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Electrocochleography
Electrocochleography (abbreviated ECochG or ECOG) is a technique of recording electrical potentials generated in the inner ear and auditory nerve in response to sound stimulation, using an electrode placed in the ear canal or tympanic membrane. The test is performed by an otologist or audiologist with specialized training, and is used for detection of elevated inner ear pressure (endolymphatic hydrops) or for the testing and monitoring of inner ear and auditory nerve function during surgery. Clinical applications The most common clinical applications of electrocochleography include: * Objective identification and monitoring of Ménière's disease and endolymphatic hydrops (EH) * Intraoperative monitoring of auditory system function during surgery on the brainstem or cerebellum * Enhancement of Wave I of the auditory brainstem response, particularly in patients who are hard of hearing * Diagnosis of auditory neuropathy Cochlear physiology The basilar membrane and the hair cell ...
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Auditory Neuropathy
Auditory neuropathy (AN) is a hearing disorder in which the outer hair cells of the cochlea are present and functional, but sound information is not transmitted sufficiently by the auditory nerve to the brain. Hearing loss with AN can range from normal hearing sensitivity to profound hearing loss. A neuropathy usually refers to a disease of the peripheral nerve or nerves, but the auditory nerve itself is not always affected in auditory neuropathy spectrum disorders. Prevalence in the population is relatively unknown. Neonates with high risk factors for hearing loss have a prevalence of up to 40% (Vignesh, Jaya, & Muraleedharan 2016). These high-risk factors are: hypoxia, low birth weight, premature birth, hyperbilirubinemia, jaundice, and aminoglycoside antibiotic treatments (NIDCD, 2018). Possible sites of lesion Based on clinical testing of subjects with auditory neuropathy, the disruption in the stream of sound information has been localized to one or more of three probable l ...
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Frequency Following Response
The frequency following response (FFR), also referred to as frequency following potential (FFP) or envelope following response (EFR), is an evoked potential generated by periodic or nearly-periodic auditory stimuli.Burkard, R., Don, M., & Eggermont, J. J. Auditory evoked potentials: Basic principles and clinical application. Philadelphia: Lippincott Williams & Wilkins. Part of the auditory brainstem response (ABR), the FFR reflects sustained neural activity integrated over a population of neural elements: "the brainstem response...can be divided into transient and sustained portions, namely the onset response and the frequency-following response (FFR)". It is often phase-locked to the individual cycles of the stimulus waveform and/or the envelope of the periodic stimuli. It has not been well studied with respect to its clinical utility, although it can be used as part of a test battery for helping to diagnose auditory neuropathy. This may be in conjunction with, or as a replacement ...
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Electrocorticography
Electrocorticography (ECoG), or intracranial electroencephalography (iEEG), is a type of electrophysiological monitoring that uses electrodes placed directly on the exposed surface of the brain to record electrical activity from the cerebral cortex. In contrast, conventional electroencephalography (EEG) electrodes monitor this activity from outside the skull. ECoG may be performed either in the operating room during surgery (intraoperative ECoG) or outside of surgery (extraoperative ECoG). Because a craniotomy (a surgical incision into the skull) is required to implant the electrode grid, ECoG is an invasive procedure. History ECoG was pioneered in the early 1950s by Wilder Penfield and Herbert Jasper, neurosurgeons at the Montreal Neurological Institute. The two developed ECoG as part of their groundbreakinMontreal procedure a surgical protocol used to treat patients with severe epilepsy. The cortical potentials recorded by ECoG were used to identify epileptogenic zones � ...
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Oval Window
The oval window (or ''fenestra vestibuli'' or ''fenestra ovalis'') is a membrane-covered opening from the middle ear to the cochlea of the inner ear. Vibrations that contact the tympanic membrane travel through the three ossicles and into the inner ear. The oval window is the intersection of the middle ear with the inner ear and is directly contacted by the ''stapes''; by the time vibrations reach the oval window, they have been reduced in amplitude and increased in force due to the lever action of the ossicle bones. This is not an amplification function, as often incorrectly reported. Rather, it is an impedance-matching function, allowing sound to be transferred from air (outer ear) to liquid (cochlea). It is a reniform (kidney-shaped) opening leading from the tympanic cavity into the vestibule of the internal ear; its long diameter is horizontal and its convex border is upward. It is occupied by the base of the ''stapes'', the circumference of which is fixed by the annular l ...
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Charles Bray
Charles Bray (31 January 1811 – 5 October 1884) was a prosperous British ribbon manufacturer, social reformer, philanthropist, philosopher, and phrenologist. Life Bray was born in 1811 and his education included time in the school run by Mary Franklin. He would have attended chapel every day. Bray became a prosperous ribbon manufacturer who owned the ''Coventry Herald'' newspaper. His father had died in 1835, leaving him and each of his seven siblings a substantial inheritance. Charles married Caroline "Cara" Hennell (4 June 1814 – 21 February 1905) on 26 May 1836 at Hackney in Middlesex. A disciple of the social reformer Robert Owen, he used the wealth generated from his businesses to establish nonsectarian public schools and to try to bring about changes in society. Bray was a pantheist who argued that God cannot be separated from nature.Postlethwaite, Diana. (1984). ''Making it Whole: A Victorian Circle and the Shape of Their World''. Ohio State University Press. ...
