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Results for “Cochlear Nerve”

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At least 145 records · Page 8Linked to original sources

PubMed1982

Location-specific components of the gross cochlear action potential: an assessment of the validity of the high-pass masking technique by cochlear nerve fibre recording in the cat.

The auditory high-pass masking technique has been used in attempts to define the origin, along the cochlear partition, of the gross cochlear action potential (CAP) and the gross brain stem potential. Theoretically, the high-pass masking paradigm should be frequency and location specific at the cochlear level, and some indirect evidence does point to this specificity. However, this hypothesis has not yet been directly substantiated. In the present experiment, click-evoked cochlear nerve activity was recorded simultaneously from the round window and from single fibres of the cochlear nerve, with and without high-pass maskers spaced in octaves from 0.5 to 16 kHz, at three intensities, in the anaesthetized cat. The "derived' CAPs were computed and compared with the mapping of single cochlear fibre responses under the same conditions. With one main exception, the conclusions drawn on the origin of the frequency components of the "derived' potentials were found to be valid in the normal cat. The exception concerned fibres with characteristic frequencies below 1-2 kHz, where the substantial spread towards the high frequencies of their frequency threshold curves, and the effects of lateral suppression or of other "remote masking' phenomena rendered the high-pass masking less location specific. From these results and certain assumptions, we would predict the high-pass masking technique to be valid in electrophysiological investigations in normal humans for frequencies down to 0.5-1 kHz.

Animals↗

PubMed1988

Morphology of the cochlear nerve in Sprague-Dawley and brown Norway rats.

Cochlear nerve morphology was studied in young adult albino (Sprague-Dawley) and pigmented (Brown Norway) rats. Analysis of the material included counts of normal and degenerating fibers and of glial cell nuclei, and measurements of vascularity and of the nerves' cross-sectional areas. The median number of normal fibers in the Sprague-Dawley rats was 21,216, and, in the Brown Norway rats, it was 20,186. There were no statistically significant differences between the two strains in numbers of normal fibers, degenerating myelin sheaths, or glial cell nuclei, or in the cross-sectional areas of the nerves. The area density of blood vessels was significantly higher in nerves from the Sprague-Dawley rats. The median area density in that strain was 0.0149, while in the Brown Norway rats the median area density was 0.0105.

Animals↗

PubMed1981

Regional differences in fiber size in the cochlear nerve.

The topographical variations in fiber size in the cochlear nerve of cat were quantitatively studied by electron microscopy. Measurements of fiber size as they appeared at the outlet of the spiral lamina show that fibers originating from the basal part of the cochlea are larger than those from the apex. When the diameter of apical fibers and their axoplasms at two different levels are compared, a significant variation in size is observed. As they appear in the internal acoustic meatus the apical fibers are larger at the level of the nerve trunk compared with the same fibers near the ganglion cell bodies. There are significant differences in fiber diameter with regard to their length for fibers derived from the apical turn. These results are compared with previous findings.

Animals↗

PubMed1982

Encoding of rapid amplitude fluctuations by Cochlear-nerve fibres in the guinea-pig.

Responses of cochlear nerve fibres in the guinea-pig were measured to sinusoidally amplitude-modulated tones at fibre characteristic frequency. The modulation depth was +/- 3 dB and the modulation rate was varied between 6.25 and 6400 Hz keeping the mean level of the tone constant. The resultant period histogram (locked to the modulation cycle) was used to determine the depth of modulated neural discharge. The functions showing the variation of discharge modulation with modulation frequency were, in general, low-pass. The cut-off of these functions appears to be primarily determined by the filtering properties of the fibres.

Animals↗

PubMed2003

Intraoperative monitoring of cochlear nerve compound action potential in cerebellopontine angle tumour removal.

Cochlear nerve compound action potential (CNAP) provides a real-time auditory evoked potential. Because of technical difficulty, CNAP monitoring has not been popular during the removal of cerebellopontine angle (CPA) tumour. To clarify the efficiency of intraoperative CNAP monitoring, we designed an intracranial electrode for CNAP monitoring and performed the simultaneous monitoring of CNAP and auditory brainstem response (ABR) in 10 patients undergoing CPA tumour removal in an attempt to preserve hearing. ABR recordings during microsurgical tumour removal were unsatisfactory in 6 patients because of severe artifacts. Reliable CNAP recordings were obtained without artifacts in all 10 patients throughout surgery. Eight patients preserved useful hearing after tumour removal, and the CNAP amplitude reflected the postoperative hearing. The newly designed intracranial electrode enables CNAP monitoring predicting the postoperative hearing more reliably than ABR. CNAP monitoring is efficient to improve the hearing preservation rate following CPA tumour removal.

