Auditory brain-stem response and temperature: relationship in the guinea pig

Effects of isoflurane on auditory evoked potentials in the cochlea and brainstem of guinea pigs

Electrophysiological recordings of the auditory system are commonly performed in deeply anesthetized animals. This study evaluated the effects of various concentrations of the volatile anesthetic isoflurane (1-3%) on the compound action potential (CAP), cochlear microphonic (CM) and auditory brainstem response (ABR). Recordings were initiated in the awake, lightly restrained animal. Anesthesia was induced with a single dose of Hypnorm (fentanyl and fluanisone). After tracheostomy increasing isoflurane concentrations were applied in N(2)O/O(2) via controlled ventilation. Data were compared to recordings in the awake animal using repeated measures ANOVA and Dunnett's post hoc test. On average, isoflurane dose-dependently suppressed the amplitude and increased the latency of the CAP. CM amplitude was suppressed. These effects were most profound at high frequencies and were typically significant at isoflurane concentrations of 2.5% and 3%. Amplitude and latency of the second negative peak of the CAP (N(2)) were affected to a greater extent compared to the first peak (N(1)). On average, isoflurane dose-dependently reduced the amplitude and increased the latency of the ABR. These effects were typically significant at an isoflurane concentration of 2%. Effects on peak IV and V were more pronounced compared to the early peaks I and III.

Effect of hyperthermia on the central nervous system: a review

Experimental data show that nervous tissue is sensitive to heat. Animal data indicate that the maximum tolerated heat dose after local hyperthermia of the central nervous system (CNS) lies in the range of 40-60 min at 42-42 x 5 degrees C or 10-30 min at 43 degrees C. No conclusions concerning the heat sensitivity of nervous tissue can be derived from clinical studies using localized hyperthermia. The choice whether or not to exceed the critical heat dose, as derived from laboratory studies, in clinical practice is very much dependent on the clinical situation such as the anatomical site and volume of the tissue involved, and prior therapy. Data on clinical application of whole body hyperthermia (WBH) show that nervous tissue can withstand a slightly higher heat dose than after localized heating, which might be the result of developing thermal resistance during treatment. Expression of thermotolerance was observed in the spinal cord of laboratory animals. After WBH in man at a maximum between 40 and 43 degrees C for 6 h-30 min CNS complications were reported, but other complications seemed to be more life-threatening. Most studies indicate that impairment of the CNS after WBH was not due to direct heat injury to the brain or spinal cord, but was secondary as a result of physiological changes. Heat, at least if applied shortly after X-rays, enhances the response of nervous tissue to radiation. Neurotoxicity of chemotherapeutic drugs does not seem to be a limiting complication in hyperthermia if combined with chemotherapy, but only few data are available. The limited clinical experience shows that safe hyperthermic treatment of CNS malignancies or tumours located close to the CNS seems feasible under appropriate technical conditions with adequate thermometry and taking the sensitivity of the surrounding normal nervous tissue into account.

The effect of sound level, temperature and dehydration on the brainstem auditory evoked potential in anuran amphibians

Brainstem auditory evoked potentials (BAEPs) were used to examine the effects of sound level, temperature, and dehydration on the auditory pathway of three species of anuran amphibians: Rana pipiens, Bufo americanus and B. terrestris. BAEP latency, amplitude and a measure of threshold were determined for all stimulus and test conditions. Threshold values obtained with this technique were similar to other neural measures of threshold in anurans, and were stable for repeated measures within 12 h and over three days. Transient changes in temperature caused non-linear changes in BAEP threshold and latency. Above 20 degrees C small threshold shifts were elicited, while below 20 degrees C we observed rapid deterioration of threshold. Animals acclimated to a cold temperature (14 degrees C) were acoustically less sensitive than warm (21 degrees C) animals, even when both groups were tested at colder temperatures. Because peripheral components of the BAEP were most affected by both transient and acclimation (longer term) cooling and warming, the sensory epithelium appears to be the most temperature-sensitive component of the auditory pathway. Dehydrated frogs showed no auditory dysfunction until a critical level of dehydration was reached. More dehydration-resistant species (B. terrestris and B. americanus) were less susceptible to BAEP degradation near their critical dehydration level.

Effects of hyperthermia on the auditory-evoked brainstem responses in mice

This study investigated the effects of increased body temperature on the latencies and amplitudes of the auditory-evoked brainstem response (ABR) in mice. Six eleven-week-old male CBA/CaJ mice were anesthetized with pentobarbital and screened for normal hearing. Hyperthermia was induced by placing the animal in a thermostatically controlled chamber; a thermistor connected to a digital thermometer measured the rectal temperature. ABRs were evoked with broad-band clicks presented at repetition rates of 21.1/s and 61.1/s. The latencies and amplitudes of waves I-V were measured at 1-degree and/or 0.5-degree intervals between 37 and 42 degrees C. Temperature elevation between 37 and 41 degrees C shortened the latencies of all the ABR waves, the effect being linear and cumulative across the time window. Change in this trend occurred between 41 and 42 degrees C, whereby the latencies of all the waves stabilized or showed minimal prolongation. Amplitudes of the most robust waves I and II showed a trend similar to the latencies, whereas the later waves showed erratic and uninterpretable changes. These findings in the mouse may be indicative of the physiological limit of thermal tolerance and as such may be regarded as a premonitory signal of permanent damage.

