Central auditory responses to electrical stimulation from a cochlear implant were studied in 75 pre-lingually deafened children and 11 adults. Electrically evoked auditory brainstem response (EABR) latencies significantly decreased with duration of cochlear implant use and were not significantly affected by the age at implant activation. Significant decreases in early latency waves and interwaves occurred within the first 1-2 months of implant use, whereas longer term changes (6-12 months) were found for eV and eIII-eV, which measure activity in the more rostral brainstem. Comparisons to acoustically evoked auditory brainstem response (ABR) in children with normal hearing suggested shorter interwave EABR latencies, reflecting either distinct neural generators or increased neural synchrony, but similar rates of change in the later latency eV and eIII-eV with time in sound. In sum, normal-like development of the rostral auditory brainstem is promoted by cochlear implant use in children of a wide range of ages.

Adolescent↗

PubMed2005

Ethnicity and mutations in GJB2 (connexin 26) and GJB6 (connexin 30) in a multi-cultural Canadian paediatric Cochlear Implant Program.

OBJECTIVE: To determine the relationship between ethnicity and mutations in the GJB2 and GJB6 genes in multi-cultural patients enrolled in a Canadian paediatric Cochlear Implant Program. METHODS: Blood was analyzed from 65 paediatric cochlear implant users by direct sequencing of the coding region and intron/exon boundaries of the GBJ2 gene. Individuals heterozygous for one mutation in GJB2 or in whom mutations in GJB2 were not detected were analyzed for the common 342 kb deletion mutation D13S1830 in the GJB6 gene. Information regarding ethnicity of patients' families was obtained from patient records and/or interview. RESULTS: GJB2 mutations were found in 36.9% of paediatric cochlear implant users tested. Nine different GJB2 mutations were identified among individuals from 14 different countries of origin. Seventy-eight percent of all identified pathogenic GJB2 mutations were 35delG. Biallelic GJB2 mutations were found in 16 cochlear implant users (66.7% of GJB2 mutations). Three novel GJB2 sequence changes were identified: (1) a missense mutation T107C (L36P) in an individual of African decent; (2) a missense mutation G475T (D159Y) in an individual of Caribbean decent; (3) a regulatory region change 1-34C to T in an individual of African decent. GJB6-D13S1830 mutations were not found in any of the patients tested. Individuals of African, Caribbean and East Indian decent had different GJB2 mutations than the remainder of individuals tested. Patients of Asian, Italian, Spanish, Polish and Armenian decent were not found to carry mutations in GJB2 or the common GJB6-D13S1830 mutation. CONCLUSIONS: This study represents the largest number of biallelic GJB2 mutations isolated in a group of paediatric cochlear implant users to date. Numerous and diverse GJB2 mutations were found in this multi-cultural group of children. Even though GJB2 mutations have been widely reported in the literature, this discussion represents the first report of GJB2 mutations in a multi-ethnic population (Canadian), as compared with previous studies that investigated fairly homogeneous populations. The diversity of GJB2 mutations identified reinforces the importance of testing for changes in GJB2 by direct sequencing of the entire coding region rather than testing only for common mutations.

Canada↗

PubMed2005

Is there a critical period for cochlear implantation in congenitally deaf children? Analyses of hearing and speech perception performance after implantation.

A range of basic and applied studies have demonstrated that during the development of the auditory system, early experimental manipulations or clinical interventions are generally more effective than those made later. We present a short review of these studies. We investigated this age-related plasticity in relation to the timing of cochlear implantation in deaf-from-birth children. Cochlear implantation is a standard intervention for providing hearing in children with severe to profound deafness. An important practical question is whether there is a critical period or cutoff age of implantation after which hearing outcomes are significantly reduced. In this article, we present data from prelingually deaf children (mostly congenitally deaf) implanted at ages ranging from 1 to 15 years. Each child was tested with auditory and speech understanding tests before implantation, and at regular intervals up to 8 years postimplantation. We measured the improvement in performance of speech understanding tests in younger implanted children and compared it with the results of those implanted at a later age. We also used a binary partitioning algorithm to divide the data systematically at all ages at implant to determine the optimum split, i.e., to determine the age at implant which best separates performance of early implanted versus later implanted children. We observed distinct age-of-implant cutoffs, and will discuss whether these really represent critical periods during development.

