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颈交感神经切除术对耳蜗电生理学的影响。

The effect of cervical sympathectomy on cochlear electrophysiology.

作者信息

Hultcrantz E, Nuttall A L, Brown M C, Lawrence M

出版信息

Acta Otolaryngol. 1982 Nov-Dec;94(5-6):439-44. doi: 10.3109/00016488209128932.

Abstract

The purpose of this study was to examine the electrophysiologic responses to sound from guinea pig cochleas, 3--6 days after a unilateral cervical sympathectomy. After recovery from surgery the guinea pigs developed a Horner's syndrome on the sympathectomized side. Some days later their bullas were opened and electrodes were placed bilaterally on the round windows. Most of the sympathectomized cochleas showed signs of decreased sensitivity to sound. They had a smaller dynamic range for the click- and tone-burst evoked compound action potential (CAP) compared with the non-sympathectomized cochleas. The threshold sound levels for the CAPs and the sound levels to produce 1 muV of cochlear microphonic potentials were unaffected. In other animals with chronic implanted electrodes, the same electrical responses were measured with only light sedation before and after sympathectomy and showed the same results. In additional animals the crossed olivocochlear bundle (COCB) was electrically stimulated and a similar inhibition of the CAP was registered on both the intact and the sympathectomized side. The results suggest that the sympathetic nerves to the cochlea, coming from the ipsilateral cervical ganglion and ending near the habenula perforata, may be important for the sound perception as they influence the CAP.

摘要

本研究的目的是检测单侧颈交感神经切除术后3 - 6天豚鼠耳蜗对声音的电生理反应。手术后恢复后,豚鼠在交感神经切除侧出现霍纳综合征。几天后打开它们的鼓泡,并在双侧圆窗放置电极。大多数交感神经切除的耳蜗表现出对声音敏感度降低的迹象。与未交感神经切除的耳蜗相比,它们对短声和短纯音诱发的复合动作电位(CAP)的动态范围更小。CAP的阈值声级和产生1微伏耳蜗微音器电位的声级未受影响。在其他植入慢性电极的动物中,在交感神经切除前后仅轻度镇静的情况下测量相同的电反应,结果相同。在另外的动物中,电刺激交叉橄榄耳蜗束(COCB),完整侧和交感神经切除侧均记录到类似的CAP抑制。结果表明,来自同侧颈神经节并止于穿孔 habenula 附近的耳蜗交感神经,可能因其影响CAP而对声音感知很重要。

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