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PubMed1988

A comparison of synchronization filters in different auditory receptor organs.

Measurements of the frequency dependence of synchronization of cochlear nerve fibers obtained in different auditory receptor organs are compared. These synchronization filter-functions are lowpass filter-functions and differ primarily in corner frequencies which we estimate to be (in kHz): 2.5 (cat), 1.1 (guinea pig), 0.48 (alligator-lizard tectorial fibers), 0.42 (tree frog), and 0.34 (alligator-lizard free-standing fibers). Some of this variation in corner frequency can be explained by temperature-dependent lowpass-filter mechanisms with a temperature factor of 2.6-3.3 for a change in temperature of 10 degrees C. However, factors in addition to temperature must be involved in producing the differences in corner frequency between cat and guinea pig fibers and between tectorial and free-standing fibers in the alligator lizard.

Acoustic Stimulation↗

PubMed2006

[Preliminary study of intraoperative auditory monitoring techniques in acoustic neuroma surgery].

OBJECTIVE: To investigate the value of intraoperative auditory monitoring techniques in acoustic neuroma surgery. METHODS: Ten cases with acoustic neuroma were resected with retrosigmoid approach. Continuous hearing monitoring of auditory brainstem responses (ABR) and transtympanic electrocochleography (ECochG) was performed during operation. RESULTS: Before surgery, 3 patients had class A hearing, 4 had class B hearing, and 3 had class C hearing. With ABR monitoring, 5 patients had waves I , III and V, 5 had only waves I preoperation. After anesthesia,only 2 cases had waves I, III and V, 6 had wave I (Compound action potential, CAP N1 is equivalent to wave I of ABR) and 2 had no waves. The hearing was preserved in 2 cases, which had class A hearing post operation with tumor size <2 cm. With continuous hearing monitoring, the waves of I , III and V could be evoked in one case. In another case, the waves of I, III could be evoked after the tumor resection with the disappearance of wave V. The hearing was not preserved in 8 cases. The 6 out of 8 cases showed up CAP (waves I ) waveform. The CAP amplitudes decreased significantly in 4 cases and even dropped to zero while dissecting the tumor at the lateral end of the internal auditory canal (IAC) or clamping the internal auditory artery (IAA) during operation. After surgery, the CAP amplitudes were recovered to 50%-60% of normal level or normal. In one case, although the cochlear nerve was cut down, the CAP could still be recorded after the tumor resection. However, the CAP amplitudes was dropped to zero while pressurized and pulled cochlea nerve of brainstem lateral and the wave disappeared post-operation in another cases. The waves had not been recorded in two cases after anesthesia. One of them showed low amplitude of CAP wave when the tumor partially removed. The others had no wave all the time. CONCLUSIONS: In combination with ABR monitoring, ECochG proved to be a useful supplementary tool for hearing preservation in acoustic neurinoma surgery. Drilling of the IAC and tumor removal at the lateral end of the IAC were the most critical steps for achieving hearing preservation. The surgeon's experience are the most significant factors influencing the hearing outcome after removal of acoustic neuroma.

Adolescent↗

PubMed1996

Na,K-ATPase alpha- and beta-isoforms in the developing cochlea of the mouse.

Immunohistochemistry was used to investigate the presence of Na,K-ATPase alpha- and beta-subunits isoforms (alpha 1, alpha 2, alpha 3, beta 1 and beta 2) in the cochlea of the mouse at different ages between embryological day (E) 19 and postnatal day (P) + 30. alpha 1 was mainly found in the stria vascularis and in the spiral ligament; it increased steadily from p+4. These data correlates well with the morphological and electrophysiological maturation of the cochlea. alpha 3 predominated in the spiral ganglia and the cochlear nerve. This finding is well in accordance with reports that alpha 3 seems to be associated with the nervous system. The beta-subunit was found mainly in those tissues where staining of the alpha-subunit also was seen. Both subunits were localized in tissue regions where fluid regulation is expected to play an important role. For some isoforms, the expression pattern of Na,K-ATPase during development in the mouse is different from that in the rat. The expression of Na,K-ATPase and that of glucocorticoid receptors during development in the inner ear of the mouse show a similar pattern, which may indicate that glucocorticoid receptors could be involved in regulating the expression of Na,K-ATPase.

Animals↗

PubMed1984

Sound signal processing.

