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Inner Hair Cells
Sensory receptors in the cochlea that transmit auditory information to the brain.
Outer Hair Cells
Cells that amplify sound and enhance sensitivity in the cochlea.
Cerebrospinal Fluid Spaces
Fluid-filled cavities in the brain that change in relation to aging.
Traveling Wave
A phenomenon in acoustics where sound waves travel through the cochlea, creating a wave-like motion that stimulates hair cells.
Neural Plasticity
The brain's ability to change and adapt in response to experience and learning.
inner hair cell position and function
responsible for conveying place and timing concerning point of maximum perturbation by traveling wave
in a single, longitudinal row along the internal side of the organ of Corti, within the cochlear duct of the inner ear
outer hair cell position and function
amplifying sound arriving at cochlea by means of active response to incoming auditory system
located in the Organ of Corti within the cochlea of the inner ear, arranged in three to four neat rows
basilar membrane
and are found on the outer side of the tunnel of Corti, positioned closer to the outer spiral sulcus
directional depolarization of hair cells
deflection of cilia (both cells have) by traveling wave of cochlea causes depolarization of hair cell with subsequent activation of VIII nerve
tip links connect cilia so they moves an unit
movement of cilia opens ion channels allowing K+ to enter hair cells
Potassium depolarizes hair cell in same manner as depolarization of a neuron, initiating a response in the VIII nerve fibers
inner- depolarizes and activates nerve
outer- shortens post depolarization
age/size of brain maturation
structural maturation continues until about age 32.
While physical size reaches roughly 90% of adult capacity by age 5, critical refinement—particularly in the prefrontal cortex—continues through the mid-20s and into the early 30s.
age/size of brain degeneration
significant brain shrinkage (about 5% per decade) and cognitive decline frequently accelerate after age 60–70
steady loss of brain volume, typically starting around age 35, accelerating after age 60 to a reduction of over 0.5% per year
inner ear developmental milestones
pinna- week 6; swelling called oracle helix in mesenchyme on either side of 1st pharyngeal groove become pinna
external auditory meatus- week 8- 18; indentation in myoscheme will become EAM
week 8-9; tube is filled with embryonic fluid that fetus is floating in and doesn’t want to enter into any of this through an opening
inner ear- days 22-24: begins as otic pit and then otic placode
day 32- edges of black coat fuse to form otic vesicle which is primordial membranous labyrinth
week 8-12- otic vesicle (primordial membranous labyrinth) gives rise to all of inner ear; saccular portions differentiate into saccules and cochlear ducts
week 17- all scalae are present
week 9-11- VIII nerve fibers to migrate to spiral ganglion
week 8-12- semicircular canals come from utricular portion; cochlear duct develops from saccular portion
week 20- inner ear is adult size
week 25- fetus can respond to sound
week 27- VIII nerve myelination begins
week 28- ABR can be licited
cochlear developmental milestones
week 8- can see all turns of cochlea
week 11- see scala tympani
week 17- all scalae are present
week 9-11- VIII vestibulocochlear nerve form spinal ganglion
weeks 22-25- fetus can hear
•Newborns can localize sounds
–By 5 months you can condition an infant to localize to one side versus the other
–By 5 years the child is as good as an adult at localization
•Speech discrimination
–Rapid improvement in late childhood and is mature by 12 years
postnatal EAM, TM, and Pinna changes
TM- horizontal at 2 to 3 years
pinna- grows rapidly between birth and 3 years of age
postnatal middle ear and auditory tube
middle ear cavity volumes increases until 20 years
auditory tube- cartilaginous portion increases in volume as adulthood approaches
postnatal development of inner ear
inner ear structures are essentially complete at birth
postnatal development of inner ear and auditory pathways
cochlea- complete by 3 months
VIII vestibulocochlear nerve complete at 3 months and myelineated by 24 months
auditory pathway growth and development
•Brainstem nuclei continue to develop, maturing at 1-1/2 years
•Olivocochlear system matures at 6 months
•Myelin on pathways continue to develop through 4 years
•ABR is present at birth, but continues to develop and mature through childhood
•Efferent system matures around 6 mo.
•VIII nerve myelin complete at 24 months
•Auditory cortex myelin complete at12 years!
development of auditory acuity
•Hearing function develops into adolescence
–At birth, threshold is between 25 and 45 dB HL
•6 month old has near-adult threshold above 4 K Hz but low frequencies have higher thresholds
–Threshold improves to 10-15 dB HL by 5 years
•Frequency discrimination
–Adults can hear 1% difference in frequency (JND) between 2 tones
–At 12 months, infants hear a 2% difference
–Achieve adult levels by 11 years old
•Intensity discrimination
–Adult can hear that tones are different if they are 1-2 dB different from each other
–5 month old hears as different if the level difference is 6 dB
–Develops into adulthood
relationship between aging and cerebrospinal fluid spaces
As individuals age, the volume of the brain tends to decrease due to neurodegeneration and other age-related structural changes.
This can lead to an enlargement of the ventricles and increased periventricular spaces, often seen in neuroimaging studies. Additionally,
the production and reabsorption of CSF may also decline, potentially contributing to altered pressure and flow dynamics in the CNS.
relationship between aging and changes in grey matter
As individuals age, there is a significant loss of grey matter volume in the brain, particularly in areas associated with cognitive functions.
