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PubMed2003

Auditory agnosia in children after herpes encephalitis.

Four pediatric patients whose bilateral auditory cortices were damaged by herpes encephalitis at an early age were studied. Their brain CT and MRI scans demonstrated common bilateral lesions of the auditory cortices. Their auditory perception was investigated by means of behavioral and objective hearing tests and auditory perception tests. All four patients showed mild or moderate hearing loss in the behavioral hearing test and normal auditory brainstem responses but did not manifest total deafness. Moreover, perception tests involving speech, environmental sounds and music demonstrated that most auditory perception ability had been lost in all patients. On reaching school age, the patients were enrolled in schools for the deaf or special schools for handicapped children.

Agnosia↗
PubMed2002

Central auditory pathologies.

This chapter considers specific deficits in auditory processing ('negative' disorders) due to neurological conditions and 'positive' disorders of central auditory processing caused by abnormal activity in central auditory mechanisms. Recent work focuses on the assessment of auditory processing in disorders that are not specifically auditory. In this case, auditory measurement may provide a 'window' into the condition.

Audiometry, Pure-Tone↗
PubMed1996

Alzheimer's disease affects parallel processing between the auditory cortices.

Auditory evoked magnetic fields (AEFs) were recorded from 11 patients with Alzheimer's disease (AD) and 11 age-matched controls using the 122-channel whole-head magnetometer. Auditory stimuli were monaurally presented with interstimulus intervals (ISI) of 0.5 and 2.5 s in different blocks. The peak latencies of P50m and N100m responses were significantly longer in AD patients than in controls over the ipsilateral but not over the contralateral auditory cortex with respect to the ear stimulated. This finding suggests that parallel auditory processing is impaired between the auditory cortices in AD patients. The present MEG measurement might provide an objective index to evaluate auditory dysfunction in AD.

Acoustic Stimulation↗
PubMed2002

Intrinsic optical signals from rat primary auditory cortex in response to sound stimuli presented to contralateral, ipsilateral and bilateral ears.

In the auditory cortex, primitive features of acoustic stimuli are represented for auditory scene analysis. A typical example of a feature representation is the tonotopic map, in which sound frequencies are spatially arranged in an orderly manner. Some neurons in the auditory cortex are sensitive to sound source location, which is another important feature for auditory scene analysis. In the present study, using the intrinsic optical imaging technique, we attempted to visualize the two-dimensional pattern of neuronal population responses in the primary auditory cortex of rats to pure tones presented at various frequencies and sound intensities. The observed arrangements of sound frequencies were consistent with those obtained by electrophysiological mapping, which indicates that our intrinsic optical recording can visualize populational responses of neurons. We also found different temporal patterns of intrinsic signals elicited in response to contralateral, ipsilateral, and bilateral ear stimulations. Finally we try to explain the observed differential time courses of intrinsic signal responses from the theoretical point of view on the conduction of neural activities, based on the so far anatomically identified neural pathways in the rodent auditory system.

Acoustic Stimulation↗
PubMed1996

Possible application of functional imaging of the human auditory system in the study of acclimatization and late onset deprivation.

After some period of experience with a single hearing aid, speech recognition performance may increase for material presented to the aided ear. Conversely, performance may decline for material presented to the unaided ear. Improved performance for the normally aided ear beyond that observed at the initial fitting of the hearing aid has been described as the acclimatization effect. The decline in speech recognition for material presented to the unaided ear has been described as the late onset auditory deprivation effect. For both the acclimatization and deprivation effects, the observed changes in performance are not considered to be a consequence of a change in the functional status of the cochlea. Rather, the benefits and decrements in speech recognition performance presumably reflect functional changes or reorganization in the central auditory pathway. In nonhuman species, changes in central auditory function can be examined by physiological recordings directly from various structures along the auditory pathway. However, these techniques are invasive and inappropriate for studying possible changes in central function for the human auditory system. The purpose of this review is to describe noninvasive "imaging" techniques appropriate for use with human subjects and the ways they could be applied to objectively identify physiological changes that might be associated with either acclimatization or late onset deprivation effects. Currently, few of these techniques have been applied to the study of acclimatization and late onset auditory deprivation. Possible application of these techniques to assess the differential performance changes for material presented to the normally aided and normally unaided ear will be discussed.

Acoustic Stimulation↗
PubMed1998

Transient deafness due to temperature-sensitive auditory neuropathy.

