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PubMed2003

Neural plasticity following auditory training in children with learning problems.

OBJECTIVE: This study examined the plasticity of the central auditory pathway and accompanying cognitive changes in children with learning problems. METHODS: Children diagnosed with a learning disability and/or attention deficit disorder worked with commercial auditory processing training software for 8 weeks; control groups consisted of normal-learning and learning-impaired children who did not participate in any remedial programs. Auditory brainstem function was evaluated in response to click and speech stimuli in quiet; cortical responses to speech stimuli were obtained in quiet and noise. Academic achievement and cognitive abilities were assessed with standardized measures. RESULTS: Compared to controls, the trained group improved on measures of auditory processing and exhibited changes in cortical responses in quiet and in noise. In quiet, cortical responses reflected an accelerated maturational pattern; in background noise, cortical responses became more resistant to degradation. Brainstem responses did not change with training. CONCLUSIONS: Children with learning problems who practiced with auditory training software exhibited plasticity of neural encoding of speech sounds at the cortical, but not subcortical, level of the auditory pathway. This plasticity was accompanied by improvement in behavioral performance. SIGNIFICANCE: This study demonstrates that in learning-impaired children working with commercial auditory processing training programs affects both the perception and the cortical representation of sound.

Achievement↗
PubMed2004

Assessing the auditory dual-pathway model in humans.

Evidence from anatomical and neurophysiological studies in nonhuman primates suggests a dual-pathway model of auditory processing wherein sound identity and sound location information are segregated along ventral and dorsal streams, respectively. The present meta-analysis reviewed evidence from auditory functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) studies to determine the reliability of this model in humans. Activation coordinates from 11 "spatial" studies (i.e., listeners made localization judgements on sounds that could occur at two or more perceptually different positions) and 27 "nonspatial" studies (i.e., listeners completed nonspatial tasks involving sounds presented from the same location) were entered into the analysis. All but one of the spatial studies reported activation within the inferior parietal lobule as opposed to only 41% of the nonspatial studies. In addition, 55% of spatial studies reported activity around the superior frontal sulcus as opposed to only 7% of the nonspatial studies. In comparison, inferior frontal activity (Brodmann's areas 45 and 47) was reported in only 9% of the spatial studies, but in 56% of the nonspatial studies. Finally, almost all temporal lobe activity observed during spatial tasks was confined to posterior areas, whereas nonspatial activity was distributed throughout the temporal lobe. These results support an auditory dual-pathway model in humans in which nonspatial sound information (e.g., sound identity) is processed primarily along the ventral stream whereas sound location is processed along the dorsal stream and areas posterior to primary auditory cortex.

Animals↗
PubMed1980

Auditory brainstem anomalies in human albinos.

Brainstem auditory evoked potentials recorded from human albinos indicate significant hemispheric asymmetry. The asymmetry is symptomatic of differences between decussated and nondecussated auditory pathways in albino and pigmented humans at approximately the level of the superior olivary nuclei. Abnormal decussation of auditory pathways in albinos probably coincides with known visual system anomalies.

Adult↗
PubMed1999

Successful cochlear implantation in a patient with MELAS syndrome.

OBJECTIVE: To describe methods of assessing cochlear implant candidacy in patients with potentially significant peripheral and central nervous system (CNS) degeneration. STUDY DESIGN: A patient with a degenerative CNS disease (MELAS syndrome) undergoing evaluation for cochlear implantation is described. SETTING: This study took place at a tertiary care center. PATIENT: A patient with mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) who had cortical blindness and profound sensorineural hearing loss was evaluated and rehabilitated with cochlear implantation. INTERVENTIONS: Pure-tone audiogram, behavioral responses to promontory stimulation electrical auditory brainstem response, and electrically evoked middle-latency responses (MLRs) were used to assess eighth nerve, auditory brainstem, and cortical auditory pathways. Cochlear implantation with Cochlear Corporation mini 22 implant was performed. RESULTS: Repeatable electrically evoked MLRs and behavioral responses to promontory stimulation documented the presence of auditory cortical responses. Successful implantation resulted in open set speech recognition and communication using the auditory/oral mode. CONCLUSION: This report describes successful implantation in a patient with MELAS syndrome and demonstrates the ability to preoperatively confirm the integrity of brainstem and cortical auditory pathways despite significant CNS degeneration.

