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At least 271 records · Page 15Linked to original sources
PubMed1989

Cochlear nerve responses to waveform singularities and envelope corners.

One way that discrete acoustic events may be signaled to the central nervous system is through spike synchrony over a subpopulation of cochlear axons. Each of the four corners of a trapezoidally modulated tone burst is such an event. Ordinarily, each corner comprises both an abrupt change in envelope slope and a singularity in the modulated waveform. In this study, in addition to stimuli of this sort, we employed a stimulus waveform in which a corner occurred without a waveform singularity. We obtained masker tuning curves for the CAPs corresponding to both kinds of corners and single-unit responses to both kinds of corners. The results suggest that the subpopulation of cochlear axons excited by the singularity component of a corner is distinct from that excited by the abrupt change in envelope slope.

Acoustic Stimulation↗
PubMed1994

Hearing preservation in acoustic neuroma surgery: value of monitoring cochlear nerve action potentials.

This study reviews the hearing results in 80 consecutive patients who underwent complete removal of histologically proven acoustic neuromas by use of the suboccipital approach. Of these, 56 patients had successful monitoring of cochlear compound action potentials; 20 were not monitored because their surgery predated monitoring; and 4 had unsuccessful monitoring. A significant difference was found in hearing preservation rates between the group in whom compound action potential monitoring was performed and those in whom monitoring was either unavailable or failed (p = 0.02). Overall, 38% (30 of 80) had preserved hearing. There were 51 patients in whom the click threshold for the cochlear compound action potential was measured during surgery. Twenty-one patients had a threshold shift of 20 dB or less, 15 (71%) of these retained serviceable hearing (speech reception threshold < or = 50 dB; speech discrimination score > or = 60%). Of 12 patients in whom the threshold shift was 30 to 60 dB, none had serviceable hearing after surgery. The click threshold shift was predictive of a significant postoperative hearing change (p < 0.001).

Action Potentials↗