OBJECTIVE: To define mechanisms accounting for transient deafness in three children (two siblings, ages 3 and 6, and an unrelated child, age 15) when they become febrile. DESIGN: Audiometric tests (pure-tone audiometry, speech and sentence comprehension), tympanometry, middle ear muscle reflex thresholds, otoacoustic emissions (OAEs), and electrophysiological methods (auditory brain stem responses [ABRs], sensory evoked potentials, peripheral nerve conduction velocities) were used to test the children when they were afebrile and febrile. RESULTS: ABRs, when afebrile, were abnormal with a profound delay of the IV-V and absence of waves I-III. The ABR in one of the children, tested when febrile, showed no ABR components. Measures of cochlear receptor function using OAEs were normal in both febrile and afebrile states. Cochlear microphonic potentials were present in the three children, and a summating potential was likely present in two. When afebrile, there was a mild threshold elevation for all frequencies in the 15-yr-old and a mild elevation of thresholds for just low frequencies in the two siblings. Speech comprehension in quiet was normal but impaired in noise. One of the siblings tested when febrile had a profound elevation (>80 dB) of pure-tone thresholds and speech comprehension was absent. Acoustic reflexes subserving middle ear muscles and olivocochlear bundle were absent when febrile and when afebrile. No other peripheral or cranial nerve abnormalities were found in any of the children. Sensory nerve action potentials from median nerve in one of the children showed no abnormalities on warming of the hand to 39 degrees C. CONCLUSION: These children have an auditory neuropathy manifested by a disorder of auditory nerve function in the presence of normal cochlear outer hair cell functions. They develop a conduction block of the auditory nerves when their core body temperature rises due, most likely, to a demyelinating disorder of the auditory nerve. The auditory neuropathy in the two affected siblings is likely to be inherited as a recessive disorder.

Acoustic Impedance Tests↗
PubMed2004

Evidence for rapid auditory perception as the foundation of speech processing: a sparse temporal sampling fMRI study.

We examined the processing of verbal and nonverbal auditory stimuli using an event-related functional magnetic resonance imaging (fMRI) study to reveal the neural underpinnings of rapid temporal information processing and it's relevance during speech perception. In the context of a clustered sparse-temporal fMRI data collection eight right-handed native German speakers performed: (i) an auditory gap detection task; and (ii) a CV syllable discrimination task. A tone perception task served as a nontemporal control condition. Here we aimed to research to what extent the left hemisphere preferentially processes linguistically relevant temporal information available in speech and nonspeech stimuli. Furthermore, we sought to find out as to whether a left hemisphere's preference for linguistically relevant temporal information is specifically constrained to verbal utterances or if nonlinguistic temporal information may also activate these areas. We collected haemodynamic responses from three time points of acquisition (TPA) with varying temporal distance from stimulus onset to gain an insight on the time course of auditory processing. Results show exclusively left-sided activations of primary and secondary auditory cortex associated with the perception of rapid temporal information. Furthermore, the data shows an overlap of activations evoked by nonspeech sounds and speech stimuli within primary and secondary auditory cortex of the left hemisphere. The present data clearly support the assumption of a shared neural network for rapid temporal information processing within the auditory domain for both speech and nonspeech signals situated in left superior temporal areas.

Acoustic Stimulation↗
PubMed2003

Evoked oscillations in the thalamo-cortical auditory system are present in anesthetized but not in unanesthetized rats.

Over the last decade, a large number of studies have characterized stimulus-evoked oscillations in the visual cortex of anesthetized and unanesthetized animals. Comparatively, only a few studies have been performed in auditory cortex. This study compared the tone-evoked oscillations detected from the same recording sites in the thalamo-cortical auditory system of unanesthetized and anesthetized rats. Simultaneous multiunit recordings were collected in auditory cortex, auditory thalamus, and the auditory sector of the reticular nucleus of restrained rats, which spontaneously shifted from waking (W) to slow-wave sleep (SWS) and paradoxical sleep (PS). Subsequently, the same recording sites were tested under pentobarbital anesthesia, then under high doses of diazepam, and finally under urethan anesthesia. Under these drugs, oscillations were detected in 54% of the recordings: one-half of them were stimulus-locked oscillations and were directly observed on peri-stimulus time histograms (PSTHs); one-half of them were non-stimulus-locked oscillations and were detected on autocorrelograms. Spontaneous oscillations were present for 17% of the recordings. During SWS, only non-stimulus-locked oscillations were observed for a small percentage of recordings (12%). This percentage did not differ significantly from the one of spontaneous oscillations obtained during SWS (8%). No oscillations were found in W and PS. Both under anesthesia and in SWS, the frequency range of the oscillations was 5-15 Hz, and there was no frequency difference between evoked and spontaneous oscillations. Although surprising, the absence of oscillations in awake animals may allow each neuron to process acoustic information independently of its neighbors and may in fact benefit auditory perception.

