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Medicine Notes Neurology Notes

Sound And The Structure Of The Auditory System Notes

Updated Sound And The Structure Of The Auditory System Notes

Neurology Notes

Neurology

Approximately 117 pages

These notes helped me achieve a mark of 76% in my neurology exam, which is the equivalent of a 1st. The notes are based on a series of 49 lectures on the subject. This is a very good, thorough and in depth review of the nervous system. They are very clearly laid out and easy to follow. They cut out unnecessary information on the topic, making the notes very concise, and fast to get through. Anyone studying medicine, or any other subject requiring knowledge of the nervous system (e.g. physiology o...

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Lecture 35, 38 & 40

Sound and Structure of the Auditory System

  • Properties and perception of sound

    • Amplitude or ‘loudness’ (dB)

    • Frequency or ‘pitch’ (Hz)

  • Conductive pathway for sound

    • Conductive- outer ear

      • External auditory canal

      • Tympanic membrane (eardrum)

    • Middle ear

      • Malleus; Incus; Stapes (in the oval window)

      • Round window (covered by secondary tympanic membrane)

    • Sensory-Inner ear

      • Semicircular canal (vestibular branch of VIII)

      • Cochlea (cochlea branch of VIII)

      • Auditory tube

  • The ear- structure and function

    • Middle ear function- impedance matching

      • More energy required to move fluid than air

      • Ossicles have lever action

      • Eardrum to round window surface area= 20:1 in humans

      • Results in 20x pressure, enough to move fluid

      • Without impedance matching only 0.1% energy transfer

    • Middle ear- ossicular reflex

      • Protective reflex against loud sounds (>70dB)

      • Stiffens lever reducing energy conduction (done by tensor tympani muscle & stapes muscle)

      • No role above 1 or 2kHz in man

      • Helps discrimination where lots of low freq. Noise

      • Ineffective for impulse noise (50-100ms delay)

    • Inner ear

      • 1, 7 & 8= Vestibular system (semi-circular canals)

      • 10= Oval window moved by ossicles

      • 11= Round window

      • 13= Cochlea

      • 5= Basilar membrane inside cochlea

    • Cochlea

      • Spiral structure

      • Fluid filled, compartmentalised

  • Cochlear fluids

    • Perilymph

      • Resembles CSF

      • Bathes cell bodies of organ of Corti

      • K 7mM; Na 140mM; 0mV potential

    • Endolymph

      • Resembles ICF

      • Sealed in tight compartment

      • Bathes surface of organ of Conti

      • Maintained by stria vascularis

      • K 145mM; Na 1mM; +80mV potential

  • In mammals, organ of Corti=organ of hearing

    • Located on flexible basilar membrane

    • Inner & outer hair cells- sensory

    • Spiral ganglion nerve cells

    • Associated with supporting and non-sensory cells

    • Hair cells held rigidly

  • The specialist hair cells

    • Hair cells- sound to nerve impulse

      • Inner (IHCs- 3,500)) and Outer (OHCs- 12,000) hair cells

      • Afferent & efferent connections

      • Sensitive to damage and disease (not replaced in mammals)

      • Mechano-electrical transduction

    • The sensory hair cells

  • Stereocilia (hair bundle)

    • Mechanosensing organelles ofhair cells

    • Respond to fluid motion for various functions (hearing and balance)

    • Turn the fluid pressure and other mechanical stimuli into electric stimuli via the many microvilli that make up stereocilia rods

    • Lined up in theOrgan of Cortiwithin thecochleaof the inner ear

    • Transform the mechanical energy of sound waves into electrical signals for hair cells, leads to an excitation of theauditory nerve

    • Cytoplasm with embedded bundles of cross-linkedactinfilaments

      • Actin anchor to terminal web & top of cell membrane

    • Myosin, fimbrins and actin

  • The basilar membrane

    • Maximum displacement of the basilar membrane occurs at different positions depending on frequency of sound

    • Movement of stapes displaces fluid in scala vestibuli

      • Travelling wave

      • Displaces basilar membrane

  • Stimulus transduction

    • Bundle stimulation opens ion channels

      • Mechanism

        • Sound wave moves hair cells

        • Tip links-gated springs are attached to channels of adjacent hair cells, and pulls them open

        • Mechanically-gated transducer channels open

        • K ions rush in from the Endolymph, then Ca rushes in too, making the hair cell more positive

      • Movements are tiny

        • Saturation at 20nm

        • Perceptible sound at 0.3nm

    • Hair cell transduction

      • Hair cells move, channels open

      • K & Ca rush into hair cell from Endolymph (+80mV)=Depolarisation (-55mV)

      • This depolarisation causes Ca to rush in leading to NT release into nerves

      • Hyperpolarisation then takes place in the cell

    • Hair cells- ion channels and membrane proteins

      • Inner hair cells

        • Potential= -65 to -70mV

        • Most afferent innervation

        • Channels

          • Out= IK,s; IK,f (Ca)

          • In= L-type CA; IT

      • Outer hair cells

        • Potential=-75mV

        • Mostly efferent innervation

        • No/less Ca channels=less transmitter release

        • Prestin; AChR

        • Channels

          • In= IT

          • Out= IK(Ca); IKn

    • Hair cell innervation and function

      • OHC

        • Type II afferent (5%)

        • 1:50 neurone to OHCs

        • Thin, unmyelinated

      • IHC

        • Type I afferent (90%)

        • 1:1 neurone to IHCs

        • Each IHC many neurones

        • Thick, myelinated

    • Differences in hair cell innervation

      • IHC

        • Mainly afferent nerve connections via SGN

        • Efferent connections are postsynaptic

        • IHC= sound encoders

      • OHC

        • Mainly efferent connections from brain stem

Neural encoding in the auditory system

  • Encoding frequency

    • Stimulus, IT, receptor potential and firing

      • Rest= some IT

      • +ve stimulus= increased IT

      • -ve stimulus= decreased IT

    • Encoding frequency

      • Low frequencies

        • Sound wave come along

        • Causes bundle movement, back and forth (decreased/increased IT)

        • Receptor potential voltage (mV) goes up and down as this happens

        • Auditory nerve impulses with change in potential= ‘PHASE-LOCKED’

        • Low frequency sounds can be encoded by phase-locking up to ~1kHz

          • Receptor potential and nerve can follow stimulus

      • High frequencies

        • Receptor potential voltage cannot keep oscillating as frequency too high, so stays up

        • Auditory nerve impulses non ‘phase-locked’ (can’t keep up)

  • Tonotopy

    • General

      • From basilar membrane

      • Spatial arrangement of sound frequency

      • Sound waves propagate along basilar membrane

      • Membrane has regional variations in fibrous structure

      • Maximal displacement on frequency of stimulus

      • Base= Thin, narrow & stiff (high frequency); Apex= Wide & floppy (low)

    • From basilar membrane to brain

      • Tonotopic map maintained at all relay positions on way to auditory cortex

      • Stimulation of hair cells dependent on membrane displacement

      • Tonotopic map gives spectral analysis of sounds

      • Isolated bands of cortex responding to different frequencies

      • Spatial maps=common feature of sensory systems

  • Cochlear amplifier

    • OHCs are active

      • Depolarisation activates PRESTIN (motor protein) fast

      • Rigidly held cells contract, amplifying basilar membrane movement

        • When they shorten=basilar membrane narrower and stiffer= amplified movement

      • Gain modulated by efferent system...

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