Auditory Flashcards
What do I absolutely need to know: 1. the auditory pathway 2. Rx: conduction disorders and tests 3. Sound Transduction/ regulation 1. Hair Cells (Organ of Corti) in: out: 2. bipolar cells (cochlear ganglion) in: out: 3. Cochlear Nerve (CN VIII) in: out: 4. Cochlear Nuclei in: out: 5. Cerebellopontine Angle (brainstem) in: out: 6. superior olivary nucleus 1. directly 2. through Trapezoid body 7. lateral lemniscus 8. Inferior Colliculus 9. Gyri of Heschl (temporal lobe
inner hair cells
depolarize in response to sound conducted along the basilar membrane
outer hair cells
the electromotility of these cells modifies the sensitivity of the basilar membrane (cochlear amplification)
Rinne Test: conduction loss
the good ear lasts longer because it has air
Rinne Test: partial neural loss
both ears last roughly the same time
Weber Test: conduction loss
vibration is louder in the _____
affected ear
This is thought to occur because ambient sound is prevented from getting to the cochlea on the blocked side. This causes the nervous system to amplify sounds on that side by sensitizing cochlear transduction.
Weber Test: partial neural loss
vibration is louder in the ______
unaffected ear
Range of human hearing (low-high)
20-20,000 Hz
weber’s test: where is the fork placed?
vertex (middle) of head
rinne test: where is the fork placed
mastoid process
BAEPS:brain stem auditory evoked potentials
EEG detects neural response to click sounds to assess neural hearing loss
somatotrophy of basilar membrane of cochlea:
low vibrations are at the _____ of the cohclea
apex (end) of cochlea
tract: decussation occurs at
the trapezoid body
menier’s disease (endolympathic hydrops)
excess fluid in the inner ear- swellng of endolymphatic sac of idiopathic origin
acoustic neuroma
benign tumor of Schwann cells compresses CNVIII
tinnitus
auditory perception in the abscence of stimulus
ototoxic drugs
streptomycin or gentamicin
prebyacusis
loss of hearing with old age
hyperacusis
extra-sensitivity to moderate or even low intensity sounds
auditory agnosia
inability to identify meaning of an non-verbal sound; can hear, but don’t know what it means
congenital amusia
tone deafness, changes in pitch
timbre: brain region
right hemisphere/ cortex
music: rhythm/ pitch/ familiarity
left hemisphere