Acoustic Stimulation↗
PubMed1994

Influence of callosal activity on units in the auditory cortex of ferret (Mustela putorius).

1. Callosal neurons in primary auditory cortex project heavily to regions of the contralateral homotopic field that are excited by stimulation of one or both ears and minimally to regions that are excited by stimulation of one ear and inhibited by stimulation of the other ear. The intent of this study is to begin assessing the function of this extensive intercortical projection in determining the response properties of single units in the recipient auditory cortex. 2. Callosal neurons in the right auditory cortex of barbiturate-anesthetized ferrets were stimulated electrically through a pair of monopolar microelectrodes that were separated by 2-3 mm and whose uninsulated tips were located 500 microns below the pial surface. Electrical stimuli consisted of a single 100-microseconds pulse delivered at a fixed intensity and temporal relationship to the onset of each of a set of monaural or binaural acoustic stimuli. Pulse amplitude was almost always < 350 microA. Acoustic stimuli consisted of 100-ms best-frequency tones delivered monaurally or binaurally at 1-s intervals. The influence exerted by electrical stimulation of the right auditory cortex on responses of single units isolated in the left auditory cortex was assessed by comparing responses evoked by the same acoustic stimuli delivered alone and when accompanied by the electrical stimulation. In addition, the latencies of discharges evoked by the electrical stimuli delivered alone were assessed. Three categories of influence were observed: suppression, excitation, and a mixed class consisting of both suppression and excitation. 3. Suppression was the most commonly observed influence of callosal input on acoustically evoked responses. Depending on the strength of the acoustic stimuli and electrical pulse and the temporal relationship between the two kinds of stimulation, responses to acoustic stimuli could be completely suppressed or reduced to a smaller version of the control responses. The duration of the inhibitory influence was often > 100 ms and the suppression was frequently effective at latencies of 2-4 ms. 4. Although unit activity was commonly excited by electrical stimulation of the right auditory cortex, facilitation of acoustically evoked responses was infrequently observed. Apparent facilitation usually was the result of the summation of acoustically and electrically evoked discharges.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1986

Auditory field reduction in human following head trauma.

We measured the tonal auditory threshold for 500, 2000 and 4000 Hz, and made BAER recordings for both ears with unfiltered 125 dB SPL clicks, with 40 subjects between 18 and 23 years of age, 20 subjects having suffered minor cranial trauma during the preceding 48 hours and 20 being control subjects matched for age and sex. Compared to the control group, trauma patients showed a significantly higher auditory threshold: 19 dB SPL at 500 Hz, 9 dB SPL at 2000 and 4000 Hz. This threshold rise was bilateral. The head trauma patients showed, on average, one significantly earlier BAER wave I than did controls. This alteration was likewise bilateral. The latencies of waves II, III and V, the I-III, III-V, and I-V intervals, and the interaural wave latency and interval differences are comparable for trauma patients and control subjects. One to eight months after cranial trauma, 7 subjects manifested one sign of the subjective cranial trauma syndrome. Auditory threshold and BAER wave I earliness were not any greater for these subjects. Trauma patients seemed to show a reduction of the auditory field. They were hypersensitive to high stimulus intensities (shortening of BAER wave I) and less sensitive to low intensities (rise in tonal auditory threshold). This auditory alteration was bilateral. It can thus be thought that the trauma acts on the central nervous system to affect the operation of the cochlea via efferent pathways.

Adolescent↗
PubMed2003

Functional subregions in primary auditory cortex defined by thalamocortical terminal arbors: an electrophysiological and anterograde labeling study.

Several functional maps have been described in primary auditory cortex, including those related to frequency, tuning, latency, binaurality, and intensity. Many of these maps are arranged in a discontinuous or patchy manner. Similarly, thalamocortical projections arising from the ventral division of the medial geniculate body to the primary auditory cortex are also patchy. We used anterograde labeling and electrophysiological methods to examine the relationship between thalamocortical patches and auditory cortical maps. Biotinylated dextran-amine was deposited into physiologically characterized sites in the ventral division of the medial geniculate body of New Zealand white rabbits. Approximately 7 d later, the animal was again anesthetized and the ipsilateral auditory cortex was mapped with tungsten microelectrodes. Multi-unit physiological data were obtained for the following characteristics: best frequency (BF), binaurality, response type, latency, sharpness of tuning, and threshold. Immunocytochemical methods were used to reveal the injection site in the ventral division of the medial geniculate body as well as the anterogradely labeled thalamocortical afferents in the auditory cortex. In 86% of the cases (12 of 14), entry into a thalamocortical patch was associated with a marked change in physiological responses. A consistent BF and binaural class were usually observed within a patch. The patches appear to innervate distinct functional regions coding frequency and binaurality. A model is presented showing how patchy thalamocortical projections participate in the formation of tonotopic and binaural maps in primary auditory cortex.

