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Biomedical subjects

Y Cazals

Publications and source records attributed to Y Cazals.

83 records · Page 5Linked to original sources

Progressive degeneration in the cochlear nucleus after chemical destruction of the cochlea.

In the guinea pig, the organ of Corti and the spiral ganglion cells were destroyed by administering gentamicin into the inner ear. The antero-ventral cochlear nucleus (AVCN) was studied with electron microscopy 15 and 30 days after treatment. There does not seem to be a specific type of degeneration induced by the drug. For nerve terminals, a progressive degeneration occurred: after 15 days, clear and swollen boutons appeared and after 30 days an electron-dense type of degeneration was observed. The cell bodies of the AVCN did not seem altered infirming a rapid, direct or indirect, neurotoxic effect of the drug.

Animals↗

Brainstem connections of the anterior and posterior parts of the saccule in the guinea pig.

Studies on specific brainstem connections of the saccule are scanty, present notable divergences, have never concerned the guinea pig, and have not considered separately the two branches of its innervation. In this study, the central connections of the entire saccule and of anterior or posterior parts of the epithelium were investigated in the guinea pig, using horseradish peroxidase (HRP). HRP was deposited on the saccular epithelium and associated with surgical section of the inferior or superior division of the VIII nerve in order to study the connections of specific parts of the saccule. The whole organ was found to project to the ipsilateral side, principally to the lateral part of the lateral vestibular nucleus (LVN) and to the gamma group. The posterior part of the saccule projects also to the gamma group and to a lesser extent to the LVN, the anterior part projects to the LVN but not to the gamma group. In all cases, labelled efferent cells were seen located bilaterally between the genu of the VII nerve and the medial vestibular nucleus (MVN).

Animals↗

Frequency selectivity: reliability of electrocochleographic measures with iso-intensity masking.

In a group of 12 normal or hearing-impaired subjects, frequency selectivity was determined psychoacoustically and electrophysiologically with the fast ECochG iso-intensity masking procedure, using a 4 kHz test tone and simultaneous pure-tone masking. Psychoacoustic curves measured twice for each subject were reproducible and showed a broadening related to hearing loss. The curves determined with ECochG repeated two or three times for each subject varied greatly for half of the subjects and their widths were not related to hearing loss. ECochG measures were reproducible in the cases where the amplitude of the response was larger. The data set out the conditions and limits of this ECochG procedure for clinical use.

Audiometry, Evoked Response↗

Long-term treatment with chlorthalidone reduces experimental hydrops but does not prevent the hearing loss.

Long-term treatment of guinea pigs with the diuretics chlorthalidone and acetazolamide, following the experimental obstruction of the endolymphatic duct, was assessed using chronically implanted round window cochlear electrodes. The diuretic chlorthalidone appeared to curb the progressive low-frequency sensitivity loss during the first 4 weeks following surgery, as compared with animals receiving the diuretic acetazolamide or no treatment. However, this apparent beneficial effect decreased after 4 weeks and was not apparent at 14 weeks post-induction. On the other hand, morphological control at the end of 14 weeks confirmed a marked reduction in hydrops in the chlorthalidone-treated animals. The data clearly demonstrate a dissociation between hydrops and the development of hearing loss and suggest that the augmenting endolymph volume is only one of several contributing factors to the deteriorating auditory function in experimental hydrops.

Acetazolamide↗

Stress in hearing and balance in Meniere's disease.

