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Auditory brainstem responses in postconcussion syndrome.

Evidence that head injuries can shear nerve fibers and end bulbs in the tracts between the diencephalon and brainstem led us to hypothesize that auditory brainstem responses might be abnormal in patients with postconcussion syndrome. We recorded brainstem responses in 11 patients and 12 control subjects. Comparing the two populations, our chief finding was that the patients showed significant delays for wave 3. This finding indicates organic changes involving a region at least as central as the superior olivary complex, thus refuting many authors' claims that the syndrome is entirely psychogenic.

Adult↗

Hearing loss as an initial symptom of the opsoclonus-myoclonus syndrome.

A patient in whom opsoclonus-myoclonus syndrome associated with a viral encephalitis developed was seen initially because of a hearing loss. Audiometric testing revealed the hearing loss to be bilateral and retrocochlear in type. Four days after the onset of hearing loss, the full opsoclonus-myoclonus syndrome developed. A review of the literature failed to disclose any other cases of the syndrome associated with hearing loss. On the basis of the available pathologic material in this disorder, the retrocochlear hearing loss was believed to have been caused by diffuse involvement of the brain-stem auditory pathways.

Adult↗

Brain-stem auditory response in Ondine's syndrome.

Brain-stem auditory evoked responses were measured during sleep in four infants with congenital central alveolar hypoventilation syndrome (Ondine's syndrome) and four controls matched for age and sex. Delays in peak latencies p III and interpeak latencies p I-III were consistently seen in these patients but not in the control children. These abnormalities were reproducible and suggested disruption in the normal auditory pathways at the level of the mid to upper brain stem through which fibers pass close to the area of respiratory control. These abnormalities, both electrophysiologic and metabolic, imply a functional disturbance of brain-stem control of ventilation during sleep in infants and children suffering from Ondine's syndrome.

Audiometry, Evoked Response↗

Recovery of crossed acoustic reflexes in brain stem auditory disorder.

Crossed acoustic reflexes were serially monitored in a patient receiving radiotherapy for an intra-axial brain stem tumor. Analysis revealed a pattern of systematic recovery as the brain stem lesion responded to therapy. Crossed reflexes were observed at more and more test frequencies, until responses were present on both ears for all test signals. Pure-tone sensitivity and speech intelligibility remained within the normal range throughout the observation period.

Auditory Pathways↗

Application of binaural beat phenomenon with aphasic patients.

We investigated whether six aphasics and six normal subjects could binaurally fuse two slightly differing frequencies of constant amplitude. The aphasics were subdivided into two groups: (1) two men who had had mild cerebrovascular accidents (CVAs) during the past 15 months; (2) four men who had had severe CVAs during the last 15 months. Two tones of different frequency levels but equal in intensity were presented dichotically to the subjects at 40 dB sensation level. All subjects had normal hearing at 500 Hz (0 to 25 dB). All six normal subjects and the two aphasics who had had mild CVAs could hear the binaural beats. The four aphasics who had had severe CVAs could not hear them. A 2 X 2 design resulting from this study was compared using chi2 test with Yates correction and was found to be significantly different (P less than .05). Two theories are presented to explain these findings: the "depression theory" and the "temporal time-sequencing theory." Therapeutic implications are also discussed relative to cerebral and/or brain stem involvement in the fusion of binaural stimuli.

Acoustic Stimulation↗

Hearing disorders after Haemophilus influenzae meningitis. Comparison of different drug regimens.

Of 131 children with bacteriologically verified Haemophilus influenzae meningitis, 75 were treated with ampicillin sodium and 45 with a combination of chloramphenicol, sulfonamides, and penicillin G sodium during the first 72 hours. Audiological and neuro-otologic examinations performed 1 to 15 years later showed that 3 patients were totally deaf, 11 had moderate and 15 minimal hearing losses, and 6 had vestibular disorders. All three deaf children and all those with recognized vestibular disorders had been treated with ampicillin. The severe sequelae, both otologic and nonotologic, tended to occur in children of the lower social groups. There were 15 ears with moderate hearing loss; the lesion was cochlear in nine and retrocochlea in four; it could not be localized in two. Ampicillin was given in relatively low dosage, but the results strongly support the value of chloramphenicol of "triple therapy" as weapons against H influenzae meningitis.