Adult↗
PubMed1995

[Pure word deafness after cerebral hemorrhage in the left temporal lobe: a case report].

We report a patient with pure word deafness after subcortical hemorrhage in the left temporal lobe. Repetition and auditory comprehension were severely impaired, while reading and visual comprehension of the same material were almost normal. He did not show hearing loss, but speech discrimination and melody recognition was poor. On the speech discrimination test, his score was low especially in the right ear. The threshold on the directional hearing test was mildly elevated. There was no temporal summation by click sounds. CT and MRI disclosed a subcortical hematoma in the left superior temporal gyrus. PET demonstrated hypoperfusion in the surrounding area, which was not activated by hearing a story. It was considered that pure word deafness in this case was due to the interruption of auditory inputs to Wernicke's area from both hemisphere by the hematoma. After 5 months, auditory comprehension recovered so that he did not have difficulty in conversation. Speech discrimination improved in both ears, probably due to the recovery of two auditory pathways; the ipsilateral pathway through the left auditory radiation and the contralateral pathway through the right auditory radiation and the corpus callosum. This case suggests that in pure word deafness due to a unilateral lesion, the improvement in speech discrimination during follow-up period may provide a clue as to the site of the responsible lesion and its recovery.

Aged↗
PubMed2004

Evoked otoacoustic emissions and auditory brainstem responses: concordance in hearing screening among high-risk children.

OBJECTIVE: Evoked otoacoustic emissions (OAEs) and diagnostic auditory brainstem responses (ABRs) were determined in 379 high-risk children referred for hearing screening. MATERIAL AND METHODS: This was a retrospective, cross-sectional study. The records of 379 children referred for hearing screening between January 2002 and March 2003 at the Ear Unit of the Philippine General Hospital were evaluated. RESULTS: Of the 379 children, 53.6% were male and 46.4% were female and the mean age was 41+/-47 months. The age distribution was as follows: < or = 12 months, 32.2%; 12-24 months, 52.2%; and > 24 months, 11%. Out of 229 right and 232 left ears, 111 (48.5%) and 112 (48.3%) had "pass" responses and 113 (49.3%) and 116 (50.5%) had "refer" responses, respectively. Five right and four left ears had "noise" responses. Out of 266 right and 209 left ears, the ABR results showed 72 (27.1%) and 30 (14.4%) with normal auditory pathways and 194 (72.9%) and 179 (85.6%) with abnormal auditory pathways, respectively. Of the 131 children whose parents gave their consent for concomitant OAE and ABR testing, agreements were observed between the two tests in terms of classifying the results as normal or abnormal of 78.9% (kappa = 0.51; p = 0.00) in right and 78.6% (kappa = 0.51; p = 0.00) in left ears. When the children were classified as either "with hearing loss-bilateral abnormal ABRs" or "at least one normal ABR", there was an observed agreement of 81% (kappa = 0.6; p = 0.00). OAEs had a sensitivity of 76.9% (95% CI 66.7-84.8%) and a specificity of 90% (95% CI 75.4-96.7%). CONCLUSION: There is good concordance between OAE and ABR results among high-risk children referred for hearing screening.

Child, Preschool↗
PubMed2003

CNS somatosensory-auditory interactions elicit or modulate tinnitus.

Evidence has accumulated linking clinical tinnitus to the somatosensory system. Most clinical tinnitus patients can change the psychoacoustic attributes of their tinnitus with forceful head and neck contractions. The significance of such somatic modulation of tinnitus was assessed by testing non-clinical subjects. Like clinical tinnitus patients, about 80% of non-clinical subjects who had ongoing tinnitus at the time of testing (whether or not they had been previously aware of it) could modulate their tinnitus with head and neck contractions. Almost 60% of those with no tinnitus at the time of testing could elicit a tinnitus-like auditory percept with head and neck contractions. Because similar results were found in the profoundly deaf, we conclude that somatosensory-auditory interactions within the central nervous system account for most, if not all, somatic modulation of tinnitus as well as the development of auditory percepts with somatic testing. Other observations implicate the muscle spindle as initiating the neural activation that ultimately modulates the central auditory pathway, including the dorsal cochlear nucleus. Somatic influences upon auditory perception are not limited to tinnitus subjects but are a fundamental property of the auditory system.

