Auditory neglect and right parietal cortex.

OBJECTIVE: To document isolated round window atresia and to discuss its impact on current theories of inner ear function. PATIENTS AND STUDY DESIGN: Retrospective analysis of isolated round window atresia suggesting an autosomal dominant inheritance pattern and review of current concepts of cochlear macromechanics. SETTING: Tertiary referral center. RESULTS: The unexpected finding of isolated round window atresia in two female patients of the same family was confirmed intraoperatively as well as postoperatively using high-resolution computed tomography. The current audiograms and the review of the literature highlight a mixed, but predominantly conductive, hearing impairment with thresholds at 30 to 40 dB. Implying that there is no pressure release mechanism for inner ear fluid displaced by the stapes footplate, a total conductive hearing loss would be expected. CONCLUSIONS: The rare finding of round window atresia can be overlooked at surgery because of insufficient exposure of the round window niche. High-resolution computed tomography confirms the round window obliteration. It seems that an alternative way of cochlear stimulation takes place besides the concept of fluid bulk shifting. Surgery seems not to guarantee favorable results.

Auditory Pathways↗

PubMed2003

The importance of cochlear processing for the formation of auditory brainstem and frequency following responses.

A model for the generation of auditory brainstem responses (ABR) and frequency following responses (FFRs) is presented. The model is based on the concept introduced by Goldstein and Kiang [J. Acoust. Soc. Am. 30, 107-114 (1958)] that evoked potentials recorded at remote electrodes can theoretically be given by convolution of an elementary unit waveform (unitary response) with the instantaneous discharge rate function for the corresponding unit. In the present study, the nonlinear computational auditory-nerve model recently developed by Heinz et al. [ARLO 2(3), 91-96 (2001)] was used to calculate the instantaneous discharge rate ri(t) for fibers i in the frequency range from 0.1 and 10 kHz. The summed activity across frequency was convolved with a unitary response which is assumed to reflect contributions from different cell populations within the auditory brainstem, recorded at a given pair of electrodes on the scalp. Predicted potential patterns are compared with experimental data for a number of stimulus and level conditions. Clicks, chirps as defined in Dau et al. [J. Acoust. Soc. Am. 107, 1530-1540 (2000)], long-duration stimuli comprising the chirp, as well as tones and slowly varying tonal sweeps were considered. The results demonstrate the importance of considering the effects of the basilar-membrane traveling wave and auditory-nerve processing for the formation of ABR and FFR. Specifically, the results support the hypothesis that the FFR to low-frequency tones represents synchronized activity mainly stemming from mid- and high-frequency units at more basal sites, and not from units tuned to frequencies around the signal frequency.

Auditory Pathways↗