Effect of irradiation on guinea pig ABR thresholds

A significant number of patients undergo irradiation to the temporal bone for malignancies. Conflicting reports exist regarding the effects of irradiation on hearing thresholds. Although radiation-induced otitis media and osteoradionecrosis of the ossicles with resultant conductive hearing loss are well-documented, there is disagreement regarding the effect of irradiation on sensorineural hearing. Previous animal models, relying only on behavioral tests and reflex thresholds, have failed to reveal consistent threshold shifts after irradiation. However, with the advent of auditory brainstem response (ABR) testing, a reliable objective measurement of hearing in animals is available. Hearing thresholds were determined bilaterally by ABR testing in 21 albino guinea pigs. The left temporal bones of sixteen animals were then irradiated with a total dose ranging from 5750 to 7000 cGy over 7 weeks. The right ears of these animals, plus both ears of five nonirradiated guinea pigs, served as controls. Follow-up threshold ABRs were obtained immediately post-irradiation (RT), and at 6 and 12 months post-RT. Average thresholds in all groups increased over time: 60 dB in the control group; 53 dB in the control ears of the irradiated animals; and 46 dB in the irradiated ears. There were no statistically significant increases in ABR thresholds for irradiated ears vs. control ears. At the 6-month followup, hearing was actually better in the irradiated ears than the control ears and this difference between ears was significantly greater than the difference at baseline (p < 0.026). Overall, there was no evidence that irradiation produces changes in ABR thresholds.

The ontogeny of homeothermic regulation in post-hatching chicks: Its influence on the development of hearing

1. The maturation of homeothermy in chicks from day 0 to day 30 after hatching (P0-P30) was studied by measuring rectal temperatures following different environmental exposures. 2. Body temperature regulation and an adult-like temperature (41.5 degrees C) develop with different time courses, being mature on days P4 and P23, respectively. After 1 hr at 20 degrees C, P0 chicks were 4.5-6.5 degrees C cooler than P30 animals. 3. A temperature effect shifts frequency in the auditory pathway up to 0.5 octaves to lower values. Some shifts in tonotopic maps observed in developmental studies of frequency representation in awake chicks can be fully explained by this temperature effect.

Thermal influences on nervous system function

The various effects of temperature change are only partially predictable. Temporal measures relevant to membrane activity, action potentials, synaptic transmission, and evoked potentials are all consistently increased with cooling and decreased by warming. However, the various measures of amplitude at different levels, and even within similar preparations, are contradictory: Some laboratories report increased amplitudes with cooling and others report decreased amplitudes under similar conditions. Emphasis is given to identifying factors that may resolve the differences. These include: (a) the rate of temperature change, (b) sites of cooling, stimulation and recording, (c) stimulus characteristics, and (d) fundamental differences in temperature sensitivities of different neural tissue. Other factors that may affect the ability to predict thermal influences on neural function from existing formulations are: relative ion permeabilities, metabolic ion pumps, the resting potential at the onset of cooling, and an animal's acclimated temperature at sacrifice.

Differential impact of hypothermia and pentobarbital on brain-stem auditory evoked responses

Two experiments were conducted to determine the effects of hypothermia and pentobarbital anesthesia, alone and in combination, on the brain-stem auditory evoked responses (BAERs) of rats. In experiment I, unanesthetized rats were cooled to colonic temperatures 0.5 and 1.0 degrees C below normal. In experiment II, 2 groups of rats were cooled and tested at 37.5, 36.0, 34.5 and 31.5 degrees C. One group was anesthetized during testing and the other group was awake. The rat BAER was sensitive to cooling of 1 degree C or less. Peak latencies were prolonged and peak-to-peak amplitudes were increased by hypothermia alone. The effect on amplitude may be related to the time course of temperature change or to stimulus level. Pentobarbital significantly affected both latencies and amplitudes over and above the effects of cooling. The specific effects of pentobarbital differed by BAER peak and by temperature. The findings point up the importance of the potential confound of anesthetic drugs in most of the evoked potential literature on hypothermia and, for the first time, quantify the complex interactions between pentobarbital and temperature which affect the BAER wave form.