Adolescent↗
PubMed1983

Visual and auditory anomalies in Chediak-Higashi syndrome.

Albinism is correlated with misrouting of decussating retinal fibers in the brain. There is also evidence of anomalies of decussating auditory pathways in albinos. The Chediak-Higashi syndrome (CHS) is a rare form of partial albinism which includes increased susceptibility to infections, a hemorrhagic tendency and peripheral polyneuropathies. Binocular and monocular pattern-onset visually evoked potentials (VEPs) and monaural auditory brain stem responses (ABRs) were recorded from 4 subjects with CHS. Three of the CHS demonstrated asymmetric monocular VEPs and failed the Titmus stereovision test. All 4 CHS produced asymmetric ABRs similar to those reported for albinos. Although the hair, skin and irises are relatively well pigmented in CHS, these individuals apparently have anomalies of their central visual and auditory pathways.

Auditory Pathways↗
PubMedDate not supplied

The auditory pathology of anoxia.

A case of anoxic encephalopathy is reported, with study on a whole-auditory-pathways basis, and the method of processing tissues is outlined. Pathologic changes are found throughout the central part of the auditory pathway. The importance of including the superior ventral cochlear nucleus (SVCN) with cochlear structures in correlating findings with audiometric data is supported. The previously advanced tonotopic frequency pattern, with zonal vulnerability, of the spheroid cells of SVCN is supported.

Auditory Cortex↗
PubMed1992

The shell region of the nucleus ovoidalis: a subdivision of the avian auditory thalamus.

The connectivity of a region surrounding the established thalamic auditory nuclei, n. ovoidalis (Ov) and n. semilunaris parovoidalis (SPO), was explored in the ring dove by using the anterograde tracers, Phaseolus vulgaris leucoagglutinin (PHAL) and biocytin, and the retrograde tracer, fluorogold. The Ov-SPO surround received a projection from a cell group along the interface of the auditory midbrain and the n. intercollicularis, as revealed with PHAL and biocytin, and was composed of neurons exhibiting a common morphology. These features and the presence of overlapping projections from different portions of the Ov-SPO surround suggest that this region comprises a functionally discrete area, which we term the Ov shell. Single unit recording within the shell established the existence of acoustically responsive units. Both PHAL and fluorogold labeling revealed a robust projection from the Ov shell to the caudomedial hypothalamus. Major telencephalic projections of the shell terminated within the ventral paleostriatal complex, "end-zones" of the field L, the caudomedial hyperstriatum ventrale, and regions immediately dorsal and lateral to the auditory neostriatum. Except for a portion of the shell bordering medial ovoidalis, PHAL injections into the shell also labeled fibers within the caudolateral neostriatum and along the lateral neostriatal rim. The connectivity of the Ov shell suggests that this region may integrate auditory pathways with brain regions associated with endocrine mediated behavior. In addition, the shell may constitute a source of converging input to several levels of central auditory pathways.

Acoustic Stimulation↗
PubMedDate not supplied

Chronic in utero alcohol exposure affects auditory function in rats and in humans.

In one experiment, brainstem auditory evoked potentials (BAEPs) were used to study the postnatal development of the peripheral and brainstem auditory pathways in rat pups prenatally exposed to alcohol. The results indicated that prenatal alcohol exposure retards development of the peripheral and brainstem auditory pathways and that prolonged auditory transmission times, despite a "catch-up" trend, persist in maturity. BAEP latency-intensity profiles demonstrated that a significant proportion (19%) of the alcoholized rats had recruitment-type sensorineural hearing loss. In a second study, a group of 12 fetal alcohol syndrome (FAS) children were evaluated for auditory function. These children showed unusually high incidence rates of sensorineural hearing loss (33%) and conductive hearing loss secondary to recurrent serous otitis media (92%). A final study used the cortical auditory evoked potential (CAEP) and found evidence of dysfunctional processing of auditory information at the cortical level in rats prenatally exposed to alcohol. The implications of these findings for the evaluation and treatment of FAS children and for evoked potential studies on children of alcoholics and learning disabled children are discussed.