This reduction is linked to neurodegenerative processes, leading to cognitive decline and impairments in memory, learning, and executive functions.
The decline in grey matter begins as early as middle age and continues throughout later years.
What is the traveling wave in the context of hearing?
The traveling wave refers to the wave of displacement that occurs in the cochlear fluid as sound vibrations enter the cochlea.
It starts at the base of the cochlea and travels towards the apex, where different frequencies stimulate specific regions of the basilar membrane.
This wave is crucial for the process of converting sound vibrations into neural signals that can be interpreted by the brain.
auditory cranial nerve muscle innervation
The auditory cranial nerve, also known as the vestibulocochlear nerve (CN VIII), innervates the inner ear structures involved in hearing and balance(hair cells)
While it does not innervate muscles directly, its function is closely related to the perception of sound and spatial orientation, with connections to the brainstem and other cranial nerves that may be involved in reflexive actions related to auditory stimuli.
development from the neural plate
The neural plate arises from the ectoderm during embryonic development and thickens to form the neural tube, which will eventually develop into the central nervous system
nervous system arises from neural plate
plate folding is introduced by nodal cord which facilitates the tumor formation and differentiation to the nervous system
neural crest migration in week 4 forms structures of basic MAC
neural plasticity
strongest in early life
experience-dependent learning
language exposure shapes auditory cortex
brain development
synaptogenesis (birth or beginning)→ pruning (the brain's natural, necessary process of eliminating weak, unused, or redundant neural connections (synapses) to improve efficiency and strengthen crucial pathways)→ specialization (specific areas of the brain are dedicated to processing particular types of information or performing distinct tasks)
myelination improves speed and efficiency
critical/sensitive periods
aging (peripheral changes)
presbycusis- age-related HL that does not include HL from noise exposure or disease conditions, just means aging and not working as well, degeneration of of hair cells, blood supply, and spiral ganglion deterioration
high-frequency loss
hair cell degeneration
reduced cochlear function
aging (central auditory changes)
slower neural processing
reduced temporal resolution- not getting full-on effect of differentiating 1 sound from another, sound like muffling
difficulty in noise
aging (brain changes)
cortical atrophy
reduced neural synchrony- simultaneous firing of neurons or the alignment of brain waves between individuals during social interaction
compensatory recruitment (bilateral activation)- a neuroplastic phenomenon where older adults or individuals with brain injury utilize both hemispheres for tasks that typically rely on only one hemisphere in younger adults
types of hearing loss
Hearing loss can be categorized into three main types: conductive, sensorineural, and mixed.
Conductive hearing loss- occurs when sound is not conducted effectively through the outer ear canal to the eardrum and the tiny bones of the middle ear, often due to blockages or damage.
Sensorineural hearing loss- results from damage to the inner ear or the auditory nerve pathways, affecting the ability to hear faint sounds and hear clearly in noisy environments.
Mixed hearing loss- is a combination of both conductive and sensorineural loss, indicating issues in both sound conduction and nerve transmission.
postnatal development of inner ear and auditory development
cochlea- complete by 3 months and myelinated by 24 months
autoacoustic measures are mature at birth
born hearing is life hearing
postnatal middle ear
middle ear cavity- volume increases until adulthood at age of 20
auditory tube- direction towards the face and downward
cortical structures affected by aging
cortex, hippocampus, amygdala, thalamus, and cerebellum
cortical volume steady decline around age 20 to end of life
left prefrontal cortex most affected- less prefrontal cortex as we age, volume decreasse
stays same size on surface because ventricles are increasing (shrinks on inside)
subcortical structures affected by aging
brainstem- lose white matter around 50, declines steadily as we age (midbrain, inferior and superior calcula, and red nucleus are affected most)
cerebellum- pathway loses spine, reduced coordination and postural control
loss of gray and white matter- begins at 12
amygdala and olfactory system- loses volume after 60, older individuals do not lose ability to regulate emotions
cognitive functions- decline in 50s, numeric ability starts in 20s
normal aging decline
cognition and motor function
reduction in volume, synapses, and myelin in brain
neuron loss in hippocampus and white matter loss in brainstem and cerebellum
fetal audition development
week 8- EAM open, incus and malleus present, tympanic cavity form
week 9- 3 layers of TM present
week 11- cartilage laid around cochlea, VIII attaches to cochlear duct
week 12- sensory cells in cochlea, membranous labyrinth complete, optic capsule ossify
week 13- EAM reopening
week 15- stapes formed
week 16- ossification of malleus/incus
week 18- pinna detaches from head, stapes begins ossification
week 20- inner ear mature, adult size, auricle is adult shape
week 21- EAM open, meatal plug disintegrates exposing TM
week 22- pinna is adult form, cochlea myelin begins developing
week 25- fetus hears sound
week 27- VIII nerve begins myelination
week 28- auditory brainstem response can be elicited
week 32- malleus and incus ossification complete
week 33- auditory cortex activated by sound
week 35- synapses from VIII on cochlear nucleus
week 37- stapes continues development to adulthood
week 40- stapes continues development to adulthood