Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
J Neurotrauma. 2012 Jan 20;29(2):430-44. doi: 10.1089/neu.2011.1934. Epub 2011 Nov 22.
Abstract The current study used a rat model to investigate the underlying mechanisms of blast-induced tinnitus, hearing loss, and associated traumatic brain injury (TBI). Seven rats were used to evaluate behavioral evidence of tinnitus and hearing loss, and TBI using magnetic resonance imaging following a single 10-msec blast at 14 psi or 194 dB sound pressure level (SPL). The results demonstrated that the blast exposure induced early onset of tinnitus and central hearing impairment at a broad frequency range. The induced tinnitus and central hearing impairment tended to shift towards high frequencies over time. Hearing threshold measured with auditory brainstem responses also showed an immediate elevation followed by recovery on day 14, coinciding with behaviorally-measured results. Diffusion tensor magnetic resonance imaging results demonstrated significant damage and compensatory plastic changes to certain auditory brain regions, with the majority of changes occurring in the inferior colliculus and medial geniculate body. No significant microstructural changes found in the corpus callosum indicates that the currently adopted blast exposure mainly exerts effects through the auditory pathways rather than through direct impact onto the brain parenchyma. The results showed that this animal model is appropriate for investigation of the mechanisms underlying blast-induced tinnitus, hearing loss, and related TBI. Continued investigation along these lines will help identify pathology with injury/recovery patterns, aiding development of effective treatment strategies.
本研究采用大鼠模型探讨爆炸诱导的耳鸣、听力损失和相关创伤性脑损伤(TBI)的潜在机制。7 只大鼠用于评估单次 10 毫秒、14 磅/平方英寸或 194 分贝声压级(SPL)爆炸后 1 天、14 天的耳鸣和听力损失以及 TBI 的行为学证据。结果表明,爆炸暴露会导致耳鸣和中枢听力损伤的早期发作,并在广泛的频率范围内发生。随着时间的推移,诱导的耳鸣和中枢听力损伤往往向高频转移。听性脑干反应测量的听力阈值也显示出立即升高,随后在第 14 天恢复,与行为学测量结果一致。弥散张量磁共振成像结果表明,某些听觉脑区存在明显的损伤和代偿性可塑性变化,大多数变化发生在下丘和内侧膝状体。胼胝体无明显的微观结构变化表明,目前采用的爆炸暴露主要通过听觉通路发挥作用,而不是通过对脑实质的直接影响。结果表明,该动物模型适合于研究爆炸诱导的耳鸣、听力损失和相关 TBI 的机制。沿着这些方向的进一步研究将有助于确定损伤/恢复模式的病理学,从而为开发有效的治疗策略提供帮助。