Bergstrom L
Can J Otolaryngol Suppl. 1975;2:1-28.
Recently surgical implantation of devices to stimulate the auditory nerve in man makes it apparent that sensory and neural pathologies of deafness need to be differentiated from each other. In this paper 10 exemplary cases are presented. In addition, an attempt is made to compile the information now available about sensory and neural pathologies in the various diseases that cause deafness. Superficially, it would appear that most such entities are sensory in nature and thus theoretically might be amenable to auditory nerve stimulation. However, loss of supporting cells seems to be associated with cochlear nerve fibre degeneration. Many individuals may, therefore, eventually develop combined pathology. The paucity of knowledge of pathology of the auditory pathways and their radiations in deaf persons is recognized as a limiting factor in attempts to predict which patients might benefit from auditory nerve stimulation. It is not within the scope of this paper to delineate the possible deleterious effects that cochlear implants might have on the auditory nerve.
最近，在人类身上进行刺激听神经的装置手术植入表明，耳聋的感觉性和神经性病变需要相互区分。本文介绍了10个典型病例。此外，还尝试汇编目前关于各种致聋疾病中感觉性和神经性病变的可用信息。表面上看，大多数这类病变似乎本质上是感觉性的，因此从理论上讲可能适合听神经刺激。然而，支持细胞的丧失似乎与耳蜗神经纤维变性有关。因此，许多个体最终可能会出现合并病变。在试图预测哪些患者可能从听神经刺激中获益时，人们认识到对聋人听觉通路及其放射的病理学知识匮乏是一个限制因素。本文的范围不包括描述人工耳蜗可能对听神经产生的潜在有害影响。