Ampicillin↗

Auditory pattern perception in 'split brain' patients.

Three "split brain" subjects with normal peripheral hearing were tested on identifying monaurally presented auditory intensity and frequency patterns. One subject was tested before commissurotomy, ten days later, and one year after surgery. Results indicated that sectioning the corpus callosum dramatically affects the ability to verbally report both intensity and frequency patterns. However, the ability of the subjects to correctly "hum" frequency patterns was not impaired. Thus, it appears for a correct verbal report of an auditory pattern, interhemispheric transfer of acoustic information is required, while "humming" the pattern does not. Further application of this finding implicates auditory pattern tasks as as a potentially valuable test for detecting problems of higher auditory processing, particularly those affecting interhemispheric interaction.

Auditory Pathways↗

Gamma frequency-range abnormalities to auditory stimulation in schizophrenia.

BACKGROUND: Basic science studies at the neuronal systems level have indicated that gamma-range (30-50 Hz) neural synchronization may be a key mechanism of information processing in neural networks, reflecting integration of various features of an object. Furthermore, gamma-range synchronization is thought to depend on the glutamatergically mediated interplay between excitatory projection neurons and inhibitory neurons utilizing gamma-aminobutyric acid (GABA), which postmortem studies suggest may be abnormal in schizophrenia. We therefore tested whether auditory neural networks in patients with schizophrenia could support gamma-range synchronization. METHODS: Synchronization of the electroencephalogram (EEG) to different rates (20-40 Hz) of auditory stimulation was recorded from 15 patients with schizophrenia and 15 sex-, age-, and handedness-matched control subjects. The EEG power at each stimulation frequency was compared between groups. The time course of the phase relationship between each stimulus and EEG peak was also evaluated for gamma-range (40 Hz) stimulation. RESULTS: Schizophrenic patients showed reduced EEG power at 40 Hz, but not at lower frequencies of stimulation. In addition, schizophrenic patients showed delayed onset of phase synchronization and delayed desynchronization to the click train. CONCLUSIONS: These data provide new information on selective deficits in early-stage sensory processing in schizophrenia, a failure to support the entrainment of intrinsic gamma-frequency oscillators. The reduced EEG power at 40 Hz in schizophrenic patients may reflect a dysfunction of the recurrent inhibitory drive on auditory neural networks.

Acoustic Stimulation↗

Medial prefrontal cortices are unified by common connections with superior temporal cortices and distinguished by input from memory-related areas in the rhesus monkey.

Medial prefrontal cortices in primates have been associated with emotion, memory, and complex cognitive processes. Here we investigated whether the pattern of cortical connections could indicate whether the medial prefrontal cortex constitutes a homogeneous region, or if it can be parceled into distinct sectors. Projections from medial temporal memory-related cortices subdivided medial cortices into different sectors, by targeting preferentially caudal medial areas (area 24, caudal 32 and 25), to a lesser extent rostral medial areas (rostral area 32, areas 14 and 10), and sparsely area 9. Area 9 was distinguished by its strong connections with premotor cortices. Projections from unimodal sensory cortices reached preferentially specific medial cortices, including a projection from visual cortices to area 32/24, from somatosensory cortices to area 9, and from olfactory cortices to area 14. Medial cortices were robustly interconnected, suggesting that local circuits are important in the neural processing in this region. Medial prefrontal cortices were unified by bidirectional connections with superior temporal cortices, including auditory areas. Auditory pathways may have a role in the specialization of medial prefrontal cortices in species-specific communication in non-human primates and language functions in humans.

Animals↗

Functional organization of spectral receptive fields in the primary auditory cortex of the owl monkey.