Animals↗
PubMed2005

Neuroplasticity in the auditory system.

An increasing interest on neuroplasticity and nerve regeneration within the auditory receptor and pathway has developed in recent years. The receptor and the auditory pathway are controlled by highly complex circuits that appear during embryonic development. During this early maturation process of the auditory sensory elements, we observe the development of two types of nerve fibers: permanent fibers that will remain to reach full-term maturity and other transient fibers that will ultimately disappear. Both stable and transitory fibers however, as well as developing sensory cells, express, and probably release, their respective neuro-transmitters that could be involved in neuroplasticity. Cell culture experiments have added significant information; the in vitro administration of glutamate or GABA to isolated spiral ganglion neurons clearly modified neural development. Neuroplasticity has been also found in the adult. Nerve regeneration and neuroplasticity have been demonstrated in the adult auditory receptors as well as throughout the auditory pathway. Neuroplasticity studies could prove interesting in the elaboration of current or future therapy strategies (e.g.: cochlear implants or stem cells), but also to really understand the pathogenesis of auditory or language diseases (e.g.: deafness, tinnitus, dyslexia, etc.).

Animals↗
PubMedDate not supplied

[Verbal auditory agnosia: SPECT study of the brain].

Verbal auditory agnosia are rare in clinical practice. Clinically, it characterized by impairment of comprehension and repetition of speech but reading, writing, and spontaneous speech are preserved. So it is distinguished from generalized auditory agnosia by the preserved ability to recognize non verbal sounds. We present the clinical picture of a forty-years-old, right handed woman who developed verbal auditory agnosic after an bilateral temporal ischemic infarcts due to atrial fibrillation by dilated cardiomyopathie. Neurophysiological studies by pure tone threshold audiometry: brainstem auditory evoked potentials and cortical auditory evoked potentials showed sparing of peripheral hearing and intact auditory pathway in brainstem but impaired cortical responses. Cranial CT-SCAN revealed two large hypodenses area involving both cortico-subcortical temporal lobes. Cerebral SPECT using 99mTc-HMPAO as radiotracer showed hypoperfusion just posterior in both frontal lobes nect to Roland's fissure and at level of bitemporal lobes just anterior to Sylvian's fissure.

Adult↗
PubMed2003

Magnetic resonance imaging abnormalities in familial temporal lobe epilepsy with auditory auras.

BACKGROUND: Two forms of familial temporal lobe epilepsy (FTLE) have been described: mesial FTLE and FTLE with auditory auras. The gene responsible for mesial FTLE has not been mapped yet, whereas mutations in the LGI1 (leucine-rich, glioma-inactivated 1) gene, localized on chromosome 10q, have been found in FTLE with auditory auras. OBJECTIVE: To describe magnetic resonance imaging (MRI) findings in patients with FTLE with auditory auras. DESIGN AND METHODS: We performed detailed clinical and molecular studies as well as MRI evaluation (including volumetry) in all available individuals from one family, segregating FTLE from auditory auras. RESULTS: We evaluated 18 of 23 possibly affected individuals, and 13 patients reported auditory auras. In one patient, auditory auras were associated with déjà vu; in one patient, with ictal aphasia; and in 2 patients, with visual misperception. Most patients were not taking medication at the time, although all of them reported sporadic auras. Two-point lod scores were positive for 7 genotyped markers on chromosome 10q, and a Zmax of 6.35 was achieved with marker D10S185 at a recombination fraction of 0.0. Nucleotide sequence analysis of the LGI1 gene showed a point mutation, VIIIS7(-2)A-G, in all affected individuals. Magnetic resonance imaging was performed in 22 individuals (7 asymptomatic, 4 of them carriers of the affected haplotype on chromosome 10q and the VIIIS7[-2]A-G mutation). Lateral temporal lobe malformations were identified by visual analysis in 10 individuals, 2 of them with global enlargement demonstrated by volumetry. Mildly reduced hippocampi were observed in 4 individuals. CONCLUSIONS: In this family with FTLE with auditory auras, we found developmental abnormalities in the lateral cortex of the temporal lobes in 53% of the affected individuals. In contrast with mesial FTLE, none of the affected individuals had MRI evidence of hippocampal sclerosis.

Adolescent↗
PubMed1999

Prevalence of external auditory canal exostoses in surfers.