Action Potentials↗

PubMed1985

Histopathological features of the spiral ganglion and cochlear nerve in temporal bones from three patients with profound hearing loss.

In the following study the condition of the spiral ganglion and the cochlear nerve of ears from patients suffering from profound hearing loss is described. The number of spiral ganglion cells has been related to the clinical diagnosis. The number of spiral ganglion cells in the two temporal bones of a patient with Neomycin ototoxicity was almost normal. A reduction of less than one-third of spiral ganglion cells has been observed in the temporal bones of a child who died after a bacterial labyrinthitis. The temporal bone with a Mondini dysplasia revealed a pronounced reduction of ganglion cells of more than two-thirds. The cochlear nerve trunk in the internal auditory canal appeared normal in all three cases. The present findings are discussed in respect to the degenerative behaviour of the cochlear neural elements in human being compared to animals.

Aged↗

PubMed1998

Temporal factors associated with cochlear nerve tuning to dual and single tones: a qualitative study.

The simultaneous presentation of a 10- and 10.86-kHz tone produces an 860-Hz cochlear nerve difference tone (DT) response in the gerbil which persists for the duration of the stimulus. Forward masking shows this response is generated by neurons sharply tuned to the stimulus frequencies. When compared with the DT response, the cochlear nerve compound action potential (CAP) to a single tone is smaller in amplitude, has a higher nonmasked threshold, and produces a less sensitive tuning curve (TC). Forward maskers can also produce amplitude enhancement of the CAP, but this was not observed for the onset portion of the DT response. The CAP TC is as sharply tuned as the TC of either the DT onset response or the entire DT response. A comparison was made of tuning of the DT response to the onset, the first half and second half of the 23-ms duration probe stimulus, using either a 5- or 15-ms masker-probe interval. An increase of the tip threshold of the TC to all three portions of the stimulus occurred as the interval was increased between the end of the masker and the midpoint of the portion of the stimulus under question. The 15-ms masker-probe interval produced sharper TCs.

Animals↗

PubMed1999

Safe electrical stimulation of the cochlear nerve at the promontory during functional magnetic resonance imaging.

The purpose of this study was to evaluate possibilities and technical risks for combining intended electrical stimulation of the cochlear nerve and functional magnetic resonance imaging (fMRI). Theoretical considerations and experiments indicate that fMRI can be performed safely during electrical stimulation. A nerve stimulator was developed with minimized length of electrical conductors, current limiting resistance, high inner impedance of a current source, radio frequency (RF)-shielding, and avoidance of ferromagnetic materials. This nerve stimulator transfers the optically encoded stimulating current signal via a fiber optic cable located near the area of stimulation. There, the optical signal drives an MRI-compatible current source. This set-up was tested with transtympanic electrical stimulation of the cochlear nerve at the promontory during an fMRI examination. No hazardous effects could be detected. The stimulation resulted in activation of the Heschl's gyrus. Compared to the conventional promontory testing this method may allow a more objective examination of cochlear implant candidates. Magn Reson Med 42:371-378, 1999.

Cochlear Nerve↗

PubMed2002

Neuromuscular hamartoma of the cochlear nerve: a rare occurrence in the internal auditory meatus.

The authors present a case of neuromuscular hamartoma of the cochlear nerve, an unusual occurrence in the internal auditory meatus (IAM). A review of the literature shows no previous report of neuromuscular hamartoma of the cochlear nerve. This tumour was clinically and radiologically difficult to distinguish from acoustic neuroma. It is important to consider the diagnosis of these rare small tumours pre-operatively, as it may be appropriate to manage this conservatively.

Adult↗

PubMed2002

Sex- and age-related elevation of cochlear nerve envelope response (CNER) and auditory brainstem response (ABR) thresholds in C57BL/6 mice.

The C57BL/6 mouse has long been considered, in scores of published studies, as a model of early adult-onset, progressive sensorineural hearing loss (presbycusis). The auditory brainstem response (ABR) has most often been used in these studies as a measure of functional loss. Whereas the ABR measures the response to a rapid acoustic onset, the cochlear nerve envelope response (CNER) measures the ability of cochlear nerve axons to respond to the low frequency modulations of the entire acoustic waveform, acoustic changes that are utilized in vocalizations and music. The present study compared the ability of these two measures to assess presbycusis in male and female C57BL/6 mice, at ages ranging from 50 to 400 days. Thresholds to the CNER were almost invariably more sensitive than the ABR, in response to stimulus frequencies ranging from 8 to 56 kHz. By 100 days of age, mice showed elevation of thresholds in response to high frequency stimuli, and this loss was greater in females than in males. These trends persisted for both measures over the next 300 days, involving successively lower frequencies.

