Innitzer J
HNO. 1976 Mar;24(3):102-5.
The different audiometric and electrocochleographic findings in two patients with acoustic neuromas are presented. Significantly different thresholds from the two methods of testing are explained on the basis of the ganglion cells, peripheral axons and hair cells remaining unaffected for some time whilst the central axons are damaged by tumour pressure. Differences of recruitment measured conventionally by ABLB audiometry or by electrocochleography are explained on a neurogenic basis. In cases of acoustic nerve fibre damage, single fibre tuning is altered to a raised threshold and a reduced frequency specificity.
本文报告了两名听神经瘤患者不同的听力测定和耳蜗电图检查结果。两种测试方法得出的阈值存在显著差异,这是基于神经节细胞、外周轴突和毛细胞在一段时间内未受影响,而中枢轴突受到肿瘤压迫而受损来解释的。通过ABLB听力测定法或耳蜗电图常规测量的重振差异是从神经源性角度进行解释的。在听神经纤维受损的情况下,单纤维调谐会改变,表现为阈值升高和频率特异性降低。