unit 4a Flashcards

auditory disorders

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1
Q

Sound pressure wave

A

sound= mechanical wave that results f/ back & forth vibration of particles of the medium thru which the sound wave is moving
- if a sound wave is moving f/ left → right thru air, then particles of air will be displaced both right/left~ward as the energy of sound wave passes thru it. Motion of particles is parallel (& antiparallel) to the direction of energy transport
- a sine wave can be used to encode info abt the compression & rarefaction (expansion) of sound pressure waves

– Increases of the physical properties of FREQUENCY f/ low → high are assoc w/ incr. in the perceptual exp. of PITCH
–Increases of the physical property of AMPLITUDE f/ sml to log (blue arrow) are assoc. w/ incr. in the perceptual exp. of LOUDNESS
–Wavelength stays constant over distance, but AMPLITUDEof sound pressure wave DECREASEs
→ The energy contained in sound pressure wave is lost as the sound pressure propagates thru the atmosphere. As a result the amt of compression & rarefaction (amp. of wave) decr. over distance, but the timing of the compression & rarefaction (freq.) does not

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2
Q

Audibility curve

A

a graph that depicts the relat. b/t the loudness of a pure tone, expressed in decibels, sound-pressure lvl (dB SPL), & the freq. of the tone

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3
Q

Outer ear

A

incl. the pinna (AKA auricle) + auditory canal & ends at the tympanic membrane

Pinna: consists of cartilage covered by skin & shaped to capture sound waves + funnel them thru ear canal → tympanic membrane
-important in localizing sounds f/ front v. back & helps w/ vertical sound localization (ex: sound is higher/lower)

Ear Canal: directs the sound pressure wave onto tympanic membrane & amplifies sounds that are b/t 3-12 kHz.

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4
Q

Tympanic membrane

A

(AKA eardrum)

thin membrane that separates the external ear f/ the middle ear

Function: transmit sound f/ air to the ossicles inside middle ear

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5
Q

Middle ear

A

f/ tympanic membrane → oval window: incl. the ossicles & frames out thru the eustachian use to the back of the throat

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6
Q

Ossicles

A

AKA auditory ossicles

3 smallest bones in body. Contained w/in the middle ear space & serve to transmit & amplify sounds f/ air → fluid-filled cochlea. Absence of auditory ossicles would constitute a moderate-severe hearing loss

Bones: Malleus, Incus, Stapes

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7
Q

Malleus

A

the malleus/ hammer is a hammer-shaped small bone/ossicle of the middle ear
- connects w/ the incus & is attached to the inner surface of the eardrum

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8
Q

Incus

A

the incus/anvil is an anvil-shaped small bone/ossicle in middle ear
- Connects the malleus to the stapes

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9
Q

Stapes

A

Stapes/stirrup is stirrup-shaped small bone/ossicle in the middle ear which is attached to the incus & oval window
- the bottom of the stapes on the oval window is called the FOOTPLATE

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10
Q

Oval window

A

A membrane-covered opening which leads f/ the middle ear to the vestibule of the inner ear

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11
Q

Conductive hearing loss

A

mechanical hearing loss, resulting f/ blockage in the ear canal, ruptured eardrum, restric. of mvmt of the ossicles, which prevents sound vibrations being transferred to the cochlea
- seen in otosclerosis

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12
Q

Otosclerosis

A

a form of conductive hearing loss

a condition in which there is abnormal growth of bone in middle ear which can result in hearing loss

-seen in 0.5%-10% of pop., usually starts in middle age
-exact cause is unclear
→ genetic factors play a role, viruses like measles may be involved
-treated w/ hearing aids &/or surgery to remove stapes

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13
Q

Inner ear

A

f/ oval window to auditory nerve

-incl. oval window, round window, cochlea, auditory nerve fibers, & the semicircular canals of the vestibular system

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14
Q

Cochlea

A

the coiled & channeled Amin structure of the inner ear

incl. 3 fluid-filled canals that run along its entire convoluted length
- the fluid filled canals are separated by membranes, one of which is the basilar membrane - which 1000s of hair cells (auditory receptors) are arranged & stimulated by vibration of the stapes

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15
Q

Basilar membrane

A

w/in the cochlea

a stiff structural element that separates 2-liquid filled tubes (the Scala) that run along the coil of the cochlea, - forming a base for hair cells to transduce the sound waves in the cochlear fluid to electrochemical signals in the brain

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16
Q

Tonotopic organization

A

map of tones:

Each section of basilar membrane responds to preferential freq. & the sections are org. f/ high to low.
- Tonotopic org. is also seen in cortex as tonotopic gradients (org. cortical repr. of tones)

17
Q

Inner hair cells

A

the sensory receptors of the auditory system
- located on basilar membrane in the cochlea
-convert sound waves to nerve signals by having their hair-like stereocilia being physically moved by sound waves in the cochlear fluid

Hair cells are columnar ells, each w. a bundles of 100-200 specially stereo cilia at the top. these cilia are mechanosensors for hearing. Lightly resting atop of longest cilia is the TECTORIAL MEMBRANE, which moves back/forth w/ each cycle of sound, tilting cilia & allowing electric current into hair cells

→ Hair cells show graded response, instead of spikes typical of other neutrons

Loud noise can damage/destroy hair cells, (do not regrow). Continued exposure to loud noise causes progressive damage, eventually resulting in hearing loss & sometimes ringing in ears (tinnitus)

18
Q

Stereocilia & Kinocilium

A

Stereocilia: projections @ top of the hair cells that are attached to one another by structures which link the tips of 1 cilium to another
- stretching & compressing the tip links may open an ion channel & produce the receptor potential in the hair cell

Kinocilium: one larger, more stable cilium to which stereo cilium attach at the tips

19
Q

Outer hair cells

A

hair-like cells on basilar membrane
-involved in amplifying sounds & improving frequency selectivity:
only found in mammels

Although there are nearly 3x more outer hair cells than inner hair cells, outer hair cells dont directly transduce sound pressure waves to neural signals

20
Q

Organ of Corti

A

the organ in inner ear of mammals that contain the hair cells ( auditory sensory cells)

Transduction occurs thru vibrations of structures in the inner ear causing displacement of cochlear fluid & mvmt of hair cells @ the organ of Corti → to produce electrochemical signals that activate auditory never fibers synapsing on the inner hair cells.

