Wk2b - AN and Electrode Hurdles Flashcards

1
Q

What is a neuron?

A

A specialized cell that generates an action potential in response to a stimulus

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2
Q

What is a nerve?

A

A bundle of nerve fibres (axons).

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3
Q

How is the tonotopic array preserved in the auditory nerve?

A

Nerve fibres from the apex carrying low frequency information are found in the center of the nerve. High frequency fibres are found on the outside.

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4
Q

In the resting state, the hair cell activation gates are ____ (open/closed) and a resting potential of ____ mV is maintained.

A

Closed; -70 mV

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5
Q

An action potential is generated at ____ mV in a hair cell

A

50 mV

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6
Q

The phase during which Na+ ions flood through the channels is called _______

A

Depolarization

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7
Q

What are the resting potentials of each compartment of the cochlea?

A

Scala tympani: 0 mV
Scala media: +80 mV
Scala vestibuli: +2-5 mV

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8
Q

Which structure is responsible for maintaining the positive potential of scala media in comparison to the other 2 compartments?

A

The stria vascularis; this leads to a difference of 150 mV across the tops of the hair cells (the highest voltage difference in the human body)

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9
Q

What is the name of the neurotransmitter released into the synaptic space b/w the hair cell and dendrite?

A

Glutamate

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10
Q

What is spontaneous firing? How frequently is it found in auditory fibres?

A

The firing of an axon in the absence of an acoustic stimulus; auditory fibres may fire spontaneously 0-100 times per second

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11
Q

Higher velocities are generated by ____ (quieter/louder) sounds and they will generate _______ (Lower/higher) spike rates

A

louder; higher

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12
Q

True or False: Spike rate is not proportional to BM velocity under 200 Hz

A

False

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13
Q

Define refractory period

A

The period (about 1 ms) after a stimulus during which a single neuron cannot fire again

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14
Q

When strongly stimulated, most auditory neurons fire at rates up to ______ spikes per second

A

500

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15
Q

What is the neural threshold?

A

The min stimulus level causing a significant increase in discharge rate; spike rate will increase with level up until “saturation”

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16
Q

What does the spike rate encode?

A

The level of sound

17
Q

What are the two ways amplitude is encoded?

A

Rate Level

Spread of Excitation

18
Q

How does characteristic frequency relate to stimulus level?

A

The CF for a neuron is the freq at which the lowest stimulus level is required to achieve neural threshold

19
Q

Lower spontaneous rate neurons have ____ (Lower/higher) thresholds

A

Higher

20
Q

Amplitude can be more accurately encoded by combining different fibers with different thresholds. This increases the overall ________ _______

A

Dynamic range

21
Q

How does the spread of excitation help encode amplitude?

A

More parts of the BM (more IHCs) will be moving/stimulated with louder sounds -> more stimulation of the AN

22
Q

What are the two types of frequency coding?

A
  1. Place-coding: by knowing which fibers are firing, the auditory system knows which part of the BM was activated
  2. Temporal coding: low and intermediate frequencies (<500 Hz) result in neurons firing in a phase-locked manner (cannot do at high frequencies d/t refractory period)
23
Q

If a stimulus is <500 Hz, the neuron may fire once in each stimulus cycle. What is this called?

A

Entrainment

24
Q

What is half-wave rectification?

A

When only one peak of the stimulus waveform causes depolarization and neuron firing (only depolarization will cause stimulus firing, not hyperpolarization)

25
Q

What is Volley Theory?

A

Combines temporal coding across many fibers (even if some cycles are skipped, when the response is observed across many fibers, the cycles are all filled)
- utilizes phase locking in auditory neurons up to 5 kHz

26
Q

Summary: What are the two ways to code:
Frequency
Level

A

Frequency: Place coding and temporal coding
Level: Firing rate and spread of excitation

27
Q

Where does CI electrical stimulation need to reach?

A

Peripheral axons of auditory neurons and spiral ganglion

28
Q

Name one problem with the location of the CI electrode?

A

It is surrounded by fluid, which prevents it from being able to effectively target one neuronal area, and it is separated from the neurons by bone.

29
Q

What is CI channel interaction?

A

The fact that electrical fields from individual electrodes overlap

30
Q

What is another problem regarding the axons and hair cells of a deafened inner ear?

A

After the hair cells are lost (prolonged deafness), the axons begin to degenerate., and neurons are lost in the spiral ganglion

31
Q

What are the 3 physiological obstacles to electrical hearing?

A

Anatomy - excitable structures are distanced and behind bone
Neural degeneration - spiral ganglion and peripheral processes
Central auditory system changes - cortical development and plasticity

32
Q

What is a consideration regarding whether to have one CI or two?

A

Normal hearing uses two ears best for noise management and localization.
- persons with bilateral CIs are better at sound localization than those with unilateral CIs

33
Q

What physiological and perceptual performance differences do we see between early and late implatation?

A
  • cortical areas of the brain are similar for early-implant users and normal listeners
  • cortical reorganization can occur in late-implanted individuals, which might make it difficult to get good results with a CI later on
34
Q

What happens if there is no input to the auditory cortex during the critical window?

A

Other areas of the cortex ‘take over’ and you won’t reach normal performance

35
Q

What happens to the P1 latency of late implanted CIs compared to early implants?

A

Early implanted CI’s will eventually enter the normal range (by 6-8 months).
For those implanted late, the P1 latency will decrease, but never to the normal range, suggesting some difficulty

36
Q

When does CI stimulation provide the most benefit?

A

When provided prior/during sensitive periods in early development (as measured by PBK Word score)

37
Q

True or False: CIs typically provide very good speech perception in quiet for pre-lingually implanted children and post-lingually deafened adults

A

True. Speech perception in noise and other challenging situations remain a challenge