In the CHORIMAC-12, the French device, the whole speech information despite its redundancy is transmitted to the few cochlear nerve fibers that are still present. Only loud speech intensities between 40 db and 100 db are introduced in a filter battery which gives out the frequency information in 12 channels including the 100-6000 Hz. This 60 db intensity scale is transmitted in a compression rate of about 6 db. The time sampling is 3 msec. A 12 electrode bearer or 12 separate electrodes (in case of ossified cochlea) transmit the electrical information. The electrical stimulus is a square wave: its frequency is equal or inferior to 300 Hz; its voltage may vary between 2.5 and 6.5 volts; its duration may vary between 0 and 200 mu sec. The performances of the system is demonstrated by means of a system of computerized psychophysic tests and speech intelligibility tests.

Cochlear Implants↗

PubMed2000

Hearing loss and glutamate efflux in the perilymph following transient hindbrain ischemia in gerbils.

The mechanism underlying ischemia-induced hearing loss was studied in gerbils with transient hindbrain ischemia. Occlusion of the vertebral arteries caused an increase in the concentration of glutamate in the perilymph and elevated the compound action potential (CAP) threshold to 24.6 dB at 5 minutes. the CAP threshold subsequently recovered on reperfusion, gradually reaching 8.3 dB 120 minutes after reperfusion. Under electron microscopy, afferent dendrites of the cochlear nerve in contact with inner hair cells exhibited abnormal swelling 5 minutes after ischemia/reperfusion. These morphological changes were not observed in cochleas treated with an alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA)/kainate-type glutamate receptor antagonist, 6-7-dinitroquinoxaline-2,3-dione (DNQX), before hindbrain ischemia; an N-methyl-D-aspartate (NMDA)-type receptor antagonist, D-2-amino-5-phosphonopentanoate (D-AP5), was ineffective. Moreover, the histopathological alterations noted 5 minutes after reperfusion were spontaneously ameliorated 120 minutes after ischemia/reperfusion. These findings suggest that the ischemia-induced increase in extracellular glutamate concentration with subsequent activation of AMPA/kainate receptors is responsible for neurite degeneration and hearing loss in the early stages following transient hindbrain ischemia.

2-Amino-5-phosphonovalerate↗

PubMed1997

Mechanisms of auditory impairment during acoustic neuroma surgery.

Hearing loss during removal of acoustic neuroma (AN) may be due to labyrinthine and/or neural and/or vascular damage. Surgical maneuvers relating to perioperative and postoperative hearing may give rise to mechanisms of auditory impairment. Recording action potentials from the intracranial portion of the cochlear nerve (CN) has proven particularly useful for identifying the mechanisms of iatrogenic auditory injury. In this paper intraoperative and postoperative auditory impairments are investigated in relation to surgical steps in a group of 47 subjects with AN (size ranging from 5 to 25 mm) undergoing removal by a retrosigmoid-transmeatal approach. Drilling of the internal auditory canal (IAC), removal of the AN from the IAC fundus, coagulation close to the CN, lateral to medial tumor traction, separation of the CN from the facial nerve, and stretching of the CN have proven to be the most critical surgical steps in hearing preservation. On the other hand, maneuvers such as intracapsular tumor removal, vestibular neurectomy, suction close to the AN, and closure of the IAC defect did not correlate with changes in auditory potentials. Predisposing factors to postoperative hearing deterioration were IAC enlargement greater than 3 mm, IAC tumor size greater than 7 mm, extracanalar tumor size greater than 20 mm, labyrinth medial to the IAC fundus, severe involvement of the CN in the IAC, preoperative abnormal auditory brainstem responses, and normal vestibular reflectivity. Age and preoperative hearing did not prove to be statistically related to postoperative hearing. The variations in morphology and latency of CNAPs are discussed in relation to the mechanisms of iatrogenic injury.

Adolescent↗

PubMed1997

Implantation of the lateral cochlear wall for auditory nerve stimulation.

Although cochlear implants now regularly achieve gratifying results, traditional intrascalar implants have certain limitations. Extraluminal implants may offset some of these problems by accessing neurons subserving a wider tonotopic range, avoiding intracochlear insertion trauma, and offering alternatives when cochlear obliteration is present. We have investigated the utility of a lateral cochlear wall implant in a normal-hearing cat model with implants at the middle and basal turns, and found successful activation of the auditory nerve at thresholds of 28.1 and 40.6 microA, respectively. No adventitial stimulation of the facial nerve was noted within the dynamic range. Maximum responsiveness was observed with implants of the middle turn of the cochlea, an area that is not reliably approached with current intrascalar implants. These observations support and extend prior observations of the feasibility of extraluminal stimulation of the auditory nerve.

Animals↗

PubMed1994

Restoration of brain stem auditory-evoked potentials by gene transfer in shiverer mice.