Age Factors↗
PubMed2003

Frequency-specific effects on cochlear responses during activation of the inferior colliculus in the Guinea pig.

The inferior colliculus (IC) is a major processing center in the ascending auditory pathway. The role of the IC in the descending efferent auditory system is less clear. Although the IC central nucleus (ICC) is the major relay station for the ascending auditory pathways, the IC's cortex receives its main input from the neocortex and nonauditory sources. The goal of this study was to determine if the IC subdivisions had different functions in the descending efferent auditory system. IC subdivisions were identified by their tuning curves evoked by tone stimulation, and the effects of localized electrical stimulation on the cochlear whole-nerve action potential (CAP). Sharp tuning curves were obtained from ICC in contrast to broad tuning curves from the lateral, external cortex. Electrical stimulation within the central nucleus had a sharply tuned effect on the CAP. The frequency region affected within the cochlea closely matched the best frequency of local cells within the central nucleus. The effect of electrical stimulation within the lateral, external cortex on the CAP was smaller in comparison to central nucleus stimulation. Similar to the broad tuning of cells within the lateral cortex, electrical stimulation had a broad frequency effect on CAP thresholds.

Action Potentials↗
PubMed2000

Evaluating the protective role of the olivocochlear bundle against acoustic overexposure in rats by using Fos immunohistochemistry.

Efferent inhibition on the cochlea is suggested as a possible function of the olivocochlear bundle (OCB). Substantial evidence supports the finding that the OCB may protect the inner ear from noise-induced damage. However, there is relatively less known about the effects of noise on the central auditory transmission compared to the effects on the periphery. In the present animal study, two experimental paradigms were designed to analyze the influence of OCB lesion on the central auditory transmission following acoustic overexposure. In order to evaluate the animal's auditory function, its hearing threshold and the tone-evoked Fos expression shown in auditory nuclei were examined. Fos is a protein product of proto-oncogene c-fos. Via appropriate acoustic stimulation, Fos expression reveals the activated neuronal elements along the ascending auditory pathway. Thus, in experiment 1, no exposure sound was introduced and therefore no significant differences were shown in hearing thresholds and Fos expression among all rats, regardless of the status of their OCB. This result indicates that, without acoustic overexposure, OCB lesion caused no significant effect on brainstem auditory transmission. In contrast, in experiment 2, rats were exposed to continuous 8 kHz tones at 85 dB sound pressure level (SPL). A significantly increasing threshold was observed in rats with OCB lesion following an exposure period of 5 or 10 days. In addition, Fos expression was invisible first in rats with OCB lesion following 5-day exposure and almost no Fos expression could be examined in all rats after 10-day exposure. Taken together, the present data demonstrate that damaging the OCB renders an animal more easily vulnerable to acoustic damage than that of rat with intact OCB, and then reduces its cochlear activities, which eventually leads to increasing difficulty to induce tone-evoked Fos expression along the ascending auditory pathway.

Animals↗
PubMedDate not supplied

Vasopressin and oxytocin do not influence early sensory processing but affect mood and activation in man.

Effects of arginine-vasopressin (AVP) and oxytocin (OX) on brainstem and middle latency auditory-evoked potentials (BAEP and MAEP), reflecting early sensory processing within the specific auditory pathways and primary auditory cortex, were investigated. Additionally, subjects rated their feelings of activation and mood on an adjective check list (EWL). The experiments were undertaken in 12 healthy male volunteers, receiving either placebo, 0.15 IU AVP, 0.5 IU AVP or 0.5 IU OX as IV bolus injection according to a within-subject double-blind design. There were no consistent effects of AVP and OX on BAEPs and MAEPs. AVP decreased self-perceived deactivation, fatigue and arousal. Results do not suggest an effect of AVP and OX on early stages of sensory processing, but, consistent with previous studies, demonstrate changes towards increased (self-perceived) general activation following administration of these hormones.

Adult↗
PubMed2003

Temporal pattern recognition based on instantaneous spike rate coding in a simple auditory system.

