A surface recorded vestibular evoked response to acceleration in cats

Vestibular and cochlear ototoxicity of topical antiseptics assessed by evoked potentials

OBJECTIVES/HYPOTHESIS

To evaluate and compare the effect of chlorhexidine gluconate, povidoneiodine, and alcohol-three antiseptics used before ear surgery-on the function of the vestibular and cochlear parts of the sand rat's inner ear. The assessment of damage is based on the recording of vestibular evoked potentials (VsEPs) and auditory brainstem response (ABR).

STUDY DESIGN

Prospective controlled animal study.

METHODS

Fat sand rats were randomly assigned to five different groups, each receiving topical application of a different agent: saline (control), gentamicin (ototoxic control), chlorhexidine, povidone-iodine, and alcohol. Right-side total labyrinthectomy was performed, and a polyethylene tube was inserted into the left (contralateral) middle ear. After baseline recordings were taken of VsEPs and ABR, each animal received five consecutive daily applications of the specific agent into the left middle ear. Three days after the fifth application, evoked potential recordings (VsEPs and ABRs) were repeated and compared with baseline measurements.

RESULTS

Administration of saline affected neither VsEPs nor ABR. In contrast, as expected, neither of these responses could be recorded after gentamicin application. After application of chlorhexidine all waves disappeared in all sand rats. Alcohol caused the waves to disappear in some of the animals only. Povidone-iodine did not affect VsEP recordings and had only a small effect on ABR.

CONCLUSIONS

Chlorhexidine and alcohol had a clear toxic effect on the vestibular and cochlear function of the inner ear of the sand rat, whereas povidone-iodine did not. Thus, taking into consideration that this is an animal study, it appears that povidone-iodine might be preferable to the other agents tested in disinfecting ears with a perforated tympanic membrane.

Peripheral generators of the vestibular evoked potentials (VsEPs) in the chick

Electrophysiological activity in response to linear acceleration stimuli was recorded from young chickens by means of subcutaneous electrodes. This investigation had 2 purposes: (1) to establish the vestibular origin of the potentials; and (2) to investigate the contribution of each vestibular labyrinth to the response. The stimuli consisted of pulses of linear acceleration delivered by a mechanical vibrator (shaker). In the first set of experiments vestibular evoked potentials (VsEPs) were recorded prior to and 24 h after bilateral cochlea removal. In the second set of experiments responses were recorded before and after unilateral or bilateral intralabyrinthine injections of tetrodotoxin (TTX). Different groups of subjects were used for each experimental condition. The general morphology of the VsEPs was maintained after bilateral cochlea removal. Absolute latency of wave P2, the most prominent component of the response, was not significantly affected by the manipulation. Unilateral intralabyrinthine TTX injections consistently prolonged the latency and reduced the amplitude of wave P2. Following binaural TTX injections we were unable to elicit responses at the acceleration levels used in this study. The results from these experiments suggest that: (1) the activity recorded in response to linear acceleration stimuli is vestibular in origin; (2) when recorded from intact animals the evoked response is composed of activity from both vestibular systems; and (3) TTX consistently blocks the activity of the vestibular portion of the VIIIth cranial nerve.

Short latency vestibular responses to pulsed linear acceleration

Far-field vestibular responses to pulsed linear cranial acceleration have not been reported in detail for any species. In this study, precisely defined pulsed linear accelerations were used to elicit vestibular neural responses recorded from the surfaces of the skulls of 23 White Leghorn chicks. Traditional signal averaging techniques were used to resolve responses. At moderate intensities, responses consisted of a series of four to seven dominant peaks occurring within a period of 8 ms, having amplitudes between 0.3 and 20 microV peak-to-peak. The mean response threshold was 0.120 +/- 0.045 g. Latencies and amplitudes varied systematically as a function of stimulus intensity. Hypothermia prolonged response latencies. Response peaks did not invert on stimulus inversion, were present in response to cranial but not trunk acceleration, were not attenuated by broad-band auditory masking or by ambient light conditions, and disappeared with complete bilateral destruction of the labyrinth. The results rule out major contributions from auditory, somatosensory, and visual modalities and support the hypothesis that the responses reflect bilateral neural activity in the vestibular system. The findings suggest that direct noninvasive assessment of peripheral vestibular function can be achieved using pulsed linear acceleration stimuli.

Pulsed linear acceleration as a vestibular stimulus in electrophysiological investigations

A simple method of generating precisely defined pulsed linear acceleration stimuli was developed and used to study vestibular responses to cranial acceleration. Electromechanical shakers were coupled to a stimulus platform. The platform, in turn, was used to couple stimuli to the skull. Movements were controlled by a voltage waveform (V(t] applied to shakers. Software algorithms were used to synthesize voltage functions (V(t]. The resulting acceleration was monitored [a(t)] and used to generate velocity [v(t)] and position [x(t)] functions (first and second integrals of a(t), respectively). The characteristics of stimuli used in physiological experiments are described. The system provides precise control of the timing and amplitude of acceleration, velocity and position pulses to the cranium and has proved to be valuable in developing noninvasive electrophysiological measures of peripheral and central vestibular function.