We studied the shiverer mouse as a model for correcting hearing disorders resulting from genetic abnormalities of the central nervous system (CNS). Shiverer mice are homozygous for an autosomal recessive mutation (deletion) in the gene for myelin basic protein (MBP), a major protein component of the myelin sheath in the CNS. Under electron microscopic observation of the cochlear nerve, the CNS portion in shiverer mice showed hypomyelination, but the peripheral portion, including spiral ganglion cells, was normal. We produced MBP-transgenic mice by microinjection of an MBP cosmid clone into the pronucleus of fertilized eggs from shiverer mice. The transgenic mice were found to recover MBP levels up to 25% of normal. A greater number of axons in the transgenic mice were myelinated than in the shiverer mice, but the myelin sheath was not as thick as in normal controls. Every interpeak latency of brain stem auditory-evoked potentials was prolonged in the shiverer mice and improved in the transgenic mice. This study provides an example of gene therapy for hearing disorders caused by a CNS abnormality. We discuss some strategies for researching genetic hearing impairment or deafness in both animals and humans.

Animals↗

PubMed2003

Autism and auditory brain stem responses.

OBJECTIVE: To study a controversy that has been discussed for more than two decades: whether or not children with autism have abnormalities affecting the cochlear nerve or the auditory pathway in the brain stem and, if so, to describe these abnormalities. DESIGN: A group of 153 children and adolescents with autistic disorder were included in an investigation of auditory brain stem responses (ABR). Two thirds of this group, 101 individuals (75 boys, 26 girls), had normal hearing and they were selected for an in-depth ABR study. The results from the study group were compared with those of an age-matched comparison group. RESULTS: The III-V interpeak latency (IPL) was significantly prolonged in both boys and girls with autism, compared with the controls. The latencies of ABR waves I and V were also significantly lengthened in the study groups. The individual test results showed that more than half of this normal-hearing autistic disorder group (58%) had abnormalities of one or more of eight ABR parameters studied. The most common abnormalities were prolongation of wave V (38%), and of I-V IPL (28%). A lengthening of the I-V IPL was also recorded in 27% of 49 children who were difficult to test or who had hearing loss. Abnormal left-right differences of ABR latencies were found in 18% of autism cases with normal hearing. CONCLUSIONS: Possible causes of the reported ABR abnormalities, observed here as well as in other studies, are discussed. Brain stem lesion, occult cochlear dysfunction, and involvement of the cochlear efferent system are probable factors that can explain the ABR findings

Adolescent↗

PubMed1998

Effect of lipo-pro-prostaglandin E1, AS-013 on rat inner ear microcirculatory thrombosis.

We investigated effects of lipo-pro-prostaglandin E1 (lipo-[11alpha, 13E, 15S]-11,15-dihydroxy-9-[1-oxobutoxy]-prosta-8, 13-dien-1-oic acid butyl ester), AS-013 in two models of hearing disturbance and equilibrium dysfunction induced by rat inner ear microcirculatory thrombosis. Inner ear microcirculatory thrombosis was induced by photochemical reaction between systemic injection of Rose Bengal and irradiation of green light to the cochlea and vestibule. Photochemical reaction causes endothelial injury followed by platelet adhesion, aggregation and formation of a platelet- and fibrin-rich thrombus. In the hearing disturbance model, a compound cochlear nerve action potential was recorded by electrocochleography every minute. Photochemical reaction induced inner ear microcirculatory thrombosis, followed by disappearance of the action potential. AS-013 significantly (P<0.05) prolonged time to disappearance of the action potential compared with control group. In the equilibrium dysfunction model, the irradiation to the vestibule was applied for 10 min after Rose Bengal injection. The behavior of rats in the swimming test and nystagmus were observed 24 h after the completion of irradiation. In the swimming test, two of 12 animals treated with AS-013 showed no rotating about their longitudinal axes, which indicates equilibrium dysfunction and the duration of well-balanced swimming prolonged. AS-013 suppressed the appearance of nystagmus. These results suggest that lipo-pro-prostaglandin E1, AS-013 may prevent hearing disturbance and equilibrium dysfunction due to inner ear microcirculatory disorders.

Action Potentials↗

PubMed1993

Effect of ibudilast on microcirculation thrombosis in rat inner ear.