Recent experiments in the cat have demonstrated that several response parameters, including frequency tuning, intensity tuning, and FM selectivity, are spatially segregated across the isofrequency axis. To investigate whether a similar functional organization exists in the primate, we have studied the spatial distribution of pure-tone receptive field parameters across the primary auditory cortex (AI) in six owl monkeys (Aotus trivirgatus). The distributions of binaural interaction types and onset latency were also examined. Consistent with previous studies, the primary auditory cortex contained a clear cochleotopic organization. We demonstrate here that several other properties of the responses to tonal stimuli also showed nonrandom spatial distributions that were largely independent from each other. In particular, the sharpness of frequency tuning to pure tones, intensity tuning and sensitivity, response latency, and binaural interaction types all showed spatial variations that were independent from the representation of characteristic frequency and from each other. Statistical analysis confirmed that these organizations did not reflect random distributions. The overall organizational pattern of overlaying but independent functional maps that emerged was quite similar to that seen in AI of cats and, in general, appears to reflect a fundamental organization principle of primary sensory cortical fields.

Action Potentials↗

Response biases in auditory forebrain regions of female songbirds following exposure to sexually relevant variation in male song.

In many species of songbirds, individual variation between the songs of competing males is correlated with female behavioral preferences. The neural mechanisms of song based female preference in songbirds are not known. Working with female European starlings (Sturnus vulgaris), we used immunocytochemistry for ZENK protein to localize forebrain regions that respond to sexually relevant variation in conspecific male song. The number of ZENK-ir cells in ventral caudo-medial neostriatum [NCMv] was significantly higher in females exposed to longer songs than in those exposed to shorter songs, whereas variation in the total duration of song exposure yielded no significant differences in ZENK expression. ZENK expression in caudo-medial ventral hyperstriatum [cmHV] was uniformly high in all subjects, and did not vary significantly among the three groups. These results suggest that subregions of NCM in female starlings are tuned to variation in male song length, or to song features correlated therewith. Female starlings exhibit robust behavioral preferences for longer over shorter male songs (Gentner and Hulse; Anim Behav 59:443-458, 2000). Therefore, the results of this study strongly implicate NCM in at least a portion of the perceptual processes underlying the complex natural behavior of female choice.

Acoustic Stimulation↗

Binaural interaction in brainstem potentials of human subjects.

Binaural interaction in the short-latency averaged auditory evoked potentials (AEPs) can be assessed from the binaural difference waveform (BD). The BD is derived by computing the difference between the AEP evoked by simultaneous clicks from both earphones and the sum of two other AEPs: one evoked by clicks from the right earphone alone and the other evoked by clicks from the left earphone alone. Once the contributions of acoustic cross talk and the middle ear reflex are eliminated, the BD can be considered to represent neural binaural interaction. This interaction begins after wave III and has its first major peak during the dowmslope of wave V. The more localizing value than the AEPs alone since the BD probably represents a subpopulation of generators of the AEPs, which show binaural interaction at the single cell level.

Acoustic Impedance Tests↗

Differential representation of speech sounds in the human cerebral hemispheres.

Various methods in auditory neuroscience have been used to gain knowledge about the structure and function of the human auditory cortical system. Regardless of method, hemispheric differences are evident in the normal processing of speech sounds. This review article, augmented by the authors' own work, provides evidence that asymmetries exist in both cortical and subcortical structures of the human auditory system. Asymmetries are affected by stimulus type, for example, hemispheric activation patterns have been shown to change from right to left cortex as stimuli change from speech to nonspeech. In addition, the presence of noise has differential effects on the contribution of the two hemispheres. Modifications of typical asymmetric cortical patterns occur when pathology is present, as in hearing loss or tinnitus. We show that in response to speech sounds, individuals with unilateral hearing loss lose the normal asymmetric pattern due to both a decrease in contralateral hemispheric activity and an increase in the ipsilateral hemisphere. These studies demonstrate the utility of modern neuroimaging techniques in functional investigations of the human auditory system. Neuroimaging techniques may provide additional insight as to how the cortical auditory pathways change with experience, including sound deprivation (e.g., hearing loss) and sound experience (e.g., training). Such investigations may explain why some populations appear to be more vulnerable to changes in hemispheric symmetry such as children with learning problems and the elderly.