Aging↗

PubMed2001

Electrocochleogram after transection of vestibulo-cochlear nerve in a patient with a large acoustic neurinoma.

This study reports pre- and post-operative compound action potentials (CAPs) that were recorded from a 27-year-old woman with an acoustic neurinoma. During surgery it was necessary to totally sever her vestibulo-cochlear nerve to excise a large tumor. A pure tone audiogram changed to the scale-out pattern immediately after operation. However, CAP, the waveform of which was broadened, has been recorded 3 years post-operatively with a threshold elevation of 10 dB over the pre-operative threshold. This phenomenon suggests that CAP may originate from the extreme periphery of the auditory nerve within the cochlea. The broadening of the CAP was assumed to result from enhancement of the negative summating potential included in the CAP. We studied the effect of preceding stimulus on CAP using paired click stimuli pre- and post-operatively. A reduction of CAP amplitude in response to the second click of paired clicks was markedly suppressed in the inter-click interval between 3 and 80 ms post-operatively. We speculate that depletion of adaptation induced the abnormal CAP recovery described above and that the lateral efferent nerve system was involved in abnormal CAP adaptation with transection of the vestibulo-cochlear nerve in this case.

Action Potentials↗

PubMed1999

[Retrocochlear deafness in absent cochlear nerve: case report. Role of CISS-3D (Constructive Interference of Steady State) sequence and differential diagnosis].

MRI gains greater importance in the differential diagnosis of retrocochlear hearing loss. Retrocochlear anakusis is rarely caused by aplasia or atrophia of the cochlear nerve. In the following we report about a five year old boy suffering from unilateral deafness, where a strongly T2-weighted CISS-3D MRI sequence demonstrates a missing of the cochlear nerve on the deaf side.

Child, Preschool↗

PubMed2005

Development of the human fetal cochlear nerve: a morphometric study.

Ontogenesis of the human peripheral auditory pathway is relatively less explored. While the distal part of the auditory perception apparatus (i.e. the cochlea) received attention, studies on the neural element carrying information to the brainstem (i.e. the cochlear nerve) are scarce. In the present study, axonal differentiation, maturation and myelination of the distal end of the human cochlear nerve (CN) were assessed using light and electron microscopy. Seven human fetuses of 12, 15, 18, 20, 22, 28 and 38 weeks' gestation (WG) were analyzed. Light microscopy revealed nerve fascicles as early as 12 WG, initially arranged loosely but later compacted by 18 WG. Myelinated fibers were clearly detected at 28 WG. Ultrastructurally, at 12 WG developing Schwann cells were present between the thin unmyelinated axons. At 15 WG, the fascicular arrangement was distinct with blood vessels in the perineurium. The maximum number of axons was found at 20 WG, which subsequently reduced to reach the adult level at 22 WG. The myelinated axons in the CN were first observed on the left side at 20 WG, following which the number and proportion of myelinated axons increased until term, incorporating both small and large axons. The right CN lagged behind in maturation. Axon size also increased with age. Thus, the maturation of the human CN commences during the mid-gestation period and produces exuberant axons that are eventually pruned at a time when axons start to myelinate. During this developmental period the human CN maintains maturational asymmetry, the functional consequences of which remain to be elucidated.

Axons↗

PubMed1990

Prenatal development of the cochlear nerve in the albino rat.

Twenty-eight prenatal (14 to 20 days) Wistar albino rats were studied with Cajal-de Castro's silver reduced stain. The histological sections were oriented in a parasagittal oblique plane, parallel to the cochlear root, in order to observe the origin, course and destination of the cochlear fibres in as few consecutive sections as possible. In all the prenatal days studied, the fibres arising in the first half coil of the cochlea (hook's bundle), show a different orientation than those of the other cochlear nerve fibres, which constitute the spiralized bundle, originating in the basal, medial and apical portions of the cochlea. The hook-bundle does not participate in the curling of the cochlear nerve and it describes a particular course. At first, its fibres are situated in a lateral position in the nerve when it is inside the internal auditive duct. Then, the hook-fibres take a postero-inferior position just at the entry of the bulbar cochlear nuclei region. Furthermore, we have seen no hook's afferents branching in the ventral cochlear nucleus, and it could be suggested that these fibres project directly to the superficial dorso-medial area of the postero-ventral cochlear nucleus.

