Transmission of cerebrospinal fluid pressure changes to the inner ear and its effect on cochlear microphonics

Archives of oto-rhino-laryngology - Tập 248 - Trang 139-143 - 1991
M. Yoshida1, T. Uemura1
1Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

Tóm tắt

Alterations in inner ear fluid pressure and cochlear microphonics (CM) associated with increased cerebrospinal fluid (CSF) pressure were studied in the guinea pig. Hydrostatic pressure in the endolymph and perilymph of the cochlea were measured by use of a servo-controlled micropipet system. Endolymphatic and perilymphatic pressure increased in a linear manner with little or no time lag following pressure increases of 0–50 mm Hg. There was no pressure gradient between the endolymph and perilymph. CM in response to 500 Hz and 4000 Hz tone bursts was recorded before, during and after CSF pressurization. The input-output function of CM showed suppression of 2–8 dB in both maximum output and sensitivity unless the increase in CSF pressure exceeded a level which reduced the cochlear blood flow.

Tài liệu tham khảo

Allen GW, Habibi M (1962) The effects of increasing cerebrospinal fluid pressure upon the cochlear microphonics. Laryngoscope 72:423–434 Beentjes BIJ (1972) The cochlear aqueduct and the pressure of cerebrospinal and endolabyrinthine fluids. Acta Otolaryngol (Stockh) 73:112–120 Carlborg B, Farmer JC (1983) Transmission of cerebrospinal fluid pressure via the cochlear aqueduct and endolymphatic sac. Am J Otolaryngol 4:273–282 Carlborg B, Densert B, Densert O (1982) Functional patency of the cochlear aqueduct. Ann Otol Rhinol Laryngol 91:209–215 Feldman RM (1968) Effects of increased cerebrospinal fluid pressure on CM response. J Speech Hear Res 11:18–32 Feldman RM, Allen GW (1966) Effects of cerebrospinal fluid pressure on the cat cochlea. Arch Otolaryngol 84:86–89 Kerth JD, Allen GW (1963) Comparison of the perilymphatic and cerebrospinal fluid pressure. Arch Otolaryngol 77:581–585 Klockhoff I, Anggard G, Anggard L (1966) Recording of craniolabyrinthine pressure transmission in man by acoustic impedance method. Acta Otolaryngol (Stockh) 61:361–370 Kobrak H (1934) Untersuchungen über dem Zusammenhang zwischen Hirndruck und Labyrinthdruck. Beitr Prakt Theor Hals Nasen Ohrenheilkd 31:216–240 Macrae JH (1972) Effects of body position on the auditory system. J Speech Hear Res 15:330–339 Magnaes B (1976) Body position and cerebrospinal fluid pressure. J Neurosurg 44:687–697 Martinez DM (1968) Simultaneous measurements of endolymphatic and perilymphatic fluid pressure before and during anaphylaxis and associated changes in cerebrospinal fluid, venous and arterial pressures. Acta Otolaryngol (Stockh) [Suppl] 238:1–53 Nakashima T, Ito A (1981) Effects of increased perilymphatic pressure on endocochlear potential. Ann Otol Rhinol Laryngol 90:264–266 Sando I, Wood RP, Masuda Y, Hemenway WG (1971) Perilymphatic communication routes in guinea pig cochlea. Ann Otol Rhinol Laryngol 80:826–834 Saxena RK, Tandon PN, Sinha A, Kacker SK (1969) Auditory functions in raised intracranial pressure. Acta Otolaryngol (Stockh) 68:402–410 Schuknecht HF, Seifi AE (1963) Experimental observation on the fluid physiology of the inner ear. Ann Otol Rhinol Laryngol 72:687–712 Tonndorf J (1957) The mechanism of hearing loss in early cases of endolymphatic hydrops. Ann Otol Rhinol Laryngol 66:766–784 Yoshida M, Lowry LID (1984) Hydrostatic pressure measurement of endolymph and perilymph in the guinea pig. Am J Otolaryngol 5:169–156