Adolescent↗

PubMed2005

Auditory detection of motion velocity in humans: a magnetoencephalographic study.

To investigate the cerebral mechanisms of auditory detection of motion velocity in the human brain, neuromagnetic fields elicited by six moving sounds and one stationary sound were investigated with a whole-cortex magnetoencephalography (MEG) system. The stationary sound evoked only one clear response at a latency of 109+/-6 ms (first response, or M100), but the six moving sounds evoked two clear responses: an earlier response at a latency of 116+/-7 ms (M100) and a later response at a latency ranging from 180 to 760 ms (magnetic motion response, or MM). The latency and amplitude of the MM were inversely related to the velocity of the moving sounds (p<0.02). The magnetic source of MM was related to the velocity of the moving sounds (p<0.05). A dynamic neuromagnetic response, MM, was elicited by the moving sounds, which likely encoded the neural processing of auditory detection of motion velocity. A specific neural network that processes the motion velocity in the human brain probably includes the bilateral superior temporal cortices and the brainstem. The left posterior and lateral part of the auditory cortex may play a pivotal role in the auditory detection of motion velocity.

Acoustic Stimulation↗

PubMed2005

Effects of cochlear implant use on the electrically evoked middle latency response in children.

The electrically evoked middle latency response (eMLR) reflects central auditory activity in cochlear implant users. This response was recorded repeatedly in 50 children over the first year of cochlear implant use and in 31 children with 5.3+/-2.9 years of implant experience. The eMLR was rarely detected at the time of implantation in anaesthetized or sedated children and was detected in only 35% of awake children at initial device stimulation. The detectability of the eMLR increased over the first year of implant use becoming 100% detectable in children after at least one year. Acutely evoked responses were more likely to be present in older children despite longer periods of auditory deprivation. Within six months of implant use, most children had detectable eMLRs. At early stages of device use, eMLR amplitudes were lower in children implanted below the age of 5 years compared to children implanted at older ages; amplitudes increased over time in both groups. Latencies after six months of implant use were prolonged in the younger group and decreased with implant use. EMLR changes with chronic cochlear implant use suggest an activity-dependent plasticity of the central auditory system. Results suggest that the pattern of electrically evoked activity and development in the auditory thalamocortical pathways will be dependent upon the duration of auditory deprivation occurring in early childhood.

Adolescent↗

PubMed2005

Dynamics of real time DPOAE contralateral suppression in chinchillas and humans.

The dynamics of contralateral acoustic suppression were studied using real time (millisecond resolution) distortion product otoacoustic emissions (DPOAEs) in chinchillas and humans. Latency of DPOAE suppression onset is 26 ms in chinchillas and 45 ms in humans. After onset, suppression builds over time before tending to plateau, reflecting a temporal integration process with a time constant of 100 ms (chinchillas). In chinchillas, suppression persists for 40 ms even when elicited by stimuli as short as 5 ms. With stimuli >40 ms, offset and onset latencies are similar and duration of suppression equals that of the contralateral stimulus. A comparison of DPOAE suppression onset latency with neural latency data from the pathways involved suggests the following timing scheme: stimulus onset to activity in (ventral) cochlear nucleus, 4ms (15% of delay); transfer to olivocochlear efferents, 9 ms (35%); efferent conduction to presynaptic OHC site, 4ms (15%); synaptic and mechanical events at OHCs, 9 ms (35% of delay).

Adolescent↗

PubMed2005

Temporal bone findings on computed tomography imaging in branchio-oto-renal syndrome.

