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PubMed1999

Effects of electrode location and spacing on phoneme recognition with the Nucleus-22 cochlear implant.

OBJECTIVE: The objective of this paper was to determine how phoneme identification was affected by the cochlear location and spacing of the electrodes in cochlear implant listeners. DESIGN: Subjects were initially programmed with the full complement of 20 active electrodes, in which each electrode was assigned to represent the output of one filter in the normal SPEAK processor. In the present study several four-electrode processors were constructed by assigning the output of more than one filter to a single electrode. In all conditions speech sounds were still analyzed into 20 frequency bands and processed according to the usual SPEAK processing strategy, but the location and spacing of the four stimulated electrode pairs were varied systematically. In Experiment I, the spacing between stimulated electrodes was fixed at 3.75 mm and the cochlear location of the four electrode pairs was shifted from the most-apical position up to 3.0 mm toward the base in 0.75 mm steps. In Experiment II, the spatial separation between the four electrode pairs (each bipolar-plus-one) was systematically changed from 1.5 mm to 4.5 mm while holding the most apical active electrode fixed. In Experiment III, the spacing of active electrodes was varied to represent equal tonotopic spacing to equal linear frequency intervals between pairs. Recognition of medial vowels and consonants was measured in three subjects with these custom four-electrode speech processors. RESULTS: In Experiment I, results showed that both vowel and consonant recognition were best when the electrodes were in the most apical locations. In Experiment II, best speech recognition occurred when electrode pairs were separated by 3 to 3.75 mm. In Experiment III, both vowel and consonant recognition scores decreased when the spacing of electrode pairs was changed from equal tonotopic spacing to equal linear frequency intervals. Overall, vowel and consonant recognition were best at the most apical electrode locations and when the spacing of electrodes matched the frequency intervals of the analysis filters. Consonant recognition was relatively robust to alterations in electrode location and spacing. The best vowel scores with four-electrode speech processors were about 10 percentage lower than scores obtained with the full 20-electrode speech processors. However, the best consonant scores with four-electrode speech processors were similar to those obtained with the full 20-electrode speech processors. Information transmission analysis revealed that temporal envelope cues (voicing and manner) were not strongly affected by changes in electrode location and spacing, whereas spectral cues, as represented by vowel recognition and consonantal place of articulation, were strongly affected. Both spectral and temporal phoneme cues were strongly affected by the degree of tonotopic warping, created by altering both the location and spacing of the activated electrodes. CONCLUSION: The cochlear location and spacing of the activated electrodes had a clear effect on phoneme recognition. Temporal cues were less affected by tonotopic shifts or linear tonotopic stretching or shrinking, but were susceptible to nonlinear tonotopic warping. Spectral cues were sensitive to all tonotopic manipulations: shifting, linear stretching, and nonlinear warping. However, the present experiments could not differentiate whether the optimal mapping between analysis frequency bands and stimulation electrodes was determined by the normal acoustic tonotopic pattern or by the pattern learned from experience with the 20-electrode implant.

Adult↗
PubMed1997

Nucleus 22 cochlear implantation results in postmeningitic deafness.

Cochlear implant surgery was performed on 13 patients with postmeningitic deafness (seven adults, six children). Two adults and two children (30.8%) had severe labyrinthitis ossificans requiring radical "drill-out." Five of 13 (38.5%) had some bone growth requiring partial drill-out, and four of 13 (30.8%) had normal insertion with no drill-out. Hearing results for patients with no bone growth were similar to nonmeningitic patients; three of four (75%) had open-set speech recognition. Performance of patients with total drill-out was poor; "auditory only" performance was limited to detection and pattern perception of speech, and no patients had open-set speech recognition. Results for patients with partial drill-out were similar to results in patients with no bone growth. Labyrinthitis ossificans not only presents surgical challenges to cochlear implantation but may also adversely affect hearing outcome.

Adolescent↗
PubMed2002

Nucleus multichannel cochlear implantation in partially ossified cochleas using the Steenerson procedure.

OBJECTIVE: The purpose of this study was to report hearing results obtained in a group of subjects who received scala vestibuli implantation because of cochlear ossification and to compare these results to those in patients with scala tympani implantation. STUDY DESIGN: Retrospective analysis of consecutive cochlear implant procedures. SETTING: Department of Otolaryngology, University of Parma. PATIENTS: Five postlingually deafened adults with an electrode array placed into the scala vestibuli were compared with the speech performance of matched controls who had the electrode array inserted into the scala tympani. MAIN OUTCOME MEASURES: Measures included vowel and consonant speech identification scores, bisyllabic word and sentence speech recognition scores, and common phrases comprehension scores. RESULTS: No significant difference was detected on speech performances between the subjects with scala vestibuli implantation and the control group. CONCLUSION: Scala vestibuli implantation appears to be an excellent alternative in cases in which scala tympani is found to be not patent.

