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Labyrinth and cerebral-spinal fluid pressure changes in guinea pigs and monkeys during simulated zero G.

This study was undertaken to explore the hypothesis that shifts of body fluids from the legs and torso toward the head contribute to the motion sickness experienced by astronauts and cosmonauts. The shifts in body fluids observed during zero-G exposure were simulated by elevating guinea pigs' and monkeys' torsos and hindquarters. Cerebral-spinal fluid pressure was recorded from a transducer located in a brain ventricle; labyrinth fluid pressure was recorded from a pipette cemented in a hole in a semicircular canal. An anticipated divergence in cerebral-spinal fluid pressure and labyrinth fluid pressure during torso elevation was not observed. The results of this study do not support a fluid shift mechanism of zero-G-induced motion sickness. However, a more complete test of the fluid shift mechanism would be obtained if endolymph and perilymph pressure changes were determined separately; we have been unable to perform this test to date.

Animals↗

Morphometry of the primate bony labyrinth: a new method based on high-resolution computed tomography.

A method is described for taking accurate measurements of the bony labyrinth of humans and other primates using high-resolution computed tomography (CT). The measurements comprise 8 dimensions, 14 orientations and 2 indices of the labyrinth, as well as 7 orientations of related structures of the petrous pyramid. Comparison of the measurements taken from CT scans with those taken from subsequently made casts and cryosections demonstrates that the method is sufficiently accurate to permit the morphometric analysis of labyrinthine size and shape. Since the CT method is nondestructive, fast and easy to perform, it is applicable to large samples and to rare or precious anthropological specimens.

Animals↗

Streptomycin perfusion of the labyrinth through the round window plus intravenous streptomycin.

Streptomycin perfusion of the labyrinth through the round window membrane in the middle ear is a simple, safe, and effective way to stop the dizzy spells, fullness, and tinnitus of Ménière's disease without making the hearing worse. My results with 24 patients in the last 8 months are presented. Although the long-term effect of this operation remains to be seen, my experience with streptomycin perfusion of the labyrinth through the lateral semicircular canal leads me to believe these good results will be maintained in the future. Although the caloric response is not usually eliminated completely in the operated ear, it is reduced enough that the patient no longer has dizzy spells. Because the vestibular receptors are not completely destroyed, and the afferent and efferent nerves coming to and from them are undamaged, the patient compensates after this operation more quickly than when the vestibular receptors are completely destroyed by intramuscular or middle ear aminoglycoside, or when the afferent and efferent nerves of the vestibular receptors are cut as in labyrinthectomy or vestibular neurectomy. Hyaluronan is used to carry the streptomycin into the inner ear because it is known to penetrate the round window easily, and because being hygroscopic, it may reduce the amount of endolymph by osmosis.(ABSTRACT TRUNCATED AT 250 WORDS)

Ear, Inner↗

[The membranous labyrinth of the static organ in guinea pig (author's transl)].

The cristae ampullares of 16 guinea pigs were examined after their arrangements, weights and figures as after their relations to each other. It was noted that the size of the single crista increased from lateral to medial. They are inproportional to their related bony canals. Both the front cristae developed from the same basal plate and they are by the guinea pig less developed than the crista at the back. These different expansions of the cristae are considered in relation to the phylogenetical developement of the three canals. Where the size of the sensory cells by all the cristae ampullares are nearly the same, we fined that their number vary significantly. The expansions of the ampullares were we fined the cristae are confined to the membranous labyrinth. The bony labyrinth does not participate in that expansion. The supporting cells are of a great functional importance. Probably they transmit the required energy which they get from the lymph as well as the near by capillaris. Beyond that the sensory cells are able to support themselves directly with difinite nutriments from the endolymph.

Animals↗

Psychological effects of symptoms associated with labyrinthitis. a case study.

The psychological effects of postviral labyrinthitis in a patient who had been undergoing intensive psychotherapy are reported. The mildness of the physiological symptome was in contrast to the magnitude of the psychological consequences. The general psychological effects of illness on the patient are differentiated from the specific psychological correlates of vertiginous symptoms. The factors that contributed to the psychological effects and the psychological impact of these symptoms are discussed. There is a special potency to the cited effects in patients with specific personality characteristics.

Adjustment Disorders↗

[Imaging of the labyrinth and vestibular nerve. Clinical significance for differential diagnosis of vestibular diseases].

