Biomedical subjects

H D Jho

Publications and source records attributed to H D Jho.

59 records · Page 4Linked to original sources

PubMed1989

Response from the exposed intracranial human auditory nerve to low-frequency tones: basic characteristics.

The responses recorded from the exposed intracranial portion of the eighth nerve in man with normal hearing to short bursts of low-frequency tones (500, 1000, and 1500 Hz) consist of two components; these two components can be separated by adding and subtracting, respectively, the responses to tonebursts of opposite polarity. Subtracting the responses to tones of opposite polarity reveals a waveform that resembles the sinusoidal waveform of the stimulus (frequency-following response = FFR), while adding the responses to tones of opposite polarity reveals a slow component, the waveform of which is more variable than the frequency-following component. The initial deflection of the slow component of the response to 1000 Hz and to 1500 Hz is a positive peak followed by a slow, negative deflection, and the response to 1500-Hz tonebursts often shows a clear off-response. The slow component of the response to 500-Hz tones often has an initial negative peak followed by a slow, positive or negative wave. The temporal relationship between the stimulus tone and the frequency-following component changes only slightly when the intensity of the sound is changed, whereas the latency of the slow potential decreases with increasing stimulus intensity. The FFR can be masked by noise, and the results of masking with highpass-filtered noise indicate that the frequency-following response may be generated at a location on the basilar membrane that is tuned to a frequency that is higher than that of the stimulus tone.

Auditory Pathways↗

PubMed1989

Responses from the exposed human auditory nerve to pseudorandom noise.

Whole-nerve responses to lowpass-filtered noise (2.5 kHz) and broadband click stimuli were recorded from the exposed intracranial portion of the eighth nerve in patients with normal hearing who were undergoing neurosurgical operations to relieve vascular compression of cranial nerves V, VII, and VIII. Cross-correlograms between the response and the noise showed a large degree of individual variation. When noise of 95 dB SPL was used, the correlograms in some patients had a large peak that represented a positive correlation between a negative nerve potential and the rarefaction phase of the sound and that peak could usually be identified at a delay that was close to the latency of the main negative peak in the response to high-intensity broadband click sounds (3.0-3.5 ms). The amplitude of these components decreased when the sound intensity was decreased, and, at stimulus intensities below 80 dB, the correlograms became dominated by components at longer delays. In other patients, peaks of a similar amplitude appeared in the cross-correlograms between delays of 2 and 12 ms in the entire range of sound intensities that were studied (65-105 dB SPL). In all patients the location of the peaks was little affected by the stimulus intensity in the range studied. All reproducible peaks that appeared at delays longer than 2.8 ms shifted towards longer delays when the recording electrode was moved from a location near the porus acusticus to a more central location (near the brainstem) on the exposed intracranial portion of the eighth nerve, indicating that components at longer delays than 2.8 ms result from propagated neural activity in the auditory nerve. It is assumed on the basis of the results that these correlograms are measures of phase-locking of neural activity to a complex stimulus sound (noise).

Acoustic Stimulation↗

PubMed1989

Surgical treatment of intracavernous neoplasms: a four-year experience.

Forty-two patients with neoplasms involving the cavernous sinus had operations between 1983 and 1987. The lesions included 25 benign tumors (e.g., meningioma, neurilemoma) and 17 malignant tumors (e.g., chondrosarcoma, adenoid cystic carcinoma). The cavernous sinus was entered by inferior, anterolateral, or medial extradural approaches or by superior or lateral intradural approaches. The intracavernous internal carotid artery was managed by dissecting tumor away from it or by occlusion and excision with or without direct vein graft reconstruction, based on the results of a preoperative balloon occlusion test. Cranial nerves III, IV, V, and VI usually were dissected from tumor, but in 3 cases of tumor invasion, the excised nerve segment was reconstructed by direct suture or with a sural nerve interposition graft. Twenty-one of the benign tumors and 8 of the malignant tumors were excised totally and the remainder subtotally. On follow-up ranging from 3 to 48 months, one subtotally excised meningioma recurred and was treated with re-excision and adjuvant radiation therapy. Two "totally" excised malignant tumors recurred outside the cavernous sinus at the margins of excision. There was no operative mortality or permanent cerebral morbidity. Postoperatively, the ocular and neurological function of most patients was similar to the preoperative status; in some, it was significantly improved. Thirteen additional patients with intracavernous neoplasms also were evaluated during the same period and followed without operation. The early follow-up information regarding these patients is provided.

Brain Neoplasms↗

PubMed1988

Responses from the brainstem at the entrance of the eighth nerve in human to contralateral stimulation.

Recordings were made from the exposed eighth nerve (N VIII) and the lateral brainstem near the root entry zone of N VIII to contralateral click stimulation in patients undergoing microvascular decompression operations to relieve hemifacial spasm or trigeminal neuralgia. Similar recordings were made in patients undergoing operations to remove acoustic tumors using a retromastoid approach to the cerebellopontine angle. The waveform of the response that was recorded using a monopolar electrode placed on the intracranial portion of the eighth nerve was similar to the potentials recorded from the lateral surface of the brainstem near the entrance of the eighth nerve, and consisted of a positive deflection with a latency of about 4 ms, and sometimes a second and smaller positive peak with a slightly shorter latency than that of peak V in the BAEP could be seen in such recordings. It was concluded that the potentials are generated in brainstem structures, most likely the cochlear nucleus. It is assumed that when the potentials are recorded from the exposed eighth nerve, the nerve passively conducts the activity from the active structure to the recording site. The latency of the main positive peak in these potentials does not bear any direct relationship to any identifiable component of the farfield evoked potentials when these potentials are recorded from the vertex or the earlobe of the stimulated ear and a noncephalic reference is used. It seems likely that the potential is generated by fibers that originate in cells in the cochlear nucleus on the stimulated side, and that the initial positivity reflects the termination of these fibers in the cochlear nucleus on the side from which the recording is made.

Brain Stem↗

PubMed1987

Hemifacial spasm in young people treated with microvascular decompression of the facial nerve.

Hemifacial spasm (HFS) in childhood is extremely rare. Two patients with HFS in childhood and eight adults who had the onset of HFS before the age of 20 were treated with microvascular decompression of the facial nerve at the nerve root entry zone. The two children were both girls and had typical HFS on the right side. Of the eight adults, five were men and three were women. Six had typical and two had atypical HFS. Six had HFS on the left side, and two had HFS on the right. Vascular cross compression was found at the nerve root entry zone in all cases. The average follow-up period was 7.3 years (range, 1 1/2 to 11 years). All but one patient had complete relief of their HFS immediately or after delay. In one adult, the compressing artery could not be decompressed without damaging the nerves. One adult patient had two recurrences 1 year after the first operation and 6 months after the second; this patient had complete relief after a third operation. Complications included temporary mild facial weakness in four patients and moderate hearing impairment in the patient who had three operations. These results are comparable to those of HFS of adult onset. Microvascular decompression is recommended as the treatment of choice for HFS during childhood.

Adolescent↗