Auditory pattern recognition by the CNS is a fundamental process in acoustic communication. Because crickets communicate with stereotyped patterns of constant frequency syllables, they are established models to investigate the neuronal mechanisms of auditory pattern recognition. Here we provide evidence that for the neural processing of amplitude-modulated sounds, the instantaneous spike rate rather than the time-averaged neural activity is the appropriate coding principle by comparing both coding parameters in a thoracic interneuron (Omega neuron ON1) of the cricket (Gryllus bimaculatus) auditory system. When stimulated with different temporal sound patterns, the analysis of the instantaneous spike rate demonstrates that the neuron acts as a low-pass filter for syllable patterns. The instantaneous spike rate is low at high syllable rates, but prominent peaks in the instantaneous spike rate are generated as the syllable rate resembles that of the species-specific pattern. The occurrence and repetition rate of these peaks in the neuronal discharge are sufficient to explain temporal filtering in the cricket auditory pathway as they closely match the tuning of phonotactic behavior to different sound patterns. Thus temporal filtering or "pattern recognition" occurs at an early stage in the auditory pathway.

Acoustic Stimulation↗
PubMed1992

The envelope following response: scalp potentials elicited in the Mongolian gerbil using sinusoidally AM acoustic signals.

Scalp potentials which follow the low frequency envelope of a sinusoidally amplitude modulated stimulus waveform were evoked and recorded in anesthetized gerbils. This envelope following response (EFR) is presumably due to the synchronized discharge of populations of neurons in the auditory pathway. The magnitude of the EFR increased and the latency decreased in a near monotonic fashion with increased stimulus intensity and modulation depth. The modulation rate transfer function (MRTF) was determined for modulation frequencies between 10 and 920 Hz imposed on carrier frequencies ranging from 1 to 7 kHz. The MRTF was low pass in character having a corner frequency of 100-120 Hz. Measurements of the group delay, determined from the phase of the response relative to the stimulus phase, indicate that the response is generated in at least three distinct regions within the auditory pathway.

Acoustic Stimulation↗
PubMed1982

Cytoarchitecture of auditory system in lower brainstem of the mustache bat, Pteronotus parnellii.

To begin an investigation of the auditory pathways in the brainstem of the mustache bat, we examined the cytoarchitecture of the cochlear nuclei, superior olivary complex, nuclei of the lateral lemniscus, and inferior colliculus. Although all of these auditory centers are hypertrophied in this echolocating bat, only some areas have unusual cytoarchitectural features: 1) In the anterior part of the anteroventral cochlear nucleus we do not find the large spherical cells seen in other mammals; instead, very small spherical cells are found in this area. 2) In the posterior part of the anteroventral cochlear nucleus there is a region containing a homogeneous population of very large multipolar cells. 3) The medial superior olive is unusually large for an animal with a small head. 4) The most striking observations are seen in the lateral lemniscus. The ventral nucleus of the lateral lemniscus has a distinct columnar organization. The intermediate area of the lateral lemniscus contains a large and very distinct nucleus. Each of these cytoarchitectural features distinguishes the auditory system of this bat from that of other mammals. The results raise questions about whether or not there are unique subdivisions in the auditory pathways of echolocating bats. The results also identify these unusual nuclei as candidates to play a role in the special auditory functions related to echolocation.

Animals↗
PubMed2000

Functional changes in field L complex during song development of juvenile male zebra finches.

The field L complex is the highest station of the ascending auditory pathway and is thought to be the input stage of auditory information into the song system in birds. Multi-unit recordings were performed in awake, socially reared zebra finches, 30 and 60 days of age. The responses of the field L complex to synthetic and natural stimuli during important periods of song learning were investigated. According to neural responses in field L, three different functional areas could be distinguished, NA-L(30), NA2b(30) and NA2c(30,) in 30 days old birds. In 60 days old birds five different functional areas, NA-L(60), NA2a(60), NA2b(60), NA2c(60) and NA3(60), were recognised. Especially, NA-L increases its functional volume between the developmental stages. The different areas showed already mature neuronal response behaviours. No preference for a certain song type could be found at all ages. The incomplete functional organisation of the field L complex in young birds (30 days) is a possible reason for the nonselectivity in the song system at this age.

Age Factors↗