Acoustic Stimulation↗

Acoustic trauma induces reemergence of the growth- and plasticity-associated protein GAP-43 in the rat auditory brainstem.

We explored the consequences of unilateral acoustic trauma to intracochlear and central nervous system structures in rats. An acoustic trauma, induced by applying click stimuli of 130 dB (sound pressure level; SPL) for 30 minutes, resulted in an instant and permanent threshold shift of 95.92 +/- 1.08 dB (SEM) in the affected ear. We observed, as a consequence, a structural deterioration of the organ of Corti. Deprivation-dependent changes of neurons of the auditory brainstem were determined using antibodies against neurofilament and the growth-associated protein GAP-43 and compared with those following cochleotomy, studied earlier. By 231 days posttrauma, spiral ganglion cell bodies and their processes were almost entirely lost from all cochlear regions with destroyed organ of Corti. In the lateral superior olive (LSO) ipsilateral to the trauma, cell bodies of lateral olivocochlear neurons turned transiently GAP-43 positive within the first 1.5 years posttrauma. The time course of emergence and disappearance of this population of neurons was similar to that found after cochleotomy. Additionally, after noise trauma, principal cells in contralateral LSO and in medial superior olive (MSO) on both sides of the brainstem developed an expression of GAP-43 that began 3 and 16 days posttrauma, respectively, and lasted for at least 1 year. Such cells were rarely observed after cochleotomy. An unequivocal rise in GAP-43 immunoreactivity was also found in the neuropil of the inferior colliculus and the ventral cochlear nucleus, both preferentially on the acoustically damaged side. We conclude that the degree and specific cause of sudden unilateral deafness entail specific patterns of plasticity responses in the auditory brainstem, possibly to prevent the neural network dedicated to locate sounds in the environment from delivering erroneous signals centralward.

Acoustic Stimulation↗

Dendritic orientation and laminar architecture in the rabbit auditory thalamus.

A laminar organization composed of the dendritic fields of principal neurons and afferent axonal arbors has been proposed as the anatomical substrate for the frequency map at several levels of the mammalian central auditory system, including the inferior colliculus and medial geniculate body (MGB). In contrast to the auditory thalamus in most mammals, the ventral division of the rabbit medial geniculate body (MGV) has cellular laminae visible in routine Nissl stains, allowing a direct comparison of the laminar organization with the dendritic architecture and frequency organization. In total 30 presumptive relay neurons in the MGV were labeled with the juxtacellular recording method, and their dendritic arbors were fully reconstructed from serial sections with the aid of a computer microscope. The spatial organization of MGV dendritic fields was analyzed using the dendritic prism, dendritic stick, and fan-in projection methods. Quantitative spatial analyses revealed that, for MGV neurons in the central pars lateralis subdivision, the major axis of the dendritic fields (approximately 29 degrees relative to the horizontal plane) was closely aligned with that of the Nissl laminae (approximately 25 degrees). Both were oriented orthogonally to the tonotopic axis. In contrast, cells in the pars ovoidea had their major axis of orientation parallel to the anteroposterior axis of the brain. Although a bitufted dendritic field was the norm, it was not uncommon for MGV neurons to have pronounced spatial asymmetries in their dendritic fields. A model is presented that incorporates cellular laminae and oriented dendritic growth to form frequency-related slabs within the MGV.

Animals↗

Upregulation of calretinin immunostaining in the ferret inferior colliculus after cochlear ablation.

