Brugge John F, Volkov Igor O, Oya Hiroyuki, Kawasaki Hiroto, Reale Richard A, Fenoy Albert, Steinschneider Mitchell, Howard Matthew A
Department of Neurosurgery, University of Iowa College of Medicine, Iowa City, IA 52242, USA.
Hear Res. 2008 Apr;238(1-2):12-24. doi: 10.1016/j.heares.2007.11.012. Epub 2007 Dec 8.
Averaged auditory evoked potentials (AEPs) to bilaterally presented 100 Hz click trains were recorded from multiple sites simultaneously within Heschl's gyrus (HG) and on the posterolateral surface of the superior temporal gyrus (STG) in epilepsy-surgery patients. Three auditory fields were identified based on AEP waveforms and their distribution. Primary (core) auditory cortex was localized to posteromedial HG. Here the AEP was characterized by a robust polyphasic low-frequency field potential having a short onset latency and on which was superimposed a smaller frequency-following response to the click train. Core AEPs exhibited the lowest response threshold and highest response amplitude at one HG site with threshold rising and amplitude declining systematically on either side of it. The AEPs recorded anterolateral to the core, if present, were typically of low amplitude, with little or no evidence of short-latency waves or the frequency-following response that characterized core AEPs. We suggest that this area is part of a lateral auditory belt system. Robust AEPs, with waveforms demonstrably different from those of the core or lateral belt, were localized to the posterolateral surface of the STG and conform to previously described field PLST.
在癫痫手术患者中,从颞横回(HG)内多个部位以及颞上回(STG)后外侧表面同时记录了对双侧呈现的100Hz短声串的平均听觉诱发电位(AEP)。根据AEP波形及其分布确定了三个听觉区域。初级(核心)听觉皮层定位于HG的后内侧。此处的AEP特征为具有短起始潜伏期的强大多相低频场电位,其上叠加有对短声串的较小频率跟随反应。核心AEP在一个HG部位表现出最低的反应阈值和最高的反应幅度,在其两侧阈值系统性升高而幅度下降。在核心区域前外侧记录到的AEP(如果存在)通常幅度较低,几乎没有或没有证据显示出特征性的核心AEP的短潜伏期波或频率跟随反应。我们认为该区域是外侧听觉带系统的一部分。波形明显不同于核心或外侧带的强大AEP定位于STG的后外侧表面,符合先前描述的PLST区。