High resolution magnetic resonance imaging (HR-MRI) and computed tomography (HR-CT) of the inner ear are becoming more important for the diagnosis of peripheral vestibular lesions. Modern HR-MRI techniques allow visualization of detailed anatomic features of the vestibulo-cochlear regions as well as pathologic findings in the inner ear such as, neoplastic lesions (e.g., small intracanalicular acoustic neuromas), anomalies causing vertigo and hearing loss (e.g. Mondini's-malformation, perilymph fistula, vestibular paroxysmia), and inflammatory diseases (e.g., Cogan's syndrome, labyrinthitis, zoster neuritis). HR-CT is still the first examination that should be performed in patients with middle ear diseases (e.g., tumor, infection), trauma (e.g. temporal bone fractures), or fibro-osseous diseases. Although the imaging of the vestibulo-cochlear system has dramatically improved, there are still several peripheral vestibular disorders that cannot be visualized so far, e.g., benign paroxysmal positioning vertigo, idopathic vestibular neuritis or Menière's disease.

Diagnosis, Differential↗

Experimental mumps labyrinthitis in monkeys (Macaca irus)--immunohistochemical and ultrastructural studies.

Three monkeys (Macaca irus) were inoculated with mumps virus into unilateral cochleas and their inner ear were examined by immunofluorescent microscopy and transmission electronmicroscopy. The temporal bones were removed after survival period of 14 days when serological tests disclosed elevation of anti-mumps antibody titers. Immunofluorescent microscopy revealed that the viral antigen was positive in the stria vascularis. The ultrastructural study revealed that the pathologic changes in the cochleas were marked in the organ of Corti and stria vascularis. The outer hair cells were more susceptible to the infection than the inner hair cells. In the stria vascularis, both marginal and intermediate cells were affected. It was possible to find some of marginal cells in the basal turn shedding a large number of mature virions into the endolymph. These pathologic changes observed in the cochleas of the monkeys were similar to those previously revealed in the guinea pig cochleas and thus were considered as the specific features of acute mumps labyrinthitis.

Animals↗

Pathogenesis of labyrinthitis associated with Haemophilus influenzae type b meningitis in infant rats.

The pathogenesis of labyrinthitis associated with bacterial meningitis was studied by histopathologic examination of inner ears of 114 rats with Haemophilus influenzae type b meningitis produced by ip inoculation of one of 13 clinical isolates. Findings consisted of inflammation of the perilymphatic spaces of the cochlea and semicircular canals with sparing of the endolymphatic space, cochlear nerve fibers, and middle ear. The degree of inflammation peaked at 48 hr after inoculation, then declined by 96 to 144 hr. No interstrain differences in type or degree of pathology were observed. Immunofluorescent staining of cochleae from 15 animals demonstrated that bacteria were present in areas of inflammation and also in the endolymphatic space and organ of Corti. One isolate displayed a tendency to accumulate in the perilymphatic spaces in larger numbers than those seen with three other isolates. These findings suggest that, in this model, inflammation reaches the inner ear by spreading from the subarachnoid space. Bacterial invasion of the organ of Corti may be one mechanism by which deafness occurs in bacterial meningitis.

Animals↗

Central compensation of vestibular deficits. IV. Responses of lateral vestibular neurons to neck rotation after labyrinth deafferentation.

