Sympathetic Nervous System Regulation of Auditory Function

<b><i>Background:</i></b> The auditory system processes how we hear and understand sounds within the environment. It comprises both peripheral and central structures. Sympathetic nervous system projections are present throughout the auditory system. The function of sympathetic fibers in the cochlea has not been studied extensively due to the limited number of direct projections in the auditory system. Nevertheless, research on adrenergic and noradrenergic regulation of the cochlea and central auditory system is growing. With the rapid development of neuroscience, auditory central regulation is an extant topic of focus in research on hearing. <b><i>Summary:</i></b> As such, understanding sympathetic nervous system regulation of auditory function is a growing topic of interest. Herein, we review the distribution and putative physiological and pathological roles of sympathetic nervous system projections in hearing. <b><i>Key Messages:</i></b> In the peripheral auditory system, the sympathetic nervous system regulates cochlear blood flow, modulates cochlear efferent fibers, affects hair cells, and influences the habenula region. In central auditory pathways, norepinephrine is essential for plasticity in the auditory cortex and affects auditory cortex activity. In pathological states, the sympathetic nervous system is associated with many hearing disorders. The mechanisms and pathways of sympathetic nervous system modulation of auditory function is still valuable for us to research and discuss.

Changes in Prefrontal Cortex–Thalamic Circuitry after Acoustic Trauma

In the adult auditory system, loss of input resulting from peripheral deafferentation is well known to lead to plasticity in the central nervous system, manifested as reorganization of cortical maps and altered activity throughout the central auditory pathways. The auditory system also has strong afferent and efferent connections with cortico-limbic circuitry including the prefrontal cortex and the question arises whether this circuitry is also affected by loss of peripheral input. Recent studies in our laboratory showed that PFC activation can modulate activity of the auditory thalamus or medial geniculate nucleus (MGN) in normal hearing rats. In addition, we have shown in rats that cochlear trauma resulted in altered spontaneous burst firing in MGN. However, whether the PFC influence on MGN is changed after cochlear trauma is unknown. We investigated the effects of electrical stimulation of PFC on single neuron activity in the MGN in anaesthetized Wistar rats 2 weeks after acoustic trauma or sham surgery. Electrical stimulation of PFC showed a variety of effects in MGN neurons both in sham and acoustic trauma groups but inhibitory responses were significantly larger in the acoustic trauma animals. These results suggest an alteration in functional connectivity between PFC and MGN after cochlear trauma. This change may be a compensatory mechanism increasing sensory gating after the development of altered spontaneous activity in MGN, to prevent altered activity reaching the cortex and conscious perception.

Sudden Sensorineural Hearing Loss in COVID-19: A Case Report and Literature Review

This report describes the case of a 53-year-old man with SARS-CoV-2 infection and occurrence of complete unilateral sensorineural hearing loss, adding new evidence to the association between COVID-19 and hearing loss. Whether this is the result of endothelial cell dysfunction in the cochlea or central auditory pathways remains unclear.

A CASE OF SENSONEURAL HEARING LOSS MANAGED WITH HOMOEOPATHIC SIMILIMUM- AN EVIDENCE BASED CASE REPORT

Sensoneural hearing loss (SNHL) is most common form of hearing loss world-wide. SNHL results from lesions of the cochlea, 8th nerve and central auditory pathways. The causes of SNHL may be congenital, traumatic, infectious, inflammatory, iatrogenic, neoplastic and senile. The development of drugs to treat or prevent SNHL has proven challenging. In modern system of medicine this disease is difficult to treat as treatment is directed towards cause only. Rehabilitation with hearing aids and other devices are also necessary for management of such cases. This article is about a patient of 73 years of age, who was suffering from senile SNHL and improved with homoeopathic medicine, Baryta carb 200, and without need of hearing aid device.

Neurodevelopmental Aspects and Cortical Auditory Maturation in Children with Cochlear Implants

Background and objectives: The cochlear implant is not only meant to restore auditory function, but it also has a series of benefits on the psychomotor development and on the maturation of central auditory pathways. In this study, with the help of neuropsychological tests and cortical auditory potentials (CAEPs), we intend to identify a series of instruments that allow us to monitor children with a cochlear implant, and later on, to admit them into an individualized rehabilitation program. Materials and methods: This is a longitudinal study containing 17 subjects (6 boys and 11 girls) diagnosed with congenital sensorineural hearing loss. The average age for cochlear implantation in our cohort is 22 months old. Each child was tested before the cochlear implantation, tested again 3 months after the implant, and then 6 months after the implant. To test the general development, we used the Denver Developmental Screening Test (DDST II). CAEPs were recorded to assess the maturation of central auditory pathways. Results: The results showed there was progress in both general development and language development, with a significant statistical difference between the overall DQ (developmental quotient) and language DQ before the cochlear implantation and three and six months later, respectively. Similarly, CAEP measurements revealed a decrease of positive-going component (P1) latency after cochlear implantation. Conclusion: CAEPs and neuropsychological tests prove to be useful instruments for monitoring the progress in patients with cochlear implants during the rehabilitation process.

Study of the neural plasticity in adults and older adults new hearing aid users

ABSTRACT Purpose: to monitor, with long-latency auditory evoked potentials, the plasticity of the central auditory pathways in adults and older adults, new users of hearing aids. Methods: a total of 15 adults and older adults, aged 55 to 85 years, participated in the research. They had a symmetric bilateral mild to moderate sensorineural hearing loss, without previous experience with any type of hearing aid. The long-latency auditory evoked potentials were conducted with and without amplification, at 60 and 75 dBnHL, with speech stimulus in a sound field, in two assessment moments: up to one week after fitting the hearing aid and after six months of its use. The Student’s t-test was used for statistical analysis, considering significant the p-value < 0.05. Results: responses with lower latency values were observed for the right ear in the second assessment. Comparing the first with the second assessment, both with and without the hearing aid, an increase in the amplitude of P2-N2 was observed, as well as an increase in the latency of the P2 component at the intensity of 75 dBnHL. No statistically significant differences were observed at the intensity of 60 dBnHL. Conclusion:the use of the hearing aid promoted the plasticity of the central auditory pathways, increasing the number of neurons responsive to the sound stimuli.

Human Frequency Following Response Correlates of Spatial Release From Masking

Purpose Speech recognition in complex listening environments is enhanced by the extent of spatial separation between the speech source and background competing sources, an effect known as spatial release from masking (SRM). The aim of this study was to investigate whether the phase-locked neural activity in the central auditory pathways, reflected in the frequency following response (FFR), exhibits SRM. Method Eighteen normal-hearing adults (8 men and 10 women, ranging in age from 20 to 42 years) with no known neurological disorders participated in this study. FFRs were recorded from the participants in response to a target vowel /u/ presented with spatially colocated and separated competing talkers at 3 ranges of signal-to-noise ratios (SNRs), with median SNRs of −5.4, 0.5, and 6.8 dB and for different attentional conditions (attention and no attention). Results Amplitude of the FFR at the fundamental frequency was significantly larger in the spatially separated condition as compared to the colocated condition for only the lowest (< −2.4 dB SNR) of the 3 SNR ranges tested. A significant effect of attention was found when subjects were actively focusing on the target stimuli. No significant interaction effects were found between spatial separation and attention. Conclusions The enhanced representation of the target stimulus in the separated condition suggests that the temporal pattern of phase-locked brainstem neural activity generating the FFR may contain information relevant to the binaural processes underlying SRM but only in challenging listening environments. Attention may modulate FFR fundamental frequency amplitude but does not seem to modulate spatial processing at the level of generating the FFR. Supplemental Material https://doi.org/10.23641/asha.9992597