OBJECTIVES/HYPOTHESIS: To describe temporal bone findings using visual inspection and direct measurement on computerized tomography (CT) in individuals with branchio-oto-renal syndrome (BOR). We ask if it is possible for the untrained observer to use a battery of CT observations as a tool in the overall evaluation of the BOR phenotype. STUDY DESIGN: Retrospective evaluation of CT findings in individuals with a clinical diagnosis of BOR based on criteria derived from genotype-phenotype analyses. METHODS: Prospective measurement of temporal bone CT imaging in 21 individuals (42 ears) with BOR and 21 normally hearing controls (21 ears) was performed. Thirty-nine aspects of each temporal bone were evaluated: 17 by direct measurement, 5 computed from direct measurement, and 17 by visual inspection. Thirty-eight recordings from each ear were made on axial section and 1 was made on coronal section. RESULTS: Statistically significant differences were found between BOR and control groups in 30 of 39 categories (76.9%). The most common and easily identifiable characteristics of BOR by visual inspection were 1) hypoplastic apical turn of the cochlea, 2) facial nerve deviated to the medial side of the cochlea, 3) funnel-shaped internal auditory canal, and 4) patulous eustachian tube. The embryological origin of temporal bone anomalies in BOR are described. CONCLUSIONS: CT evaluation of the temporal bone, when properly investigated, should be used as an important tool in the overall evaluation of the BOR phenotype.

Adolescent↗

PubMed2004

Tone frequency maps and receptive fields in the developing chinchilla auditory cortex.

Single-unit responses to tone pip stimuli were isolated from numerous microelectrode penetrations of auditory cortex (under ketamine anesthesia) in the developing chinchilla (laniger), a precocious mammal. Results are reported at postnatal day 3 (P3), P15, and P30, and from adult animals. Hearing sensitivity and spike firing rates were mature in the youngest group. The topographic representation of sound frequency (tonotopic map) in primary and secondary auditory cortex was also well ordered and sharply tuned by P3. The spectral-temporal complexity of cortical receptive fields, on the other hand, increased progressively (past P30) to adulthood. The (purported) refinement of initially diffuse tonotopic projections to cortex thus seems to occur in utero in the chinchilla, where external (and maternal) sounds are considerably attenuated and might not contribute to the mechanism(s) involved. This compares well with recent studies of vision, suggesting that the refinement of the retinotopic map does not require external light, but rather waves of (correlated) spontaneous activity on the retina. In contrast, it is most probable that selectivity for more complex sound features, such as frequency stacks and glides, develops under the influence of the postnatal acoustic environment and that inadequate sound stimulation in early development (e.g., due to chronic middle ear disease) impairs the formation of the requisite intracortical (and/or subcortical) circuitry.

Acoustic Stimulation↗

PubMed2004

Toward a battery of behavioral and objective measures to achieve optimal cochlear implant stimulation levels in children.

OBJECTIVES: Children require audible and comfortable stimulation from their cochlear implants immediately after device activation. To accomplish this, a battery of objective measures may be needed that could include the electrically evoked stapedius reflex (ESR), compound action potential from the auditory nerve (ECAP), and/or auditory brain stem response (EABR). In the present study, the following specific research questions were asked: In children using cochlear implants, 1) Can the ECAP, EABR, and ESR be recorded at the time of cochlear implantation? 2) What is the feasibility of measuring the ECAP, EABR, and the ESR repeatedly without the use of sedation over the first year of implant use? 3) Do ECAP, EABR, and ESR thresholds or behavioral measures change over time? 4) What is the relation between ECAP, EABR, and ESR thresholds and behavioral measures of threshold and comfortably loud levels? DESIGN: In 68 children, ECAP, EABR, and ESR responses as well as behavioral measures of stimulation threshold and maximum stimulation were recorded at regular intervals over the first year of implant use. In each child, responses were recorded to electrical pulses provided by three different electrodes along the implanted array. Visual inspections of the stapedius reflex (V-ESR) evoked by activation of the same three electrodes at the time of surgery were performed in an additional 20 children. RESULTS: ECAP and EABR measures were obtained in more than 84% of electrodes tested and 89% of children tested both in the operating room at the time of implant surgery (OR) and after surgery in nonsedated children. ESRs were recorded by using immittance measures in more than 65% of electrodes tested and 67% of children tested by 3 mo of implant use, but this technique was less successful in the OR and during early stages of device use. V-ESRs and ECAP thresholds were higher in the OR than ESRs and ECAPs at postoperative recording times. EABR and ECAP thresholds did not significantly change over the first 6 and 12 mo of implant use, respectively, whereas ESR thresholds increased. Behavioral measures of threshold decreased over time, whereas maximum stimulation levels rose over time. Behavioral measures of threshold and loudness were highly correlated at all test times. ECAP, EABR, and behavioral measures were lower when evoked by an electrode at the apical end of the implanted array than by more basal electrodes. Behavioral thresholds could be predicted mainly by ECAP thresholds, whereas maximum stimulation levels could best be predicted by ESR thresholds; both were significantly affected by the age at implantation. CONCLUSIONS: A combination of nonbehavioral measures can aid in the determination of useful cochlear implant stimulation levels, particularly in young children and infants with limited auditory experience. These measures can be made in the operating room and can be repeated after surgery when needed. Correction factors to predict threshold stimulation levels should be based on ECAP thresholds or EABR thresholds if necessary. Correction factors should be made for at least one apical and mid-array electrode, should take into account the age of the child, and may have to be revised during the first year of implant use. Maximum stimulation levels may be best determined by using the ESR.