Alcohol and the auditory brain-stem response, brain temperature, and blood alcohol curves: explanation of a paradox

A previous study found temperature-independent effects of alcohol upon the auditory brain-stem response (ABR): another found only temperature-dependent effects. To understand these paradoxical results, we measured the ABR and brain temperature in unrestrained rats before and after 3 alcohol doses (0.5, 2.5 and 5.0 g/kg). In a separate experiment, blood ethanol concentration (BEC) curves were determined for the same 3 alcohol doses. Integration of dose- and time-related effects of alcohol upon the ABR, brain temperature, and BEC suggested that alcohol has both temperature-dependent and temperature-independent effects, which vary according to dose and BEC curve phase. Temperature-dependent effects are likely during a BEC curve falling phase with a steep slope, following a high alcohol dose. Temperature-independent effects are likely during a BEC curve falling phase with a flatter slope, when BEC is still high following a moderate alcohol dose, or during a BEC curve rising phase soon after alcohol administration. The two previous studies with contradictory results each used procedural combinations likely to produce their respective results. Although both research groups administered similar alcohol doses, their alcohol solutions, administration routes, and time of ABR recording differed; consequently, they probably recorded ABR during different portions of BEC curve falling phases, which differed in slope. In view of the complex interactions among alcohol effects, BEC curve phase, temperature, and the ABR, we recommend temperature measurement during alcohol-ABR studies.

Effect of acute respiratory acidosis on multimodality sensory evoked potentials of Long-Evans rats

Auditory, visual and somatosensory evoked potentials (EPs), recorded epidurally from 31 chronically implanted male Long-Evans rats, were studied to examine the pattern of sensory effects caused by hypercapnia. Recordings were obtained before exposures, 10-20 min after the beginning of exposure to CO2 in synthetic air, and 30 min after the end of exposure. Previous recordings revealed no substantial effects of the extended recording period itself. Blood pH during an average exposure of 18.8% CO2 was about 7.1. During this level of CO2 exposure the somatosensory response was almost completely abolished, but the latencies of early detectable components were not affected. In contrast, the latencies of all brainstem auditory evoked response components and the 1-5 interwave time increased, whereas amplitudes were only slightly affected. Amplitudes and latencies of early and late components of the flash EP were decreased and lengthened, but the after-discharge components appeared to be most sensitive to CO2. Concentration-response relationships were examined by exposure of rats to 8 and 16% CO2. The most sensitive EP parameter was average amplitude of the late somatosensory EP components. These results suggest that EPs might be useful for assessing acute metabolic disturbances as well as more commonly assessed neurologic disorders.

Effects of hypothermia on auditory brain-stem and somatosensory evoked responses. A model of a synaptic and axonal lesion

Auditory nerve brain-stem (ABR) and somatosensory evoked responses (SER) were recorded in cats as body temperature was uniformly lowered from 37 to 27 degrees C. Analysis of the results showed that the alterations in the evoked responses were due to disturbances induced both in axonal propagation and synaptic transmission by the hypothermia. By studying the first wave of the SER, which is solely an axonal event, and by assuming reasonable values for the total synaptic delay and axonal propagation times along the ABR pathway, it was concluded that this lesion model induced an effect on synaptic transmission 1.3-1.7 times greater than that on axonal propagation. There was a strong inverse correlation between wave latency and body temperature, with slightly steeper slopes for the longer latency waves. Wave amplitudes were not correlated with temperature. Furthermore, the wave latencies and amplitudes were generally not dependent on stimulus rate.

Auditory brainstem responses in ground squirrels arousing from hibernation

Auditory brainstem responses (ABRs) were recorded in ground squirrels (Citellus lateralis) arousing from hibernation. Squirrels implanted with recording screws to record ABRs, and a thermistor to record brain temperature, were placed in a cold room at 9 degrees C on a 2L:22D light-dark cycle. Hibernating animals were moved from the cold room and ABRs recorded during arousal. The responses showed a gradual development of all brainstem peaks. At low temperatures there were very long latencies to the peaks. The amplitudes of the peaks increased (with fluctuations) as brain temperature increased. The data indicate that neural generators on the brainstem auditory pathway were all activated early in arousal. These results do not support the hypothesis that successive peaks appear and grow in amplitude only after previous peaks are fully developed.

Effects of hypothermia on brainstem auditory evoked potentials in humans

Ten adult patients who underwent open heart surgery under induced hypothermia had brainstem auditory evoked potentials (BAEPs) recorded at 1 degree- to 2 degrees C-steps as body temperature was lowered from 36 degrees C to 20 degrees C to determine temperature-dependent changes. Hypothermia produced increased latencies of BAEP waves I, III, and V; the prolongation was more severe for the later components with the result that interpeak latencies I-III, III-V, and I-V were also prolonged. The temperature-latency relationship was nonlinear and best expressed by exponential curve. The latencies of waves I, III, V and the interpeak latency I-V increased roughly 7% for each 1 degree C drop; they doubled at a temperature around 26 degrees C. The amplitude of the BAEP components had a quasiparabolic relationship to temperature; the amplitude rose with hypothermia to 28 degrees or 27 degrees C, but decreased linearly with further cooling. All BAEP components were present at temperatures above 23 degrees C and absent below 20 degrees C. With rewarming, the changes reversed and BAEPs returned to initial prehypothermia status.