In many systems, including ascending auditory pathways, calcium-binding proteins are markers of specific neuronal circuits. Previous studies suggest that calretinin immunostaining may be a specific marker for circuits in the inferior colliculus (IC) that code timing information. We undertook experiments to determine the changes in calretinin immunostaining in the IC that take place in response to cochlear ablation. Cochlear ablation was performed unilaterally in ferrets just after hearing onset. Animals survived for 2-3 months after ablation and brains were then processed for calretinin immunocytochemistry. The mean optical density and stained area of the calretinin immunopositive plexus in the IC were determined for five coronal sections through the right and left IC. In controls (n = 3), measurements of these parameters in the central nucleus of the IC showed symmetry between the two sides. In experimental animals (n = 8) the calretinin immunopositive plexus contralateral to the cochlear ablation was denser and larger than that in either the ipsilateral IC or in the IC of control animals. The calretinin plexus in the ipsilateral IC was slightly less dense and smaller than in controls but the differences did not reach statistical significance. IC volume measurements and synaptophysin immunostaining analysis in the central nucleus of the IC revealed no statistical differences between ablated and control animals or between the two sides in ablated animals. The significant increase in both mean optical density and immunostained area of the calretinin plexus in the IC contralateral to the cochlear ablation may reflect an upregulation in calretinin expression in the nuclei that contribute to this plexus.

Animals↗

Expression of the Kv1.1 ion channel subunit in the auditory brainstem of the big brown bat, Eptesicus fuscus.

Voltage-gated potassium channels play an important role in shaping membrane properties that underlie neurons' discharge patterns and the ways in which they transform their input. In the auditory system, low threshold potassium currents such as those created by Kv1.1 subunits contribute to precise phaselocking and to transient onset responses that provide time markers for temporal features of sounds. The purpose of the present study was to compare information about the distribution of neurons expressing the KV 1.1 in the brainstem auditory nuclei with the distribution of neurons with known functional properties in the auditory system of the big brown bat, Eptesicus fuscus. We used immunocytochemistry and light microscopy to look at the distribution of Kv1.1 subunits in the brainstem auditory nuclei. There was prominent expression in cell types known to contain high levels of Kv1.1 in other species and known to respond to auditory signals with high temporal precision. These included octopus cells and spherical bushy cells of the cochlear nucleus and principal neurons of the medial nucleus of the trapezoid body. In addition, we found high levels of Kv1.1 in neurons of the columnar subdivision of the ventral nucleus of the lateral lemniscus and in ventral periolivary cell groups. Neurons with high levels of Kv1.1 were differentially distributed in the intermediate nucleus of the lateral lemniscus and in the inferior colliculus, suggesting that these structures contain functionally distinct cell populations, some of which may be involved in high-precision temporal processing.

Action Potentials↗

Anatomical markers for the subdivisions of the barn owl's inferior-collicular complex and adjacent peri- and subventricular structures.

The anatomy of the inferior-collicular complex of the barn owl, situated below the fourth ventricle in the tectal lobe, was studied by determining the distribution of antigens with antibodies directed against tyrosine hydroxylase, gamma-aminobutyric acid (GABA)(Abeta), dopamine- and cyclic AMP-regulated phosphoprotein (DARPP-32), calretinin, and calbindin. Additionally, the somata were stained with cresyl violet, and fibers were marked according to the Gallyas procedure. These markers were chosen to allow for an easy delineation of the boundaries between the subnuclei of the inferior colliculus. We could discriminate eight structures that belong to the three subnuclei of the inferior colliculus [the central nucleus (ICC), the superficial nucleus (ICS), the external nucleus (ICX)] and to the optic tectum. Periventricular tectal layers 15a and 15b stained well with all the antibodies used. The ICS, embedded in tectal layer 15a, may be divided into a dorsal and a ventral lamina. It does not have direct contact with the other nuclei of the inferior colliculus. The border between tectal layer 15a and ICX was well marked by all antibodies, but less so in Gallyas and cresyl violet stains. The ICC consists of a core and a medial and lateral shell. The core was clearly demarcated with antibodies against calretinin and calbindin. The border between the lateral shell and the ICX was marked less well than the borders between ICX and 15a, but the somata were much more darkly labeled with the DARPP-32 antibody in ICX than in the lateral shell of ICC. None of the markers delineated the border between the medial and lateral shell of ICC.

Animals↗