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高频听力损失猫的耳蜗病理学与听觉脑干及皮层反应的相关性

Correlation of cochlear pathology with auditory brainstem and cortical responses in cats with high frequency hearing loss.

作者信息

Mount R J, Harrison R V, Stanton S G, Nagasawa A

机构信息

Department of Otolaryngology, Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

Scanning Microsc. 1991 Dec;5(4):1105-12; discussion 1112-3.

PMID:1822032
Abstract

Newborn kittens were treated with the aminoglycoside amikacin to produce a bilateral high frequency cochlear hearing loss. The degree and stability of hearing loss were confirmed by recording auditory brainstem evoked potentials (ABR audiograms). After maturation, cochleotopic frequency representation within primary auditory cortex (AI) was mapped using standard microelectrode recording techniques. The cochlear sensory epithelium was assessed with SEM and the pattern of damage compared with the ABR audiograms and cortical frequency maps. Amikacin treatment resulted in various patterns of haircell damage towards the base of the cochlea. A relatively abrupt transition between damaged and undamaged haircell regions resulted in an ABR audiogram with normal threshold to low frequencies and a high frequency elevation with a steep cut-off slope. In the cortical map, low frequency representation was normal, but anterior areas contained only neurons tuned to a common frequency which corresponded to the frequency-place position of the boundary of the haircell lesion and to the cut-off frequency of the audiogram. A large transitional zone of the cochlear lesion correlated with a gradual cut-off slope to the audiogram and again a remapping of the anterior and normally high frequency area to a common lower frequency. Haircell loss or damage (i.e. disarray of stereocilia) in lower frequency regions of the cochlea correlated with a significant reorganization of the lower frequency bands in the cortical map. We conclude from this study that the pattern of cochleotopic organization of the cortex is dependent on the pattern of activity in the ascending sensory pathway during early stages of development.

摘要

新生小猫接受氨基糖苷类药物阿米卡星治疗,以产生双侧高频耳蜗性听力损失。通过记录听觉脑干诱发电位(ABR听力图)来确认听力损失的程度和稳定性。成熟后,使用标准微电极记录技术绘制初级听觉皮层(AI)内的耳蜗频率表征图。用扫描电子显微镜评估耳蜗感觉上皮,并将损伤模式与ABR听力图和皮层频率图进行比较。阿米卡星治疗导致耳蜗底部的毛细胞出现各种损伤模式。受损和未受损毛细胞区域之间相对突然的过渡导致ABR听力图低频阈值正常,高频升高且截止斜率陡峭。在皮层图中,低频表征正常,但前部区域仅包含调谐到共同频率的神经元,该频率与毛细胞病变边界的频率位置以及听力图的截止频率相对应。耳蜗病变的大过渡区与听力图的逐渐截止斜率相关,并且前部和正常高频区域再次重新映射到共同的较低频率。耳蜗低频区域的毛细胞损失或损伤(即静纤毛紊乱)与皮层图中低频带的显著重组相关。我们从这项研究中得出结论,皮层的耳蜗拓扑组织模式取决于发育早期阶段上升感觉通路中的活动模式。

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