The frequency following potential (FFP) is an auditory evoked response which crudely replicates the waveform of the stimulus. The origins of this far-field potential have been localized to the cochlea and specific auditory nuclei. The initiation site of the FFP along the cochlear partition has been thought to be dependent upon stimulus sound pressure level. Low stimulus levels elicit FFP from the apical turn of the cochlea, while moderate and high stimulus levels may elicit FFP from a large segment of the partition, including the basal turn. Simultaneous masking studies have contributed to the knowledge of this potential, but results from these studies may be confounded by interference from bioelectric potentials generated by distortion products from the masking noise. This investigation used non-simultaneous masking tones set at the subject's pulsation threshold level (PTL). This psychophysical method provides a representation of the frequency-resolving properties of the auditory periphery in a repeated gap masking paradigm. Patterns of the relative masking effect of each masking tone were plotted and compared for several probe levels and in the presence or absence of a continuous, high-pass masking noise. Tuning patterns derived in high-pass making noise effectively represented apical turn FFP. Those patterns without masking noise represented whole-cochlea FFP. The results of this study demonstrarted tuning patterns that reflected diminished FFP amplitudes in the primary 500 Hz region as well as in an extended secondary range of 800 to 2000 Hz, depending on the stimulus-masking parameters. Tuning patterns in high-pass masking noise were consistently flatter in the primary and secondary regions than for the tuning patterns without masking noise. The secondary regions of the tuning patterns extended above 2000 Hz for the patterns obtained without high-pass masking. Tuning patterns were consistently broader for the high stimulus level than for the moderate stimulus level. The multiple cochlear initiation sites for the FFP preclude its use as an audiological tool for the assessment of low-frequency hearing. However, the potential is suggested as a method to assess whole-cochlear response for the difficult-to-test patients with suspected profound hearing loss.

Thesis (doctoral)--Lund University, 1997. / Added t.p. with thesis statement inserted.

Thesis (doctoral)--Lund University, 1997. / Added t.p. with thesis statement inserted.

During vestibular schwannoma surgery a large proportion of patients will lose their hearing. While there have been several papers investigating the mechanism behind this loss of auditory function, the exact pathophysiological mechanisms remain relatively elusive. The present study aimed to document the patterns of electrophysiological auditory responses during retrosigmoid vestibular schwannoma surgery. In particular, we aimed to determine whether the site of auditory impairment in individual cases was predominantly cochlea or neural. Auditory function was monitored intraoperatively in two patients who underwent unilateral vestibular schwannoma surgery via the retrosigmoid approach at St George’s Hospital in Christchurch, and Dunedin Public Hospital. A combination of electrocochleography and direct eighth nerve monitoring techniques were used to monitor the auditory evoked potentials from the cochlea and cochlear nerve during the course of the surgery. Auditory brainstem response recordings were obtained from the second participant due to the technical difficulties in the primary electrophysiological techniques. Technical difficulties faced during the surgical procedure prevented the recording of both electrocochleography and direct eighth nerve monitoring potentials from each of the participants. As a consequence of this, we were unable to draw any conclusions about the site of iatrogenic injury in each surgery. Despite the insufficient recordings of auditory function, the technical and practical knowledge acquired during the course of this pilot study has established a foundation upon which the continuing research may build.

Ménière’s disease (MD) is an idiopathic inner ear disorder, characterised by episodes of vertigo, tinnitus, sensorineural hearing loss, and aural fullness in the affected ear. The relatively high variability of symptomological changes renders it difficult to confirm the MD diagnosis. The purpose of this study is to compare the diagnostic power of an instrumental method, electrocochleography (ECochG), and two subjective methods, including the criteria based on the clinical guidelines provided by the American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing Equilibrium (AAO-HNS CHE) and Gibson’s Score. A quota sampling method was used to include subjects. A total of 250 potential MD patients who were referred to the Department of Otolaryngology at the Christchurch Hospital between year 1994 and 2009 have had their signs and symptoms documented and ECochG testing completed. A selection of details obtained from both AAO-HNS CHE and ECochG assessment results were examined as a chart review in regard to its function as a diagnostic tool for MD. The between-method reliability was found to be high, with a few disagreements on individual diagnosis. Based on a receiver operating characteristic (ROC) curve analysis, the ECochG measures were shown to be pertinent to the diagnosis of MD. It was also found that patients tested “positive”, as compared with those tested “negative”, tended to show higher correlations among the four key symptoms of MD and among the ECochG measures derived from the auditory evoked responses to tone bursts at frequencies in close proximity to each other.