Adult↗
PubMed1982

Different polypeptides are rapidly transported in auditory and optic neurons.

Rapidly transported proteins and glycoproteins in the auditory and optic nerves of the guinea pig were analyzed by electrophoresis and two-dimensional electrofocusing/electrophoresis. Proteins transported in the auditory nerve were analyzed in the cochlear nucleus 3 h after cochlear injection of radioactive precursor, and proteins transported in the optic nerve were analyzed in the superior colliculus 6 h after intraocular injection of radioactive precursor. Two-dimensional analysis showed that several rapidly transported polypeptides were present in one system, but not in the other. By use of [3H]fucose as a precursor or by separating [35S]methionine-labeled polypeptides on immobilized concanavalin A or wheat germ agglutinin, it was shown that most of the proteins transported in only one system are glycoproteins. As previously reported a polypeptide of molecular weight 140,000 was a major labeled species in the auditory nerve. This polypeptide was also found in the optic nerve, but only as a minor species. Two other polypeptides with molecular weights and isoelectric points similar to those of the 140,000 molecular weight polypeptide were present in both systems, but were much more abundant in the optic nerve. The major labeled polypeptide in both systems had a molecular weight of 25,000.

Animals↗
PubMedDate not supplied

Speech perception in nucleus CI24M cochlear implant users with processor settings based on electrically evoked compound action potential thresholds.

Adjusting the speech processor of a cochlear implant, per electrode, to the individual's response is a laborious task that may interfere with a user-friendly start of implant-mediated hearing, particularly in children. This research concerns the possibility of processor adjustment based on a profile derived from measurements of the electrically evoked compound action potential (ECAP) thresholds across the electrode array, followed by adjustment of the overall level of the profile to the hearing threshold and maximum comfortable loudness level using live voice. The results for CVC word lists show that speech perception is quite insensitive to the threshold setting of the speech processor. On average, the speech score does not decrease by more than 10% when, with the new method, the threshold setting comes out so much lower that the dynamic range has doubled. In contrast, the speech score appears to be sensitive to an increase of the maximum high-frequency stimulation settings for the basal electrodes, resulting in lower scores at these higher settings. The correlation between the overall ECAP thresholds and conventionally measured subjective thresholds is weak (r = 0.64). However, the correlation between the slopes of these threshold curves is satisfactory (r = 0.82). The correlation between the ECAP thresholds and the maximum stimulation levels is poor, both with respect to overall level and slope (r = 0.39 and 0.36, respectively). Applicability of the ECAP threshold in processor adjustment could not be demonstrated in this study. Prediction of the most critical factor in speech perception, the slope of the maximum stimulation curve, from the ECAP thresholds is poor. However, considering habituation to the initial processor setting of at least 6 months, the small decrease in the CVC scores with the new setting suggests that a more user-friendly adjustment procedure can be developed.

Acoustic Stimulation↗
PubMed1998

Plasma membrane transporters of serotonin, dopamine, and norepinephrine mediate serotonin accumulation in atypical locations in the developing brain of monoamine oxidase A knock-outs.

Genetic loss or pharmacological inhibition of monoamine oxidase A (MAOA) in mice leads to a large increase in whole-brain levels of serotonin (5-HT). Excess 5-HT in mouse neonates prevents the normal barrel-like clustering of thalamic axons in the somatosensory cortex. Projection fields of other neuron populations may develop abnormally. In the present study, we have analyzed the localization of 5-HT immunolabeling in the developing brain of MAOA knock-out mice. We show numerous atypical locations of 5-HT during embryonic and postnatal development. Catecholaminergic cells of the substantia nigra, ventral tegmental area, hypothalamus, and locus ceruleus display transient 5-HT immunoreactivity. Pharmacological treatments inhibiting specific monoamine plasma membrane transporters and genetic crosses with mice lacking the dopamine plasma membrane transporter show that the accumulation of 5-HT in these catecholaminergic cells is attributable to 5-HT uptake via the dopamine or the norepinephrine plasma membrane transporter. In the telencephalon, transient 5-HT immunolabeling is observed in neurons in the CA1 and CA3 fields of the hippocampus, the central amygdala, the indusium griseum, and the deep layers of the anterior cingulate and retrosplenial cortices. In the diencephalon, primary sensory nuclei, as well as the mediodorsal, centrolateral, oval paracentral, submedial, posterior, and lateral posterior thalamic nuclei, are transiently 5-HT immunolabeled. The cortical projections of these thalamic nuclei are also labeled. In the brainstem, neurons in the lateral superior olivary nucleus and the anteroventral cochlear nucleus are transiently 5-HT immunolabeled. None of these structures appear to express the monoamine biosynthetic enzyme L-aromatic amino acid decarboxylase. The administration of monoamine plasma membrane transporter inhibitors indicates that the 5-HT immunolabeling in these structures is attributable to an uptake of 5-HT by the 5-HT plasma membrane transporter. This points to neuron populations that form highly precise projection maps that could be affected by 5-HT during specific developmental stages.