Stress is an unavoidable every-day phenomenon. Physiological coping with stress depends on the appropriate release of stress hormones as well as their alleviation at the termination of the stress. Despite quite a body of research indicating that stress affects inner ear function, this concept has found little application in otolaryngology. Today's evidence clearly indicates that the inner ear is equipped to detect stress hormones and some of these hormones have been shown to affect the inner ear function. Major stress control pathways shown to affect the inner ear include several third order axes, the hypothalamus-pituitary-adrenal axis, the hypothalamus-pituitary-thyroid axis and the hypothalamus-pituitary-gonadal axis whose functioning are interactive and inter-dependent. Less well-studied are the second order hypothalamus-pituitary control axis and its interaction with other hormones. To explore these we carried out a retrospective study on a series of Ménière's patients who had undergone a neurotomy of the vestibular nerve in the dept of ORL at the Hopital Nord, Marseille. Ménière's patients were particularly appropriate for this study since stress has long been recognised as a factor associated with the triggering of the symptoms of this pathology. Patients with acoustic neuroma and facial spasm were taken as a control population. We investigated the level of a battery of stress hormones including prolactin beta-endorphin and growth hormone. The blood sample was taken on the morning before surgery. The most striking observation was the presence of hyperprolactinemia in 30% of the Ménière patients (more than 20 microg/l) with confirmation of prolactinoma in 6 patients. The level of beta-endorphin could also be elevated. Horner, K.C., Guieu, R., Magnan, J., Chays, A. and Cazal, Y. Neuropysychopharmacology, (2001) 26:135-138. These observations suggest that neuroendocrinological feedback pathways controlling stress can be disturbed in Ménière's patients and depression of hypothalamic dopaminergic inhibition of prolactin secretion might be implicated. A further study on non-operated Ménière's patients presenting hyperprolactinemia and on dopamine agonist treatment, is needed in order to assess the role of stress in Ménière's patients. Progress in this domain could open the door towards integration of the stress concept into clinical management of various inner ear disorders.

Ear, Inner↗

Guinea pig vestibular type I hair cells can show reversible shortening.

Guinea pig isolated vestibular type I hair cells (VIHCs) were recently reported by our group to respond to high [KCl] solutions by an irreversible tilt of their neck region and sometimes by a sustained shortening and swelling. A possible osmotic contribution to these shape changes was investigated by substituting gluconate (G) for chloride in the test solution, so as to minimize water influx, and also by changing the osmotic pressure of the extracellular solution. For comparison, similar experiments were also undertaken on cochlear outer hair cells (OHCs). Utricular and ampullar type I hair cells were more difficult to isolate than OHCs and, like them, responded to an isotonic high [KCl] solution by a sustained shortening and widening, which were found to be reversible for most cells when rinsed with the control solution. In a high [KG] solution, all OHCs showed a shortening reversible in the test solution; among the VIHCs tested, two-thirds presented a slight sustained shortening without widening and a third showed a spontaneously reversible shortening, particularly at the neck level. VIHCs exposed to a high [N-methyl-D-glucamine chloride] solution, this impermeant cation replacing K+ for control, presented only a slight sustained shortening. In response to osmotic changes of the bathing medium, both VIHCs and OHCs showed a sustained shortening or elongation (the latter to a lesser degree) for hypo- and hyperosmotic solutions, respectively. The VIHCs and OHCs that presented a reversible shortening in a high [KG] solution widened concomitantly with their shortening, but to a smaller extent compared with what was observed in a high [KCl] solution, and this diameter increase was reversible in the test solution, unlike the widening observed in a hypotonic solution. These results show that a reversible shortening occurred for some VIHCs; they also indicate the involvement of two components in the KCl-induced response: one osmotic and another potassium-dependent.

Animals↗

Electrical stimulation of the cochlea in man: hearing induction and tinnitus suppression.

Sensations induced by electrical stimulation of the cochlea in humans through a promontory or a round window electrode were studied in sixteen subjects. All the patients had total or severe hearing losses. Comparison of the results with the recordings of cochlear potentials gave valuable information in all cases about the site and degree of the disorder. The data on electrically induced auditory sensation are very similar to the general findings of other authors and support the attempts of rehabilitation of the deaf by this means. The most important result reported here is the cancellation of tinnitus during stimulation by positive pulses in most cases, without affecting simultaneous acoustical or electrical hearing. This phenomenon is very reliable and could lead to very important future developments.

Adult↗

No change detected on distortion products in awake or anesthetized guinea pigs.

Two pure tones presented simultaneously to one ear can produce physiologically and perceptively other tones called distortion products which originate in the inner ear. Notable differences exist between their physiological and perceptive features. In physiological experiments the anesthesia may alter the functioning of the cochlea, especially its efferent system. Physiological measurements made of distortion products taken from the same animals under anesthesia or in the awake state were compared using round window cochlear microphonic responses and evoked potentials from the eighth nerve and the auditory cortex. The physiological measures appeared unaltered by anesthesia, but in both the awake and anesthetized states, repeated measuring at intervals of several minutes could show apparently random variations of a few decibels.

Acoustic Stimulation↗