The effect of ibudilast (0.1, 0.3 mg/kg), which has cerebral vasodilating and antiplatelet effects, was evaluated in two models of rat inner ear microcirculation thrombosis by using the photochemical reaction between green light (wave length: 540 nm) and intravenous injection of rose bengal. Furthermore, the inner ear blood flow was measured by a laser-Doppler flowmeter. In the hearing disturbance model, under anesthesia, the compound action potential of the cochlear nerve (AP) was measured by an electrocochleogram. The sound stimulus was an 8-kHz sine wave at 80 dB SPL. The AP was calculated 128 times. In the controls, the AP disappeared about 4 min after the intravenous injection of rose bengal (20 mg/kg). The time required to completely suppress the AP in the animals treated with ibudilast (0.1, 0.3 mg/kg) was significantly prolonged as compared with that in the controls. In the equilibrium dysfunction model, ibudilast (0.1, 0.3 mg/kg) reduced the time of abnormal swimming in the swimming test 24 hr after the completion of photo-illumination. Ibudilast (0.3 mg/kg) increased the inner ear blood flow during the 10-min observation period as compared with the controls, while it did not affect the mean blood pressure. In conclusion, ibudilast increased the inner ear blood flow and was effective in two models of rat inner ear microcirculation thrombosis.

Animals↗

PubMed1975

The adaptation of cochlear and brainstem auditory evoked potentials in humans.

The adaptation of the responses from the cochlear nerve and the auditory brainstem nuclei was studied using a burst of four clicks as the stimulus. Nine experimental conditions were obtained from three stimulus levels (60, 70 and 80 dB SL) and from three intervals between click in the burst (15, 24 and 32.5 msec). Six subjects were each tested three times for each of the experimental conditions and the techniques used and results obtained are summarized. Various models of the adaptation of the brainstem responses are proposed which predict different results. The results for the adaptation of the N1 response are basically in agreement with previous work, and the more central brainstem responses showed less adaptation than the peripheral responses. These findings may be explained by postulating different adaptation mechanisms for the peripheral and central responses. The 60dB stimulus level condition gave rise to more adaptation than the 80dB level, and this is in agreement with studies of low and high threshold reception systems reported elsewhere.

Adaptation, Physiological↗

PubMed2001

Intraoperative auditory assessments as predictors of hearing preservation after vestibular schwannoma surgery.

The purpose of this study was to determine the association of intraoperative auditory brainstem responses (ABRs) and near-field cochlear nerve action potentials (CNAPs) with postoperative hearing preservation in acoustic tumor surgery. Thirty-three consecutive patients undergoing middle fossa surgery had intraoperative surface ABR and direct CNAP assessments. Postoperatively, hearing was assessed. Hearing preservation was defined as any measurable hearing at any frequency and also by the American Academy of Otolaryngology--Head and Neck Surgery (AAO-HNS) hearing preservation classification system. The presence of an ABR or CNAP was associated with hearing preservation and the absence of an ABR, and CNAP was associated with no hearing preservation in 75.6 percent of the cases. The presence of either the ABR or CNAP was not related to AAO-HNS class outcome. ABR and CNAP had a useful rate of prediction of hearing preservation surgery outcome. However, in nearly one-quarter of the cases, no association between ABR or CNAP responses and hearing preservation was found. This finding must be taken into account when determining the clinical usefulness of these techniques.

Adolescent↗

PubMed1987

Evidence for presynaptic facilitation in primary cochlear afferent neurons.

Evidence for presynaptic facilitation was sought in the discharge patterns of single units in the chinchilla cochlear nerve. Pairs of acoustic clicks, separated by a variable interval, were delivered and spike discharge times stored for offline analysis. By choosing an appropriate binwidth (5 ms) and collecting data only from units with high characteristic frequencies (CF) the response to each click was contained in a single bin. The ratio of spike counts in the bins containing the responses to the two clicks was computed. For units with low spontaneous rates (SR) of discharge (SR less than 8/s), an enhancement of the response to the second click was seen for low stimulus levels. As the stimulus level was raised, the response to the second click became reduced, presumably because of adaptation to the first click. Units with high (SR greater than 15 spikes/s) seldom exhibited enhancement of the response to the second click. The results are explained with a conceptual model in which two processes, depletion and facilitation decay exponentially following a stimulus. Since the two processes have opposite influences on the rate of transmitter release, the magnitudes of both processes may be underestimated by observing their net effect.

Acoustic Stimulation↗

PubMed1992

Suprathreshold comparisons of derived and enhanced compound action potentials.