The response characteristics of neurons located in the lateral vestibular nucleus (LVN) to neck rotation at 0.026 Hz, 10 degrees peak displacement, have been investigated in precollicular decerebrate cats submitted to ipsilateral acute (aVN) or chronic vestibular neurectomy (cVN). On the whole, 105 units were tested after aVN (i.e., during the first postoperative hours) and 132 units after cVN (i.e., after full compensation of the postural and locomotor deficits). The neurons were histologically located either in the rostroventral (rvLVN) or the dorsocaudal part (dcLVN) of Deiters' nucleus, which are known to project mainly to the cervical and the lumbosacral cord, respectively. Moreover, 55 units in the former group and 66 units in the latter group were identified as vestibulospinal neurons projecting to lumbosacral segments of the spinal cord. The responses of these 237 LVN neurons to the neck input were then compared with those of 120 LVN neurons recorded previously in decerebrate cats with intact labyrinths. Whereas 58.3% of the LVN units recorded in control experiments were responsive to neck rotation, 69.5% of the units were affected by this stimulation at the acute stage of the neurectomy and 74.2% at the chronic stage. This increase in responsive units after aVN and cVN with respect to the controls was found exclusively in the dcLVN. The mean discharge rate of the responsive LVN neurons decreased from 40.7 +/- 48.9 (SD) imp/s in control experiments to 22.1 +/- 15.8 (SD) imp/s after a VN. Similar value was also obtained after cVN [25.0 +/- 17.2 (SD) imp/s], suggesting that compensation of the postural deficits elicited by the vestibular neurectomy results from a redistribution of the excitatory drive within different populations of LVN neurons. Indeed, the relation found in control experiments, i.e., that the faster the conduction velocity of vestibulospinal axons the lower was the unit discharge at rest, was lost after aVN, due to a decrease in resting discharge of the slow units. The mean discharge rate of the slow units, however, recovered after cVN, so that the negative correlation between resting discharge rate and axonal conduction velocity was reestablished. The average gain and sensitivity of the first harmonic response of the LVN neurons to neck rotation recorded after aVN and cVN were comparable to those obtained in preparations with the vestibular nerves intact.(ABSTRACT TRUNCATED AT 400 WORDS)

Adaptation, Physiological↗

Controversies and criticisms on designs for experimental autoimmune labyrinthitis.

Although immune-mediated inner ear disease was reported around 25 years ago, numerous attempts to identify the inner ear antigens have been performed. Experimental animal models have been used to study the immune mechanisms involved in hearing loss and to develop new therapies. Because animal models of autoimmune labyrinthitis have been developed by means of different antigens, we cannot yet show a valid immunopathologic explanation. A critical analysis of the more relevant experimental models employed has been performed in order to validate the methodology. Comparison between these models and animals with spontaneous systemic autoimmune disease has raised more questions concerning the pathophysiology of autoimmune hearing loss. A new pathogenetic theory is suggested, involving the supporting cells of the organ of Corti.

Animals↗

Labyrinthitis ossificans due to chronic otitis media.

Histopathology of two cases of unilateral labyrinthitis ossificans in the presence of bilateral chronic suppurative otitis media is presented. In both cases, ossification and fibrosis were limited to the scala tympani of the lower basal turn, apparently due to inflammation entering through the round window membrane. The round window was occluded by new bone and fibrous tissue presumably resulting in a conductive hearing loss in addition to the conductive loss due to middle ear lesions. Degeneration of the hair cells of the organ of Corti was limited to the lower basal turn where ossification and fibrosis occurred.

Adult↗

Experimental herpes simplex virus and cytomegalovirus labyrinthitis.

Herpes simplex virus (HSV) and guinea pig cytomegalovirus (GPCMV) were inoculated into the middle ear of guinea pigs. The routes of passage of middle ear infection to the inner ear are hematogenous and/or via the cochlear windows. The presence of GPCMV inclusion body-bearing cells within the cochlea strongly suggests the hematogenous route, as in some animals the inner ear does not show cell infiltration and precipitate. When viral infection approaches the cochlear windows, the first morphological changes observed are the presence of precipitate in the inner ear fluids and the appearance of macrophages. These changes are particularly marked near the windows. Direct invasion of the infection into the inner ear after rupture of the round window membrane results in hemorrhage and marked cell infiltration. Inclusion body-bearing cells are found scattered within the exudate. Possible emperipolesis is frequently observed. No cells or tissues can escape involvement in viral labyrinthitis. Fibrosis and ossification eventually occur. Anomaly of the cochlea, the mirror image of the organ of Corti, was observed in the offspring of a guinea pig in whom cytomegalovirus was inoculated into the inner ear.

Animals↗

Imaging of the osseous, membranous, and perilymphatic labyrinths.

The inner ear is located within the petrous portion of the temporal bone and consists of the membranous, perilymphatic, and the outer osseous labyrinths. Together, these structures form the end organs for mediating hearing and balance. This article provides a detailed review of the neonatal anatomy and development of these structures, knowledge of which derives in great part from advances in CT and sophisticated MR imaging. Current research should soon enable clinicians to identify a wide variety of subtle lesions of the inner ear that heretofore have been inaccessible to imaging diagnosis.

Cochlea↗

Cytomegalovirus labyrinthitis in an infant: morphological, virological, and immunofluorescent studies.