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Ernest Wever
Ernest is a given name derived from Germanic word ''ernst'', meaning "serious". Notable people and fictional characters with the name include: People *Archduke Ernest of Austria (1553–1595), son of Maximilian II, Holy Roman Emperor * Ernest, Margrave of Austria (1027–1075) *Ernest, Duke of Bavaria (1373–1438) *Ernest, Duke of Opava (c. 1415–1464) *Ernest, Margrave of Baden-Durlach (1482–1553) *Ernest, Landgrave of Hesse-Rheinfels (1623–1693) *Ernest Augustus, Elector of Brunswick-Lüneburg (1629–1698) *Ernest, Count of Stolberg-Ilsenburg (1650–1710) *Ernest Augustus, King of Hanover (1771–1851), son of King George III of Great Britain *Ernest II, Duke of Saxe-Coburg and Gotha (1818–1893), sovereign duke of the Duchy of Saxe-Coburg and Gotha *Ernest Augustus, Crown Prince of Hanover (1845–1923) *Ernest, Landgrave of Hesse-Philippsthal (1846–1925) *Ernest Augustus, Prince of Hanover (1914–1987) *Prince Ernst August of Hanover (born 1954) * Prince Ernst A ...
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Direct Current
Direct current (DC) is one-directional flow of electric charge. An electrochemical cell is a prime example of DC power. Direct current may flow through a conductor such as a wire, but can also flow through semiconductors, insulators, or even through a vacuum as in electron or ion beams. The electric current flows in a constant direction, distinguishing it from alternating current (AC). A term formerly used for this type of current was galvanic current. The abbreviations ''AC'' and ''DC'' are often used to mean simply ''alternating'' and ''direct'', as when they modify ''current'' or ''voltage''. Direct current may be converted from an alternating current supply by use of a rectifier, which contains electronic elements (usually) or electromechanical elements (historically) that allow current to flow only in one direction. Direct current may be converted into alternating current via an inverter. Direct current has many uses, from the charging of batteries to large power sup ...
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Alternating Current
Alternating current (AC) is an electric current which periodically reverses direction and changes its magnitude continuously with time in contrast to direct current (DC) which flows only in one direction. Alternating current is the form in which electric power is delivered to businesses and residences, and it is the form of electrical energy that consumers typically use when they plug kitchen appliances, televisions, fans and electric lamps into a wall socket. A common source of DC power is a battery cell in a flashlight. The abbreviations ''AC'' and ''DC'' are often used to mean simply ''alternating'' and ''direct'', as when they modify ''current'' or ''voltage''. The usual waveform of alternating current in most electric power circuits is a sine wave, whose positive half-period corresponds with positive direction of the current and vice versa. In certain applications, like guitar amplifiers, different waveforms are used, such as triangular waves or square waves. Audio a ...
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Action Potential
An action potential occurs when the membrane potential of a specific cell location rapidly rises and falls. This depolarization then causes adjacent locations to similarly depolarize. Action potentials occur in several types of animal cells, called excitable cells, which include neurons, muscle cells, and in some plant cells. Certain endocrine cells such as pancreatic beta cells, and certain cells of the anterior pituitary gland are also excitable cells. In neurons, action potentials play a central role in cell-cell communication by providing for—or with regard to saltatory conduction, assisting—the propagation of signals along the neuron's axon toward synaptic boutons situated at the ends of an axon; these signals can then connect with other neurons at synapses, or to motor cells or glands. In other types of cells, their main function is to activate intracellular processes. In muscle cells, for example, an action potential is the first step in the chain of events l ...
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Postsynaptic Potential
Postsynaptic potentials are changes in the membrane potential of the postsynaptic terminal of a chemical synapse. Postsynaptic potentials are graded potentials, and should not be confused with action potentials although their function is to initiate or inhibit action potentials. They are caused by the presynaptic neuron releasing neurotransmitters from the terminal bouton at the end of an axon into the synaptic cleft. The neurotransmitters bind to receptors on the postsynaptic terminal, which may be a neuron or a muscle cell in the case of a neuromuscular junction. These are collectively referred to as postsynaptic receptors, since they are on the membrane of the postsynaptic cell. The role of ions One way receptors can react to being bound by a neurotransmitter is to open or close an ion channel, allowing ions to enter or leave the cell. It is these ions that alter the membrane potential. Ions are subject to two main forces, diffusion and electrostatic repulsion. Ions wil ...
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Spiral Ganglion
The spiral (cochlear) ganglion is a group of neuron cell bodies in the modiolus, the conical central axis of the cochlea. These bipolar neurons innervate the hair cells of the organ of Corti. They project their axons to the ventral and dorsal cochlear nuclei as the cochlear nerve, a branch of the vestibulocochlear nerve (CN VIII). Structure Neurons whose cell bodies lie in the spiral ganglion are strung along the bony core of the cochlea, and send fibers (axons) into the central nervous system (CNS). These bipolar neurons are the first neurons in the auditory system to fire an action potential, and supply all of the brain's auditory input. Their dendrites make synaptic contact with the base of hair cells, and their axons are bundled together to form the auditory portion of eighth cranial nerve. The number of neurons in the spiral ganglion is estimated to be about 35,000–50,000. Two apparent subtypes of spiral ganglion cells exist. Type I spiral ganglion cells comprise the ...
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Adenosine Triphosphate
Adenosine triphosphate (ATP) is an organic compound that provides energy to drive many processes in living cells, such as muscle contraction, nerve impulse propagation, condensate dissolution, and chemical synthesis. Found in all known forms of life, ATP is often referred to as the "molecular unit of currency" of intracellular energy transfer. When consumed in metabolic processes, it converts either to adenosine diphosphate (ADP) or to adenosine monophosphate (AMP). Other processes regenerate ATP. The human body recycles its own body weight equivalent in ATP each day. It is also a precursor to DNA and RNA, and is used as a coenzyme. From the perspective of biochemistry, ATP is classified as a nucleoside triphosphate, which indicates that it consists of three components: a nitrogenous base (adenine), the sugar ribose, and the Polyphosphate, triphosphate. Structure ATP consists of an adenine attached by the 9-nitrogen atom to the 1′ carbon atom of a sugar (ribose), which i ...
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