Acoustic Stimulation↗

PubMed2004

Effects of middle ear application of Cipro HC Otic Suspension in an animal model.

The objective of this study was to examine whether ciprofloxacin-containing otic drops (Cipro HC Otic Suspension; 0.2% ciprofloxacin, 0.1% hydrocortisone; Alcon, Ontario, Canada) are cochleotoxic in the chinchilla animal model. Five chinchillas in total underwent these studies. Pretreatment distortion-product otoacoustic emissions (DPOAEs) were measured in each ear, followed by a random injection of Cipro to one ear and normal saline to the other. Injections consisted of 0.2 mL into the middle ear cavity (bulla) for 5 consecutive days. Post-treatment DPOAEs and auditory brainstem responses were measured at 1 month, and cochlear hair cell integrity was assessed by scanning electron microscopy (SEM). All animals had normal pretreatment DPOAEs. One month after Cipro instillation, DPOAE levels decreased in three of the animals. No significant change was seen in the ears treated with saline. On SEM examination, the integrity of the stereocilia of the inner and outer hair cells demonstrated no histologic evidence of significant cochlear damage. The finding of reduced DPOAEs suggests a mild local middle ear inflammation caused by the ciprofloxacin or some other component or property of Cipro.

Animals↗

PubMed2004

Programming cochlear implant stimulation levels in infants and children with a combination of objective measures.

We propose a method of obtaining audible and comfortable stimulation levels with the use of objective measures when reliable behavioral testing is not possible. Electrically evoked compound action potentials of the auditory nerve (ECAPs) and stapedius reflex (ESR) thresholds were measured in 68 children who use Nucleus devices, beginning at implantation in the operating room (OR) and continuing over the first year of implant use at three implant electrodes. Generic correction factors based on group data were subtracted from ECAP thresholds obtained in the OR. The correction factors were specified for two groups of electrodes and two age groups of children. Objective thresholds exceeded behavioral values in 75% of children and were lower than minimum ESR thresholds in 85% of children. Mean dynamic ranges between the two objective measures spanned 23-36 Clinical Units across the implanted array. Maximum levels, based on ESR thresholds measured in the OR, can be globally adjusted to maintain comfortable stimulation levels.

Action Potentials↗

PubMed2003

Cerebral vascular abnormalities in a murine model of hereditary hemorrhagic telangiectasia.

BACKGROUND AND PURPOSE: Hereditary hemorrhagic telangiectasia type 1 (HHT1) is an autosomal dominant vascular dysplasia caused by mutations in the endoglin gene and characterized by dilated vessels and arteriovenous malformations (AVMs). To understand the etiology of this disorder, we evaluated the cerebral vasculature of endoglin heterozygous (Eng+/-) mice, which represent the only animal model of HHT1. METHODS: The cerebral vasculature of Eng+/- and Eng+/+ mice from C57BL/6 (B6) and 129/Ola (129) strains with a differential susceptibility to HHT1 was studied with corrosion casting. Casts were observed by scanning electron microscopy to detect malformations and evaluate arterial diameters and orientation of endothelial nuclei. Measurements were taken to assess relative constriction at arteriolar branching points and downstream relative dilatation. RESULTS: Three of 10 Eng+/- mice demonstrated abnormal vascular findings including AVMs, while none of 15 Eng+/+ mice did. The incidence of relative constriction at arteriolar branching points was significantly less in both Eng+/- groups than in their Eng+/+ counterparts. The occurrence of relative dilatation was significantly greater in B6-Eng+/- than in B6-Eng+/+ mice. Endothelial nuclei were significantly rounder and deviated more from the direction of blood flow in Eng+/- than in Eng+/+ mice. CONCLUSIONS: Eng+/- mice showed significant structural alterations in cerebral blood vessels, indicating that the level of endoglin on endothelium is critical for maintenance of normal vasculature. Since endoglin haploinsufficiency is associated with HHT1, such changes in arteriolar structures might occur in HHT1 patients and predispose them to AVMs and their sequelae.