OBJECTIVE: To determine (1) the prevalence of external auditory exostoses in a population of surfers and (2) the relationship between the length of time spent surfing and the prevalence, severity, and location of the exostoses. DESIGN: Cross-sectional epidemiological study. SETTING: General community. PATIENTS: Three hundred seven avid surfers (93.5% males and 6.5% females; age distributions: 11.2% were < or =20, 67.9% were 21 to 40, 17.5% were 41 to 50, and 3.3% were >50 years). MAIN OUTCOME MEASURES: Questionnaires focusing on surfing habits (number of years, geographic region, and number of days per year of surfing) were correlated with otoscopic findings. A simple grading system was devised, based on the degree of external auditory canal stenosis. Grades of normal, mild, moderate, and severe corresponded to 100%, 99% to 66%, 65% to 33%, and less than 33% effective patent surface area, respectively. RESULTS: There was a 73.5% overall prevalence of external auditory exostoses and a 19.2% overall prevalence of osteomas in the group studied. Of 441 ears with exostoses, 54.2% were mild, 23.6% were moderate, and 22.2% were severe. Of individuals who had surfed for 10 years or less, 44.7% had normal ear canals and only 6% had severely obstructed auditory canals. In comparison, in the group that had surfed for longer than 20 years, only 9.1% had normal auditory canals and 16.2% were severely affected. Of surfers with no exostoses, 61.1% had surfed for 10 years or less. In contrast, of surfers with severe exostoses, 82.4% had surfed for more than 10 years. Finally, the lesions seemed to affect all external auditory canal quadrants equally. CONCLUSION: A positive association exists between the amount of time individuals spend surfing and the presence and severity of exostoses of the external auditory canal.

Adult↗
PubMed2004

Auditory-visual speech integration by prelinguistic infants: perception of an emergent consonant in the McGurk effect.

The McGurk effect, in which auditory [ba] dubbed onto [ga] lip movements is perceived as "da" or "tha," was employed in a real-time task to investigate auditory-visual speech perception in prelingual infants. Experiments 1A and 1B established the validity of real-time dubbing for producing the effect. In Experiment 2, 4 1/2-month-olds were tested in a habituation-test paradigm, in which an auditory-visual stimulus was presented contingent upon visual fixation of a live face. The experimental group was habituated to a McGurk stimulus (auditory [ba] visual [ga]), and the control group to matching auditory-visual [ba]. Each group was then presented with three auditory-only test trials, [ba], [da], and [(delta)a] (as in then). Visual-fixation durations in test trials showed that the experimental group treated the emergent percept in the McGurk effect, [da] or [(delta)a], as familiar (even though they had not heard these sounds previously) and [ba] as novel. For control group infants [da] and [(delta)a] were no more familiar than [ba]. These results are consistent with infants' perception of the McGurk effect, and support the conclusion that prelinguistic infants integrate auditory and visual speech information.

Child Development↗
PubMed1977

The role of auditory stimulation in responsiveness in young chicks.

The mechanism of action of the auditory signal in increasing responsiveness to a visual-auditory stimulus in chicks of 14-48 hr was examined. Stimulus effectiveness of an auditory signal dissociated from the visual stimulus was less than proximate auditory signal presentation but greater than a silent visual stimulus. Familiarity with the auditory signal increased and decreased responding under proximate and dissociated presentation, respectively. These data were interpreted as confirming the influence of auditory stimulation via increased arousal, and as indicating the possibility of selective responding to specific features of the auditory stimulus when its localization at the visual stimulus is possible.

Acoustic Stimulation↗
PubMedDate not supplied

Auditory perceptual processing in people with reading and oral language impairments: current issues and recommendations.

A popular hypothesis holds that specific reading disability (SRD) and specific language impairment (SLI) result from an impaired ability to process rapid and brief sounds. However, the results of experiments that have tested this hypothesis are incongruous. A number of factors could explain these contradictory findings, including the questionable reliability and validity of rapid auditory processing tasks, individual differences in the auditory processing abilities of SRD and SLI populations, the age of listeners, the quality of control groups, and the relationship between verbal and non-verbal auditory processing abilities. These issues highlight the need for future studies to (1) establish the reliability and validity of psychophysical tasks used to assess rapid auditory processing; (2) report the rapid auditory processing scores of individuals rather than just group means; (3) include a wide range of reading and spoken language tests to determine the literacy and oral language profile of people who demonstrate an auditory processing deficit; (4) include clinical comparison groups to determine whether a rapid auditory processing deficit is related specifically to written and spoken language impairments; and (5) examine the relationship between low-level non-verbal, verbal, and phonological processing abilities.

Child↗