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Perilymphatic pressure in the cat. Description of a new method for study of inner ear hydrodynamics.

Continuous recordings of the perilymphatic (Pp), cerebrospinal fluid (PCSF), central venous (PCV) and arterial (PA) pressures have been performed on anesthetized cats. The perilymphatic space was reached by an extraural approach that leaves the ear canal and middle ear intact. A conical canal was drilled into the temporal bone down to the vestibule. The position of the canal was later confirmed histologically. A small, threaded, metallic cannula was screwed into the bone. For pressure measurements Millar microtip transducers were used, thus giving minimum measurement volume displacement. The mean PP and PCSF were found to be equal, whereas the maximum pressure during expiration was significantly higher in the CSF. not affected by the given anesthetics. Ligation of the external jugular veins had a minor and temporary effect on the PP and PCSF. The method is considered to be suitable for studies on the inner ear hydrodynamics as well as for audiophysiological measurements with an intact middle ear transmission system.

Animals

Effects of posture and age on tympanic membrane displacement measurements.

This study used changes in posture to investigate the transmission of cerebro-spinal fluid (CSF) pressure changes to the cochlear fluids in subjects falling into two age groups. Results were obtained from 32 subjects: 16 aged 19 to 32 years and 16 aged between 40 and 63. Measurements were made with the subject sitting upright and then at 63 degrees to the vertical, using a technique which measures displacement of the tympanic membrane in response to acoustic stimulation of the stapedial reflex. Changes in such measurements are believed to represent changes in perilymphatic fluid pressure. Statistical analysis of the results showed the magnitude of changes in Tympanic Membrane Displacement (TMD) measurements with postural change to be smaller in the older group than in the younger age group. In addition, a larger proportion of the older subjects showed no change in TMD measurements with change in posture. The proportion of subjects in each age group who showed no change in TMD measurements with change in posture was similar to the proportion of temporal bones of subjects of similar ages that had non-patent cochlear aqueducts as determined by a previous histopathological study. Audiometric testing revealed a link between hearing threshold and presumed patency of the communication routes between cochlear and cranial fluids. The magnitude of the tympanic membrane displacement was found to decrease with age in agreement with previous studies showing decrease of stapedial reflex magnitude with increasing age. It is suggested that the communication between cochlear and cranial fluids may be important in the pathogenesis of auditory dysfunction in several patient groups.

Adult

[Biochemical analysis of the endolymph and perilymph of the trout (Salmo gairdneri) (author's transl)].

Cerebrospinal fluid, perilymph and endolymph of the saccule, the utricle and the semicircular duct of the trout were prepared from frozen inner ears. Blood was collected after the decapitation of the animal. In all samples of each animal the concentrations of sodium, potassium, protein and glucose were determined. The electrolyte values and the total protein content were used to estimate the purity of a sample. The concentration of sodium is high in perilymph and low in endolymph whereas potassium is high in endolymph and low in perilymph. The differences between perilymph and the cerebrospinal fluid as well as the blood serum are significant. A relative independent production of the inner ear fluids can be assumed.

Animals

The dynamic posturographic pressure test for the presumptive diagnosis of perilymph fistulas.

A diagnosis of perilymph fistulas (PLFs) can be made only by identification of repeated accumulation of crystal-clear fluid from an otic capsule defect or labyrinthine window at tympanotomy. It would be highly desirable to base a decision to operate for the diagnosis and management of PLFs on a database that includes quantitative test data, which confirms, with a high probability, a clinical suspicion of PLF. This article reviews progress in the development of a test of the vestibular response to external auditory canal pressure changes as recorded by dynamic posturography. Based on results to date, it appears that a fistula test with dynamic posturography is more sensitive than those based on VOR responses. This may be due to the ability of dynamic posturography to isolate vestibular from both visual and somatosensory influences on motor responses during external canal pressure changes.

Ear Diseases

Osmolality changes in perilymph after systemic administration of glycerin.

Blood osmolality was altered in guinea pigs by intravenous administration of glycerin (glycerol). After glycerin administration, serum osmolality increased rapidly, reaching a plateau within 15 minutes. Perilymph osmolality lagged significantly behind the increase of serum osmolality and equalled serum osmolality only after one hour. While perilymph osmolality responded to changes of serum osmolality, there was some time lag noted in the response of perilymph, suggesting the existence of a blood-labyrinth barrier. It was observed that this barrier is permeably to glycerin and water, suggesting the possibility of transient reduction of hydrostatic pressure in the labyrinth by the injection of an osmotic agent into the systemic circulation.

Animals

On sources of error in the biochemical study of perilymph (guinea-pig).

Contamination of perilymph with other fluids (cerebrospinal fluid, tissue fluid, blood, endolymph) together with sampling, anaesthesia, surgical intervention or food intake of the animals may considerably affect the analytical result. The numerous possible artefacts seem to be the main reason why varying values are given in the literature for the same chemical component of perilymph. This is also partly true of cerebrospinal fluid and blood. The effect of some sources of error on selected chemical components of perilymph, cerebrospinal fluid and blood is briefly summarized.

Anesthesia

Cerebrospinal fluid and acoustic neurinoma specific proteins in perilymph.

White rabbits were immunized with pooled and concentrated cerebro-spinal fluid (CSF) and with tumour homogenate concentrate from specimens taken from five patients with acoustic neurinoma. The absorbed anti-CSF-antitumour antiserum was tested with the micro-immunodiffusion test against normal human serum (NHS), CSF, perilymph and CSF from tumour patients and tumour homogenate. NHS showed no precipitates in any of the tests. One protein band was observed in all the other four reactants. Tumour tissue and perilymph had two proteins in common. Diffusion from the CSF space into the perilymph can thus occur via both the cochlear aqueduct and the internal acoustic meatus.

Cerebrospinal Fluid Proteins