Animals↗

PubMed2003

Activity-dependent developmental plasticity of the auditory brain stem in children who use cochlear implants.

OBJECTIVES: 1) To determine if a period of early auditory deprivation influences neural activity patterns as revealed by human auditory brain stem potentials evoked by electrical stimulation from a cochlear implant. 2) To examine the potential for plasticity in the human auditory brain stem. Specifically, we asked if electrically evoked auditory potentials from the auditory nerve and brain stem in children show evidence of development as a result of implant use. 3) To assess whether a sensitive or critical period exists in auditory brain stem development. Specifically, is there an age of implantation after which there are no longer developmental changes in auditory brain stem activity as revealed by electrically evoked potentials? DESIGN: The electrically evoked compound potential of the auditory nerve (ECAP) and the electrically evoked auditory brain stem response (EABR) were recorded repeatedly during the first year of implant use in each of 50 children. The children all had pre- or peri-lingual onset of severe to profound sensorineural hearing loss and received their implants at ages ranging from 12 mo to 17 yr. All children received Nucleus cochlear implant devices. All children were in therapy and in school programs that emphasized listening and required the children to wear their implants consistently. RESULTS: Initial stimulation from the cochlear implant evoked clear responses from the auditory nerve and auditory brain stem in most children. There was no correlation between minimum latency, maximum amplitude, or slope of amplitude growth of initial responses with age at implantation for ECAP eN1, EABR eIII and eV components (p > 0.05). During the first year of implant use, minimum latency of these waves significantly decreased (p < 0.01, p < 0.0001, p < 0.0001, respectively). Neural conduction time, measured using the interwave latency of ECAP eN1-EABR eIII for lower brain stem and EABR eIII-eV for upper brain stem, decreased during the period of 6 to 12 mo of cochlear implant use (p < 0.01 (lower), p < 0.0001(upper)). The ECAP wave eN1 and the EABR wave eV showed significant increases in amplitude during time of implant use (p < 0.05 and p < 0.01, respectively). There were no correlations between the rate of interwave latency decrease and the rate of amplitude increases and the age at which children underwent implantation (p < 0.05). CONCLUSIONS: Activity in the auditory pathways to the level of the midbrain can be evoked by acute stimulation from a cochlear implant. EABR measures are not influenced by any period of auditory deprivation. Auditory development proceeds once the implant is activated and involves improvements in neural conduction velocity and neural synchrony. Underlying mechanisms likely include improvements in synaptic efficacy and possibly increased myelination. The developmental plasticity that we have shown in the human auditory brain stem does not appear from EABR data to be limited by a critical period during childhood.

Adolescent↗

PubMed2002

Blood capillary distribution correlates with hemodynamic-based functional imaging in cerebral cortex.

Our study concerns the mechanisms that underlie functional imaging of sensory areas of cortex using hemodynamic-based methods such as optical imaging of intrinsic signals, functional magnetic resonance imaging and positron emission tomography. In temporal cortex of chinchilla, we have used optical imaging of intrinsic signals evoked by acoustic stimulation to define the functionally responsive area and then made (scanning electron microscopy) observations of the corresponding capillary networks prepared by corrosion cast methods. We report that intrinsic signals associated with auditory cortex correlate directly with discrete capillary beds. These capillary beds, within the cortical surface layers, are distributed across the cortex in a non-uniform fashion. Within cortex both the arterial supply and the capillary network contain various flow control structures. Our study suggests a causal relationship between the metabolic demands of local neuronal activity and both the density of the capillary network and the placement of the control structures. Such relationships will affect the ultimate spatial resolution obtainable by hemodynamic-based functional brain imaging studies. These relationships will also affect quantitative comparisons of activity levels in different areas of cortex.

Acoustic Stimulation↗