Animals↗

PubMed1998

Microvascular decompression of the cochlear nerve in patients with severe tinnitus. Preoperative findings and operative outcome in 22 patients.

We evaluated the operative outcome in 22 consecutive patients who underwent microvascular decompression (MVD) of the intracranial portion of the cochlear nerve to relieve incapacitating tinnitus and related it to preoperative findings. The patients were selected for operation from the following criteria: severe tinnitus with sensorineural hearing loss and/or changes in brainstem auditory evoked potentials (BAEPs). Fifty percent had unilateral tinnitus. Before operation, 17 patients (77%) had sensorineural hearing loss in their affected ear. BAEPs were abnormal in 21 patients (95%) and acoustic middle ear reflex response was abnormal in six patients (27%). Vascular compression of the cochlear nerve was found in all patients during the operation. After the operation, 33% had relief of their tinnitus (two patients were totally free of tinnitus and five were markedly improved). Eight patients were slightly improved (38%), and the tinnitus did not change in four patients; two patients (10%) became worse. Of the patients with unilateral tinnitus, 63% had relief of their tinnitus. In one patient hearing was noticeably improved after the operation. Five patients (23%) had mild to moderate sensorineural hearing loss due to the operation. No other complications were detected.

Adult↗

PubMed1992

[Intraoperative monitoring of early auditory evoked potentials in hearing acoustic neuroma patients complemented by cochlear nerve action potentials].

Hearing preservation was attempted in eight cases of acoustic neurinomas with good preoperative hearing. This was successful in 3 cases. Brain-stem auditory evoked potentials (BAEP0 were monitored in all cases, and compound nerve action potentials (CNAP) were recorded from the cochlear nerve in the last 3 cases. The BAEP was extremely sensitive to intraoperative manipulation. Intraoperative loss of wave V in BAEP was observed not only in all 5 cases with postoperative hearing loss, but also in 2 out of 3 cases with successful hearing preservation. CNAP correlated better with the hearing outcome than BAEP. In the cases where hearing was preserved, intact CNAP responses were demonstrated at the end of the operation. Conversely, deterioration of CNAP was seen in a case of postoperative hearing loss. CNAP was 10-15 times larger in amplitude than BAEP, so that the new responses were obtainable in shorter intervals. This capability of frequent examination seemed to increase the possibility of avoiding irreversible damage to the hearing by changing surgical tactics. The addition of CNAP monitoring is a good supplement to conventional BAEP monitoring in acoustic neurinoma surgery.

Adult↗

PubMed1993

Preservation of cochlear nerve function in acoustic neurinoma surgery.

A total of 55 cases with unilateral acoustic neurinoma which were operated on by the lateral suboccipital approach was studied to elucidate factors which influence postoperative hearing acuity. We analyzed several factors: preoperative hearing level, tumour size, tumour consistency (cystic or solid), and anatomical location of the cochlear nerve. The size of the tumours ranged from 1.2 to 5.8 cm in diameter. Thirty of 55 cases (55%) preoperatively had remaining cochlear function. The smaller the size of tumour, the higher was the preoperative hearing level excepting those tumours with a diameter of 5 cm or greater, which had relatively good hearing and often contained large cysts. As to the consistency of the tumours, 41 were solid and 14 were cystic, where 19 (46%) and 11 (79%) cases had had preoperative hearing, respectively. Anatomical continuity of the cochlear nerve was maintained at surgery in 15 of 30 cases with preoperatively remaining hearing; cochlear function was preserved after surgery in 9 of the 15 cases. It was located counter-clockwise (caudally) to the facial nerve at an angle of 50 degrees on average when they were projected on the right side. The distance or interrelation between the two nerves had no bearing on postoperative hearing preservation. Postoperatively, hearing acuity was improved in 6 cases (20%) with a mean value of 5.6 dB, unchanged in 3 (10%), and deteriorated in 21 (70%) among the 30 cases with remaining preoperative-hearing. When the tumour was less than 2 cm or cystic, better hearing preservation was expected.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

PubMed1979

Auditory potentials of cochlear nerve and brain stem in multiple sclerosis.

Auditory evoked potentials of the cochlear nerve and the brain stem were recorded in ten patients with multiple sclerosis (MS) and four patients thought to possibly have MS. A characteristic pattern materialized, with a prolonged N1-P4 conduction time and absent or small N2 and/or N5 waves. We discuss possible clinical implications.

Adult↗