Animals↗
PubMed1994

Frequency tuning and response latencies at three levels in the brainstem of the echolocating bat, Eptesicus fuscus.

To determine the level at which certain response characteristics originate, we compared monaural auditory responses of neurons in ventral cochlear nucleus, nuclei of lateral lemniscus and inferior colliculus. Characteristics examined were sharpness of frequency tuning, latency variability for individual neurons and range of latencies across neurons. Exceptionally broad tuning curves were found in the nuclei of the lateral lemniscus, while exceptionally narrow tuning curves were found in the inferior colliculus. Neither specialized tuning characteristic was found in the ventral cochlear nuclei. All neurons in the columnar division of the ventral nucleus of the lateral lemniscus maintained low variability of latency over a broad range of stimulus conditions. Some neurons in the cochlear nucleus (12%) and some in the inferior colliculus (15%) had low variability in latency but only at best frequency. Range of latencies across neurons was small in the ventral cochlear nucleus (1.3-5.7 ms), intermediate in the nuclei of the lateral lemniscus (1.7-19.8 ms) and greatest in the inferior colliculus (2.9-42.0 ms). We conclude that, in the nuclei of the lateral lemniscus and in the inferior colliculus, unique tuning and timing properties are built up from ascending inputs.

Animals↗
PubMed2002

Developmental distribution of the glutamate receptor subunits KA2, GluR6/7, and delta 1/2 in the rat medial nucleus of the trapezoid body. A quantitative image analysis.

The medial nucleus of the trapezoid body (MNTB) acts as a relay nucleus in the transmission of auditory information from the cochlear nucleus (CN) to the lateral superior olive. Glutamate receptors mediate the excitatory synaptic transmission in the CN-MNTB projection. Here, we used immunohistochemistry to investigate the expression pattern of the kainate receptor subunits KA2 and GluR6/7 and the orphan glutamate receptor subunits delta 1/2 in principal neurons of the rat MNTB during early postnatal development (P2-59). To objectively quantify the intensity of immunoreactivity, images were scanned with a CCD camera and used for gray-value measurements. At all ages analyzed, each of the three antisera produced immunoreactivity in the somata of MNTB principal cells and in the neuropil. KA2 immunoreactivity of somata and neuropil remained nearly constant between P2 and 23. In contrast, the intensity of GluR6/7 immunoreactivity of somata and neuropil increased between P2 and 6, followed by a decrease until P10. Between P10 and 23, GluR6/7 immunoreactivity of neuropil remained nearly constant, whereas it increased in the somata. In both somata and neuropil, the intensity of delta 1/2 immunoreactivity decreased between P2 and 10, reaching a constant, low level by P10. Our results demonstrate the continuous presence of the glutamate receptor subunits KA2, GluR6/7 and delta 1/2 in the developing MNTB, yet quantitative changes occur which may be associated with functional differences.

Animals↗
PubMed2004

Tonotopic gradients of membrane and synaptic properties for neurons of the chicken nucleus magnocellularis.

Nucleus magnocellularis (NM) is a division of the avian cochlear nucleus that extracts the timing of auditory signals. We compared the membrane excitability and synaptic transmission along the tonotopic axis of NM. Neurons expressed a Kv1.1 potassium channel mRNA and protein predominantly in the high characteristic frequency (CF) region of NM. In contrast, the expression of Kv1.2 mRNA did not change tonotopically. Neurons also showed tonotopic gradients in resting potential, spike threshold, amplitude, and membrane rectification. All neurons were sensitive to 100 nm dendrotoxin, but the effects were most significant in the high CF neurons. The EPSC recorded by minimal stimulation of auditory nerve fibers (ANFs) was 13 times larger in high CF neurons than in low CF neurons. Moreover, EPSCs were generated in an all-or-none manner in the high CF neurons when stimulus intensity was increased, whereas EPSCs were graded in the low CF neurons, indicating multiple axonal inputs. ANF synaptic terminals were visualized by DiI. ANF formed enfolding end-bulbs of Held around the cell body in the high and middle CF region but not in the low CF region. These observations indicate coordinated gradients of neuronal properties both presynaptically and postsynaptically along the tonotopic axis. Such specializations may be suitable for extracting and preserving the timing information of auditory signals over a wide range of acoustic frequencies.

Action Potentials↗