Clinical measures of 8th nerve function

Hearing loss in multiple sclerosis: localization of the auditory pathway lesion according to electrocochleographic findings

Multiple sclerosis is known to affect the myelin of the auditory pathway resulting in acute hearing loss. Two cases of sudden deafness due to multiple sclerosis have been evaluated by conventional audiometry, brainstem auditory evoked response audiometry and transtympanic electrocochleography. The abnormalities of the compound action potential in both patients (enhanced latency, abnormal adaptation using fast stimulus rate) and the normal receptor potentials (cochlear microphonic, summating potential), as well as the absence of brainstem responses suggest a disturbance of synchronization at the level of the first auditory neurone. The electrocochleography provides valuable information for the topodiagnosis of this and other neural hearing losses, especially in the absence of reliable brainstem responses.

Limits of ABR and contribution of transtympanic electrocochleography in the assessment of cerebellopontine angle tumours

Auditory brainstem responses (ABR) and transtympanic electrocochleography (ECochG) were analysed for 63 patients with tumours of the cerebellopontine angle (CPA) and/or internal auditory meatus (IAM). ABR recordings indicated a clearly prolonged wave I-V interval (above 4.3 ms) in half of the patients, hence suggesting a retrocochlear disorder. For the remaining patients ABR alone was not sufficient for clear diagnosis and ECochG was therefore used in addition. When the latency of wave V was uncertain due to the absence of wave I, the latency of wave N1 was always measurable by ECochG. The NI-V interval evaluated in this way was always significantly prolonged (above 4.5 ms) relative to a control group of patients with a sensorineural hearing loss. In 9 of the 13 subjects without any discernible ABR, an ECochG response could be recorded and its threshold was often better than the mean pure tone audiogram. This study confirms the validity of transtympanic ECochG in the diagnosis of retrocochlear disorders. The time difference observed between wave N1 (ECochG) and wave I (ABR) in CPA tumours is discussed and a possible explanation is proposed.

Response patterns of auditory nerve fibers during temporary threshold shift

Temporary threshold shifts were studied in chinchillas exposed to noise (octave-band noise centered at 500 Hz, 95 dB SPL, 5 days duration) and the response properties of their auditory nerve fibers were measured. The threshold shifts of the fibers were approximately 35 to 65 dB; these values were equal to or slightly greater than those measured behaviorally. Most units had broad V-shaped tuning curves due to a greater loss in sensitivity near the characteristic frequency (CF) than in the low-frequency tail. In 17% of the units, the thresholds were actually lower in the tail than at CF, so that the tuning curves were W-shaped. The latencies of the fibers were within normal limits in terms of absolute intensity, but shorter than normal in terms of intensity relative to threshold. Other measures such as the spontaneous discharge rate, the discharge rate-intensity functions, and the firing patterns to tone bursts at CF appeared normal. These results indicate that neural response patterns during noise-induced temporary threshold shift are similar to those measured during permanent threshold shift.

Eighth-nerve action potentials evoked by tone bursts in cats before and after inducement of an acute noise trauma

Properties of eighth-nerve action potentials (AP) evoked by single-frequency tone-bursts (test tone) were studied in cats. Curves representing AP threshold as a function of test-tone frequency have a shape similar to behavioral and single-fiber threshold curves. The absolute level of AP thresholds is higher than that of behavioral and single-fiber thresholds. Cats were exposed to broad-band noise (equal intensities per octave) halfway into the experiments. This exposure resulted in a long-term temporary threshold shift (TTS) which remained fairly steady during the measurements. APs were measured before and during an acute noise trauma in the same animal. After inducement of the trauma the greatest threshold shift is found between 2 and 6 kHz. Curves representing AP amplitude as a function of stimulus SPL are displaced to higher stimulus SPLs. Sometimes the slope of the curve is steeper after the noise exposure than before. AP latency at threshold did not change due to the excessive noise exposure. AP-latency values compared at equal sound pressure levels before and after inducement of the trauma showed higher values during the trauma than before.

Transtympanic and surface recordings in the diagnosis of retrocochlear disorders

A series of patients presenting with subsequently surgically confirmed central tumour involving the auditory pathways were investigated using both transtympanic electrocochleography (TT ECochG) and surface recordings of brainstem evoked responses (BER). While ECochG allows a detailed study of peripheral function, BER allow the investigation of neural conduction up to the level of the inferior colliculus. Valuable information can be obtained from: (1) comparison of the amplitudes of the sensory and neural components of the ECochG; (2) comparison of ECochG, BER and auditory thresholds; (3) time interval measurements between the auditory nerve response (N1 on the ECochG) and the inferior colliculus (wave P4-5 on BER); (4) contralateral comparisons. Similar measurements performed in pure cochlear pathologies, mainly in Meniere's disease, yielded very significant differences.

Effects of noise, hypothermia and barbiturate on cochlear electrical activity

Pentobarbital has been reported as both increasing and decreasing the effects of noise trauma on the inner ear. In the C57BL/6 laboratory mouse, the effects depend upon which electrical events are measured and whether or not the hypothermic effects of pentobarbital are counteracted. Pentobarbital-induced hypothermia per se increased the latency of both the high-intensity-threshold, short-latency (H) and low-intensity-threshold, long-latency (L) waves by approximately 60 mus per degrees C decrease, had no significant effect on H-wave amplitude, but caused a severe reduction of the L-wave amplitude. As little as 1 min of 120 dB SPL high-frequency noise can temporarily reduce the cochlear microphonic (CM) amplitude, abolish the H and reduce the amplitude of the L waves of the click-evoked, volume-conducted gross auditory nerve action potential (AP). 1 week later, CMs were more depressed in subjects which had been anesthetized during 5 min noise exposure, regardless of body temperature during the exposure. The long-term decrement of the L-wave amplitude did not consistently differ as a function of anesthetic state or body temperature at exposure. However, hypothermia protected from, while barbiturate increased the effects of noise stress on the H wave. It was hypothesized that metabolic factors differentially affect the various electrical generators in the inner ear.

Evoked potential correlates of genetic progressive hearing loss. Age-related changes from the ear to the inferior colliculus of C57BL/6 and CBA/J mice

Volume-conducted auditory evoked potentials were simultaneously measured from the level of the ear to the inferior colliculus of mice. The C57BL/6 mouse, which displays genetic sensorineural progressive hearing loss, was compared with the CBA/J mouse. At 50 days post partum, amplitudes of the summating potential (SP) and cochlear microphonic (CM) were lower in the C57BL/6 genotype, and they decreased progressively with age. Fifty days later, changes were seen in responses from the auditory nerve and cochlear nucleus of this mouse. By 200 days of age, the C57BL/6 had a "recruitment" pattern at CNS regions, but not at the auditory nerve.