TEMPORAL CORRESPONDENCE OF INTRACRANIAL, COCHLEAR AND SCALP-RECORDED HUMAN AUDITORY-NERVE ACTION-POTENTIALS

被引:10
|
作者
PRATT, H
MARTIN, WH
SCHWEGLER, JW
ROSENWASSER, RH
ROSENBERG, SI
FLAMM, ES
机构
[1] TEMPLE UNIV,HLTH SCI CTR,SCH MED,DEPT NEUROL,PHILADELPHIA,PA 19140
[2] UNIV PENN,SCH MED,DEPT OTORHINOLARYNGOL,PHILADELPHIA,PA 19104
[3] UNIV PENN,SCH MED,DEPT NEUROSURG,PHILADELPHIA,PA 19104
关键词
3-CHANNEL LISSAJOUS TRAJECTORY; INTRAOPERATIVE MONITORING; EVOKED POTENTIALS; FUZZY CLUSTERING; AUDITORY NERVE; SIGNAL NOISE; GENERATORS; BRAIN-STEM;
D O I
10.1016/0168-5597(92)90032-7
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Conventional, vertex-ipsilateral ear records ('A'), as well as 3-channel Lissajous' trajectories (3-CLTs) of auditory brain-stem evoked potentials (ABEPs) were recorded from the scalp simultaneously with tympanic membrane electrocochleograms ('TME') and auditory nerve compound action potentials ('8-AP') recorded intracranially using a wick electrode on the auditory nerve between the internal auditory meatus and the brain-stem. The recordings were made during surgical procedures exposing the auditory nerve. The peak latency recorded from 'TME' corresponded to trajectory amplitude peak 'a' of 3-CLT and to peak 'I' of the 'A' channel ABEP. Peak latency of '8-AP' was slightly longer than the latency of peak 'II' of 'A' when '8-AP' was recorded from the root entry zone and the same or shorter when recorded from the nerve trunk. '8-AP' peak latency was shorter than trajectory amplitude peak 'b' of 3-CLT regardless of where the wick electrode was along the nerve. Peak latencies from all recording sites clustered into two distinct groups - those that included N1 from 'TME,' peak 'I' of the 'A' record and trajectory amplitude peak 'a' of 3-CLT, and those that included the negative peak of '8-AP' and trajectory amplitude peak 'b' of 3-CLT, as well as peak 'II' of the 'A' record, when present. In one case, the latency of peak 'II' and trajectory amplitude peak 'b' was manipulated by changing the conductive properties of the medium surrounding the auditory nerve. These results are consistent with other evidence proposing: (1) the most distal (cochlear) portion of the auditory nerve is the generator of the first ABEP component ('I,' 'a'); (2) the proximal auditory nerve is the major contributor to the 'A' channel ABEP component 'II'; (3) in addition to the auditory nerve, more central structures participate in the generation of the 3-CLT 'b' component.
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页码:447 / 455
页数:9
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