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人工耳蜗植入时的年龄会影响猫下丘中2-脱氧葡萄糖标记物的分布吗?

Does age at cochlear implantation affect the distribution of 2-deoxyglucose label in cat inferior colliculus?

作者信息

Seldon H L, Kawano A, Clark G M

机构信息

Department of Otolaryngology, University of Melbourne, Victoria, Australia.

出版信息

Hear Res. 1996 May;95(1-2):108-19. doi: 10.1016/0378-5955(96)00028-7.

Abstract

Cochlear implants are one treatment for children who are born deaf or become deaf before acquiring language. The question of optimum age for implantation arises. Using an animal model, we have studied the response of the auditory brainstem to implantation at various ages. Neonatally, pharmacologically deafened cats were implanted with a 4-electrode array in the left cochlea at ages from 100 to over 180 days. Eleven were chronically stimulated (1000 h if possible) with charge-balanced, biphasic current pulses; eight were unstimulated controls. In a terminal experiment, each animal received [14C]2-deoxyglucose i.v. preceding a 45-min stimulation program. The fraction of the right inferior colliculus (IC) with a significant accumulation of label was calculated. If age at implantation were a significant factor in determining the size of the responding region, the fraction would depend on the age; this was not observed. However, there was considerable variation in the IC fraction sizes within both stimulated and unstimulated groups, leading to the conclusion that there are factors other than age which determine the size of the responding region. Thus, for deaf children of corresponding ages, age at implantation may not be of critical importance.

摘要

人工耳蜗是针对出生时即失聪或在习得语言前失聪的儿童的一种治疗方法。植入的最佳年龄问题由此产生。我们使用动物模型研究了不同年龄植入人工耳蜗后听觉脑干的反应。新生时,通过药物致聋的猫在100至180多天的不同年龄时,在左侧耳蜗植入4电极阵列。11只猫接受了电荷平衡的双相电流脉冲的长期刺激(如果可能,刺激1000小时);8只为未受刺激的对照。在一项终末实验中,每只动物在45分钟的刺激程序前静脉注射[14C]2-脱氧葡萄糖。计算右侧下丘(IC)中标记物显著积聚部分的比例。如果植入年龄是决定反应区域大小的一个重要因素,那么该比例将取决于年龄;但并未观察到这种情况。然而,在受刺激组和未受刺激组中,IC比例大小都存在相当大的差异,从而得出结论:除年龄外,还有其他因素决定反应区域的大小。因此,对于相应年龄的失聪儿童,植入年龄可能并非至关重要。

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