The inner ears obtained from an infant who died of severe congenital cytomegalovirus infection were examined using virological and morphological methods. The techniques of microdissection and surface preparations, immunofluorescent microscopy, and transmission and scanning electron microscopy were employed. Cytomegalovirus was isolated from the perilymph. Injury to the cochlea was minor and was confined to the first half of the basal turn. There were signs of a severe labyrinthitis of the vestibular endolymphatic system. Vestibular organs, especially the saccule and utricle, showed severe damage, with collapse of the saccular membranous wall. Inclusion-bearing cells containing cytomegalovirus antigen, as shown by immunofluorescent staining, and cytomegalovirus virions, as observed by electron microscopy, were found on the endolymphatic surface of the membranous walls, mainly in the saccule and utricle. In the utricle, the infected cells appeared to be concentrated in the regions where the so-called dark cells were located. These dark cells are similar to the proximal tubule cells in the kidney, another common target for cytomegalovirus infection.

Antigens, Viral↗

Acute labyrinthitis: a possible association with influenza.

Acute labyrinthitis occurs annually in one in 600 patients, mostly adults in our practice, and lasts for up to two weeks. It may be related to several different viral infections, the commonest of which is influenza A. In an influenza epidemic there was an incidence of the syndrome in one in 100 cases. In the majority of cases there was no demonstrable cause and the aetiology remains speculative. It is suggested that some cases may be associated with viruses as yet unidentified.

Acute Disease↗

Maintenance of hydrostatic pressure gradients in the membranous labyrinth.

In normal guinea pig ears, hydrostatic perilymphatic pressure is equal to endolymphatic pressure. Alterations of perilymphatic pressure induced, for example, by laceration of the round window membrane are transmitted immediately to the endolymphatic compartment, probably via Reissner's membrane. In guinea pigs with experimental endolymphatic hydrops, however, pressure gradients between the endolymph and perilymph remained preserved after rupture of the round window membrane. This is considered as further evidence that after long-standing distention of Reissner's membrane the membranous labyrinth loses its ability to equalize endolymphatic and perilymphatic pressure.

Animals↗

Thermal stimulation of the vestibular labyrinth during orbital flight.

During the European Spacelab mission (SL1) in 1983, caloric testing was performed for the first time in long-term weightlessness. After 2 days into orbital flight an unequivocal caloric nystagmus was observed in both subjects tested which corresponded in both quality and intensity with that measured in one-g conditions on Earth. The subsequent D1 mission enabled the experiment to be repeated on further subjects and with improved measurement procedures. As with the SL1 findings, the observed caloric nystagmus response proved to be equivalent to that measured during baseline testing on Earth. Renewed consideration of peripheral and central mechanisms, which might be involved in the elicitation of the caloric response--both in one-g and zero-g environments--has led to the reopening of a number of associated issues. One important observation which has been addressed by various research groups concerns the influence of the labyrinth's orientation to the gravity vector on the caloric response. The present authors have examined a group of healthy subjects in various body positions in the sagittal plane. The interindividual variability in the response behavior was found to be high; indeed single cases were observed in which the nystagmus response did not invert from the supine to the prone positions. These findings are discussed together with earlier reports in the literature.

Caloric Tests↗

Localization of beta1-adrenergic receptors in the cochlea and the vestibular labyrinth.

Sympathetic activation in a "fight or flight reaction" may put the sensory systems for hearing and balance into a state of heightened alert via beta1-adrenergic receptors (beta1-AR). The aim of the present study was to localize beta1-AR in the gerbil inner ear by confocal immunocytochemistry, to characterize beta1-AR by Western immunoblots, and to identify beta1-AR pharmacologically by measurements of cAMP production. Staining for beta1-AR was found in strial marginal cells, inner and outer hair cells, outer sulcus, and spiral ganglia cells of the cochlea, as well as in dark, transitional and supporting cells of the vestibular labyrinth. Receptors were characterized in microdissected inner ear tissue fractions as 55 kDa non-glycosylated species and as 160 kDa high-mannose-glycosylated complexes. Pharmacological studies using isoproterenol, ICI-118551 and CGP-20712A demonstrated beta1-AR as the predominant adrenergic receptor in stria vascularis and organ of Corti. In conclusion, beta1-AR are present and functional in inner ear epithelial cells that are involved in K+ cycling and auditory transduction, as well as in neuronal cells that are involved in auditory transmission.

Animals↗