Brain-stem auditory evoked potentials in the alligator. Effects of temperature and hypoxia

Brain-stem auditory evoked potentials (BAEPs) were recorded from young alligators (Alligator mississippiensis), and the effects of hypothermia, hyperthermia and hypoxia on the wave forms were determined. The wave form shape was similar to the human BAEP, although extra waves were routinely seen. The responses were highly repeatable and varied in a predictable manner as a function of stimulus frequency, polarity, intensity, and body temperature. Rarefaction clicks produced longer wave form latencies than condensation clicks. BAEPs were present over the entire temperature range studied (0-36 degrees C). In contrast, mammalian BAEPs disappear over the temperature range of 20-27 degrees C, and seizures occur at 20-21 degrees C. At temperatures below 20 degrees C, the alligator BAEP peak amplitudes decreased with decreased temperature, but latencies only decreased slightly. At temperatures above 20 degrees C the peak amplitudes increased, and the latencies decreased with temperature. Peak I was largely unaffected by temperature change, while peaks IIIa and V increased 0.015 and 0.018 msec/degree C, respectively, at temperatures above 24 degrees C. Transient brain hypoxia, achieved by inverting the alligator, produced a progressive decrease in BAEP waves to an isoelectric amplitude without greatly altered latencies. The reverse sequence of changes was seen during recovery. Postural effects on blood flow were documented in two alligators with implanted flow probes. Carotid artery blood flow decreased 43% with body inversion, in both anesthetized and unanesthetized alligators, but no sequelae from the hypoxia could be detected. Metabolic differences between mammals and the alligator may account for the alligator's resistance to hypothermia, hyperthermia and hypoxia.

Central and spinal somatosensory conduction times during hypothermic cardiopulmonary bypass and some observations on the effects of fentanyl and isoflurane anesthesia

Somatosensory evoked potentials (SEPs) following median nerve stimulation were recorded over Erb's point (N10), neck (N13) and scalp (N20) of 17 neurologically normal patients during hypothermic cardiopulmonary bypass. Anesthesia was induced with fentanyl and 100% oxygen, and supplemented with isoflurane as necessary. All 3 SEPs were recorded at esophageal temperatures (Te) of down to 19.5 degrees C. The central conduction time (CCT, defined as N20-N13 interpeak interval) increased exponentially with decreasing temperature (CCTTe = 1.066(37)-Te X CCT37; r = -0.96). The spinal conduction time (SCT, defined as N13-N10 interpeak interval) also increased exponentially but less steeply than the CCT (SCTTe = 1.047(37)-Te X SCT37; r = -0.89), and the N10 peak latency increased exponentially and least steeply (N10Te = 1.033(37)-Te. N10(37); r = -0.87). Anesthetic doses of fentanyl (75 micrograms/kg) did not affect the SEPs. Isoflurane (inspired concentration, 0.25-2.0%) produced dose-dependent increases in CCT of up to 13% and decreased N20 amplitude. All patients had normal CTs after rewarming and none suffered postoperative neurological deficits. Differences in slopes of the latency-temperature functions indicate that cooling produces more conduction slowing in central than in peripheral segments of the pathway and can be accounted for by estimates of the effects of cooling on synaptic delay and axonal conduction between wrist and cortex. The consistency of SEPs between patients both during stable hypothermia and when temperature was changing suggests their potential as a sensitive monitor of cerebral status during hypothermic cardiopulmonary bypass.

The effects of hypothermia on the latencies of the auditory brain-stem response (ABR) in the rhesus monkey

The effect of hypothermia on the ABR latencies was evaluated in 14 rhesus monkeys. Data from 6 preliminary experiments showed that middle ear pressure decreased with decreasing body temperature and consequently, all experiments were conducted on animals with tympanostomy tubes inserted to maintain constant middle ear pressure. All animals were sedated with curare and anesthetized with ketamine. Hypothermia was induced by applying ice packs to the animal's body. Rectal temperatures and the ABR to click stimuli were recorded at 3-5 min intervals over a temperature range of from 38 degrees C to 20 degrees C. The pattern of latency change is characterized by increasing latency with decreasing temperature, a greater rate of change for temporally later waves and increasing rate of change for any one wave with decreasing temperature. An exponential function was applied to the data and explained at least 93% of the variances in latency. In general, a single exponential identical for all waves of an animal explained the latency change between 37 and 26 degrees C. Below 26 degrees C, a second and sometimes a third function was required. These findings are similar to those reported previously and to those describing the effect of maturation on the ABR.