21
Q

Sensorineural hearing loss

A

hearing loss caused by damage to sensory cells and/or nerve fibers of the vestibulocochlear nerve (auditory nerve/ cranial nerve VIII), inner ear, or central processing centers of the brain
- seen in many forms of congenital & acquired deafness

22
Q

Cochlear implant

A

a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severe hard of hearing.

Most commonly, used when hair cells of patient are damaged/developed w/ a genetic abnormality affecting action potentials

In order for implant to work, auditory nerve fibers (along the basilar membrane) must still be intact, as the electrodes of implant serve to activate these auditory nerve fivers

23
Q

Cochlear nucleus

A

a grp of cell bodies in lower section (medulla) of brainstem
- receive the inputs f/ all auditory nerve fibers coming f/ cochlea

24
Q

Superior olive

A

a small group of cell bodies (nucleus) in middle sections (pons) of the brainstem involved in localization of sound by determ. diff. in the timing (MEDIAL superior olive) & intensity/lvl (LATERAL superior olive) of neural responses f/ each ear for a particular sound

25
Q

Medial superior olive

A

interaural TIME diff- the time diff. of arrival of sounds b/t ears

26
Q

Lateral superior olive

A

Intramural LEVEL diff.- the diff. of the intensity lvl of sounds b/t ears

27
Q

Inferior colliculus (IC)

A

Located below visual processing centers known as superior colliculus

Contains neurons that are tonotopically org. & likely integrates info regarding sound localization

IC projects to thalamus (MGN) & cortex

28
Q

Medial geniculate nucleus (MGN)

A

section of THALAMUS that auditory pathway connects thru prior to reaching primary auditory cortex

29
Q

Lateral sulcus

A

AKA Sylvian fissure / lateral fissure
- fissure = large sulcus
- divides the frontal & temporal lobes of the brain
-primary auditory cortex (A1) is located w/in the lateral sulcus`

30
Q

Superior temporal gyrus

A

the most superior gyrus in the temporal lobe
- situated below lateral sulcus, on which is much of auditory cortex

31
Q

Superior temporal sulcus

A

most superior sulcus in temporal lobe
-situated below superior temporal gyrus

32
Q

Primary auditory cortex (A1)

A

Main area of cortex which 1st processes auditory info in the brain, situated on the interior surface of the lateral sulcus: contains core, belt, and parable subdivisions.
- each subdivision contains multiple AUDITORY FIELD MAPS
→ tonotopy= cortical map of sound frequency (single tones)
→ periodotopy: cortical map of sound time duration (periodicity)

33
Q

Cortical deafness

A

rare form of sensorineural hearing loss
- caused by BILATERAL cortical lesions in P1 located in temporal lobes of brain
(although its likely damage to primary &/or neighboring regions of P1)

Auditory disorder where patient is unable to hear sounds but has no apparent damage to anatomy of ear
(can be thought of combo of auditory verbal agnosia +auditory agnosia)
- patients can’t hear any sounds [not aware of sounds incl. non-speech, voices & speech sound]
- can appear & feel completely deaf, they can still exhibit some reflex response such as turning head toward loud sound

34
Q

Auditory agnosia

A

rare form of agnosia

Manifests itself primarily in the inability to recognize or differentiate b/t sounds.
- not a defect of ear or “hearing “ but rather neurological inability of the brain to pocess sound meaning
- Caused by bilateral damage to anterior superior temporal gyrus (part of the auditory pathway resp. for sound recog., the auditory “what pathway”)

Persons w/ auditory agnosia can physically hear sounds & describe them using unrelated terms but unable to recog. them
- Dont tend to report ‘feeling deaf’

35
Q

Pure word deafness (auditory verbal agnosia)

A

selective inability to comprehend the spoken word, in absence of aphasia or defective basic hearing

Perception of environ. sounds & other complex, non-speech sounds is generally normal

Patients cannot recognize spoken words, making the speech sound unintelligible.

Usually caused by bilateral damage to temporal lobes (often incl. white matter connecting temporal & frontal lobes)
- patients can still read & write)

36
Q

Non-verbal auditory agnosia

A

selective impairment in nonverbal(ex: environs. sounds) auditory comprehension
- in absence of verbal comprehension deficits, other aphasias, or defective basic hearing

-may arise f/ lesions in/near Wernicke’s area

37
Q

Amusia

A

selective inability to recog. musical ones or to reproduce them (agnosia for music)

Involves loss of ability to recog. musical notes, rhythms & intervals & inability to experience music as musical

Patients often describe music as being indistinguishable f/sound of pots baking together

Can be congenital or be acquire later in life f/ brain damage

38
Q

Word meaning deafness

A

inability to understand spoken words despite normal hearing and speech abilities

  • Patients can recognize and repeat spoken words but cannot understand their meanings.