The Derived cochlear nerve compound action potential (CAP) and the Enhanced CAP are both measures which demonstrate the ability of a forward masker to increase the amplitude of the CAP produced by a probe stimulus. Enhancement occurs whenever the amplitude of a masked CAP is larger than that of a nonmasked CAP, whereas the derived CAP is produced by the subtraction of the entire masked CAP waveform from that of the nonmasked waveform. Therefore, a derived CAP is created whenever the masker produces a difference of amplitude, latency, and/or waveform shape. The present experiments compare these two measures by observing the effects of 13 kHz maskers varying from levels of -10 to +70 db SPL on CAPs produced by 50 or 60 dB SPL, 13 kHz probe stimuli. Enhancement is characterized by a nonmonotonic increase of CAP amplitude (and sometimes a decrease of latency) as a function of increasing levels of the forward masker, whereas this pattern seldom occurs with the derived CAP. Enhancement is typically seen with forward making, but seldom seen with simultaneous masking, whereas the derived CAP is very similar under these two types of masking.

Acoustic Stimulation↗

PubMed1992

Derived and enhanced compound action potentials at near-threshold levels: forward masking increases sensitivity of audiograms and tuning curves.

The amplitude of a cochlear nerve compound action potential (CAP) can be increased by forward maskers having levels close to the visual detection threshold of the CAP. This effect, termed enhancement, varies as a function of the frequency of the masker and probe stimulus, and is nonmonotonic with respect to the level of the masker. Other studies using the derived CAP have used a subtraction technique to evaluate the ability of simultaneous maskers having levels near the CAP visual detection threshold to influence the CAP produced by an above threshold tone. The present paper compares audiograms produced by the conventional nonmasked CAP visual detection threshold technique with audiograms produced by both forward masked derived CAPs and forward masked enhanced CAPs. In response to low and middle frequency stimuli, both masked CAP measures produce more sensitive audiograms than does the conventional nonmasking method. Forward masked amplitude tuning curves (TCs) were also produced, comparing the conventional 50% amplitude reduction and 20 microV amplitude reduction methods with TCs obtained with derived and enhanced CAPs. When the same criteria are used, both masked CAP measures result in sharply tuned amplitude TCs that are approximately 60 dB more sensitive than the conventional CAP technique. At near-threshold levels, the properties of forward masked enhanced and derived CAPs appear to be similar.

Acoustic Stimulation↗

PubMed1984

Cochlear damage resulting from exposure to four different octave bands of noise at three ages.

Three age-groups of CBA/J inbred mice were exposed for 5 min to one of four octave bands of 124-dB noise. The ages corresponded to weaning (20 days), early postpuberty (60 days), and adulthood (180 days). Threshold shifts of the electrocochleographically obtained cochlear nerve action potential were determined 4 days following the noise exposure. Pure-tone bursts of 2-64 kHz were used to elicit these responses. Noise-induced threshold shifts (NITS) were progressively greater in those responses that originated from a more basal (high-frequency) portion of the organ of Corti. The 3--6-kHz noise band did not affect thresholds; 6--12- and 12--24-kHz bands produced a NITS of 25--30 dB; and 24--48-kHz noise produced a NITS of at least 18 dB. The 20- and 60-day-old subjects were more severely affected (25 and 23.5 dB average NITS, respectively) than the 180-day-old mice (9.5 dB NITS). Susceptibility to damage at the apex and middle of the organ of Corti declined as a function of age during exposure. But the base of the organ of Corti remained equally susceptible to damage from 6-12-, 12-24-, or 24-48-kHz noise bands, from weaning age to adulthood. When these data were compared with those from another study, it was concluded that an early sensitive period exists for noise-induced damage to the apex and middle of the organ of Corti but that the base maintains its susceptibility for a much longer age span.

Age Factors↗

PubMed1994

Dynamic changes in tuning in the gerbil cochlea.

Afferent axons of the gerbil cochlear nerve were studied with reverse correlation analyses carried out with movable time windows and with noise that was modulated with a 10-Hz trapezoidal envelope that switched the noise amplitude between two levels, 20 dB apart. At the time of switching, the attributes of the axonal tuning curves derived in this manner switched very rapidly (e.g., within 10 ms) from those characteristic of lower-level stimuli to those characteristic of higher-level stimuli and vice versa. As previous investigators have shown, the attributes of tuning curves at higher levels include broader bandwidth and an accentuated low-frequency hump. Characteristic frequencies (CFs) of gerbil axons used in this study ranged from approximately 500 Hz to approximately 5 kHz. Over this range, the low-frequency hump was most pronounced in our studies for units with higher CFs, each of which showed a sharp high-frequency peak and a distinctly separate, broad low-frequency hump (reminiscent of the tip and tail of a conventional frequency-threshold tuning curve). The amplitude of the peak relative to that of the hump, and the breadth of the peak, both changed rapidly and reversibly following sudden change of noise level. Observation of such rapid changes of tuning would be difficult to achieve with conventional frequency-threshold tuning curves, derived from tonal stimuli.

Acoustic Stimulation↗