Eggermont Jos J
Department of Physiology and Biophysics, University of Calgary, Calgary, Alberta, Canada.
Ear Hear. 2008 Dec;29(6):819-29. doi: 10.1097/AUD.0b013e3181853030.
The purpose of the current review is to highlight the role of the acoustic environment in auditory cortical plasticity. In order do this we have reviewed our past studies on auditory cortical plasticity based on long-latency evoked potential recordings in humans following cochlear implantation, and multiple single-unit recordings from cat auditory cortex following noise trauma and exposure to a non-deafening acoustic environment. The results of these studies, and those of other investigators highlighted here, show that the auditory cortex shows plastic changes throughout life. Those that occur during maturation are typically considered the most profound and long lasting. In that case plasticity is beneficial as it allows adaptation to behaviorally important sound and adapts easily to changes induced by deafness and subsequent application of hearing aids or cochlear implants. In children as well as adults, changes in cortical representation of frequency can occur following hearing loss, but may be accompanied by unpleasant side effects such as tinnitus. Long exposure to a spectrally enhanced acoustic environment of moderate sound level that does not cause hearing loss paradoxically also results in pronounced changes in the cortical tonotopic maps. These changes are very similar to those following noise trauma. This review provides evidence that in adults, long-lasting plastic changes in auditory cortex occur even in the absence of behaviorally relevant acoustic stimulation. However, in children, the long lasting absence of auditory stimulation arrests cortical development.
本综述的目的是强调声学环境在听觉皮层可塑性中的作用。为了做到这一点,我们回顾了过去基于人工耳蜗植入后人类的长潜伏期诱发电位记录,以及噪声损伤和暴露于非致聋声学环境后猫听觉皮层的多个单单元记录的关于听觉皮层可塑性的研究。这些研究以及此处强调的其他研究者的研究结果表明,听觉皮层在整个生命过程中都会发生可塑性变化。那些在成熟过程中发生的变化通常被认为是最深刻和最持久的。在这种情况下,可塑性是有益的,因为它允许适应行为上重要的声音,并能轻松适应由耳聋以及随后使用助听器或人工耳蜗引起的变化。在儿童和成人中,听力损失后频率的皮层表征可能会发生变化,但可能会伴有耳鸣等不愉快的副作用。长期暴露于中等声级的频谱增强声学环境中,这种环境不会导致听力损失,但反常的是也会导致皮层音调拓扑图发生明显变化。这些变化与噪声损伤后的变化非常相似。本综述提供的证据表明,在成年人中,即使在没有行为相关声学刺激的情况下,听觉皮层也会发生持久的可塑性变化。然而,在儿童中,长期缺乏听觉刺激会阻碍皮层发育。