[Truncated abstract] The mammalian inner ear is innervated by the efferent olivocochlear system which is divided into medial and lateral systems. In anaesthetised animals, medial olivocochlear (MOC) axons can be electrically stimulated at the floor of the IVth ventricle. MOC stimulation suppresses the spontaneous activity and sound-evoked responses of primary afferents by its actions on outer hair cells. Effects of MOC stimulation have been also reported on responses of neurons in the cochlear nucleus, the first central auditory center receiving cochlear input. However, very little is known about the net results of MOC effects in higher order neurons. This issue was investigated by electrically stimulating MOC axons at the IVth ventricle and recording extracellular single unit activities in the central nucleus of the inferior colliculus (CNIC) of anaesthetised guinea pigs. For the first part of the study, anatomical and neurophysiological studies were carried out to establish that the focal midline MOC stimulation can selectively stimulate MOC axons without any current spread to adjacent ascending fibers. The MOC stimulation and CNIC recordings were then carried out in a series of experiments that included normal hearing animals, animals treated acutely with gentamicin (in which the acetylcholine-mediated peripheral suppression of the olivocochlear efferents is selectively eliminated) and partially deafened animals. ... However, in other CNIC neurons, effects could not be so explained, showing either additional suppression or even marked excitatory effects. (4) MOC stimulation also suppressed the spontaneous activity of CNIC neurons in normal hearing animals. When similar efferent stimulation was carried out in partially deafened animals, the abnormally high spontaneous activity of some CNIC neurons in the deafened frequency regions was also transiently suppressed by MOC shocks. The results from this study clearly demonstrate that the MOC system can modulate the responses of midbrain neurons in a more complex manner compared to the effects seen in the periphery. The more complex effects seen for responses to tones in quiet and in noisy background are likely to result from a complex interplay between altered afferent input in the cochlea and central circuitry. In addition, the ability of MOC efferents in suppressing the normal and abnormal spontaneous activity in the midbrain also could have implications for the role of the descending system in the pathophysiology and treatment of tinnitus.

Thesis (Ph.D.)--University of Western Australia, 2007.

Thesis (M.Communication Pathology)--Universiteit van Pretoria, 2002. / Summary in English and Afrikaans. Includes bibliographical references (leaves 142-159).

Audiologists are challenged with various neurological diseases, such as Multiple Sclerosis. This disease causes demyelination of the white matter in the central nervous system resulting in desynchronisation of neural impulses. Despite controversy in the literature many studies illustrated some degree of auditory involvement associated with this disease. The auditory brainstem response has dominated the field during the assessment of the auditory system of patients with Multiple Sclerosis. Although this objective test procedure is useful during the assessment of the auditory nerve on a brainstem level, it reveals its own set of limitations when used in isolation as a single test procedure. A multiple test battery approach has shown promise in addressing the limitations of any single test procedure. This approach aims to assess the auditory nervous system of patients with Multiple Sclerosis on different levels (sensory and neural). The aim of the current study was to determine the effectiveness of a clinically appropriate battery of test procedures during the assessment of the auditory nervous system of 25 adult subjects with Multiple Sclerosis. The subjects were divided into two groups: Group 1 consisted of fifteen (15) subjects without a history of noise exposure, whereas the ten (10) subjects in Group 2 had previously been exposed to noise. A combined experimental-descriptive research design was selected in order to describe both the qualitative and quantitative results obtained during the study. The following test procedures were included in the test battery: • A self-assessment questionnaire allowing subjects to report on hearing abilities, related auditory-vestibular symptoms and communicative competence during every day life; • Puretone audiometry, distortion product otoacoustic emissions as well as the cochlear microphonic; and • Auditory brainstem response recording using both the rarefaction and condensation click polarities consecutively. The results indicated that a high percentage of subjects experienced vestibular symptoms such as dizziness and vertigo by the time the study was conducted. The presence of tinnitus and hearing difficulties were uncommon among subjects. Despite this, more than half of the subjects experienced difficulty with communication in the presence of background noise. Puretone audiometry demonstrated that some of the subjects presented with mild high-frequency hearing losses. However other configurations with impaired hearing thresholds were also observed. Most of the subjects’ auditory brainstem response recordings displayed abnormalities using either the rarefaction or condensation click polarity. The use of the condensation click polarity displayed more ABR abnormalities compared to the rarefaction click polarity. Several subjects displayed additional cochlear involvement while a smaller percentage of subjects presented only with neural involvement. / Dissertation (M (Communication Pathhology))--University of Pretoria, 2006. / Speech-Language Pathology and Audiology / unrestricted

<p>Disabling hearing loss is a problem around the world, with the World Health Organization estimating that 466 million people worldwide have disabling loss, and that this number is expected to increase to over 900 million people by 2050. There are different types of hearing loss, but sensorineural hearing loss (SNHL) is the most common and results from damage to the inner ear. The audiogram is the most common test used to diagnose hearing loss, but it is limited in that it can only identify a shift in hearing sensitivity (thresholds), i.e., it cannot identify the cochlear location causing SNHL. The electrocochleogram (ECochG) is an evoked response consisting of several summed responses of electrical potentials from within the inner ear. Several components represent activity from different places in the inner ear: the compound action potential (CAP) is the summed onset response of auditory nerve fibers, the cochlear microphonic (CM) is the AC response of the hair cells (primarily outer hair cells), and the summating potential (SP) is the DC hair cell response (primarily inner hair cells). Most ECochG responses in humans are collected non-invasively (e.g., from the ear canal or ear drum), whereas most ECochG responses in animal models are collected invasively (e.g., from the cochlear round window). <br></p><p></p><p>In this project, we aimed to bridge this gap by recording non-invasive ECochG responses from awake chinchillas. We first started by calculating standard ECochG metrics from existing data across different forms of SNHL. Next, we tested the feasibility of recording non-invasive ECochG responses from the ear canals of awake chinchillas. Finally, we defined and calculated additional metrics from ECochG responses to further help in identifying location(s) of SNHL. The ability demonstrated here to record non-invasive ECochG responses from awake animals increases the translational applicability of pre-clinical SNHL animal models by permitting detailed cochlear assessments at multiple time points post exposure. Detailed ECochG measures can advance hearing science and audiology by helping to identify the location of damage causing the hearing loss, which can ultimately allow for more individualized treatment. </p><br>