Differential effect of adaptation on the ipsi- and contralateral auditory brainstem pathways

Ipsilateral and contralateral auditory brainstem response reorganization in hemispherectomized patients

Background. Cortical hemispherectomy leads to degeneration of ipsilateral subcortical structures, which can be observed long term after the operation. Therefore, reorganization of the brainstem auditory pathway might occur. The aim of this study was to assess reorganization of brainstem auditory pathways by measuring the auditory brainstem response (ABR) in long-term hemispherectomized patients. Methods. We performed bilateral monaural stimulation and measured bilateral ABR in 8 patients ~20 years after hemispherectomy and 10 control subjects. Magnetic resonance imaging (MRI) was performed in patients to assess structural degeneration. Results. All patients showed degenerated ipsilateral brainstem structures by MRI but no significant differences in bilateral recording ABR wave latencies. However, nonsurgical-side stimulation elicited significantly longer wave V latencies compared to surgical-side stimulation. Differences in bilateral ABR were observed between hemispherectomized patients and control subjects. Waves III and V latencies elicited by nonsurgical-side stimulation were significantly longer than those in control subjects; surgical-side stimulation showed no significant differences. Conclusions. (1) Differences in ABR latency elicited by unilateral stimulation are predominantly due to bilateral brainstem auditory pathway activity rather than to changes in brainstem volume; (2) ABR Waves III and V originate predominantly in the contralateral brainstem; and (3) subcortical auditory pathways appear to reorganize after long term hemispherectomy.

Functional development of the auditory brainstem in the tammar wallaby (Macropus eugenii): the superior olivary complex and its relationship with the auditory brainstem response (ABR)

Twenty pouch-young tammar wallabies (Macropus eugenii) were used to determine the generator of the auditory brainstem response (ABR) during development through ABR and focal superior olivary complex (SO) recordings. A click response from the SO in the wallaby was recorded from postnatal day (PND) 112 when the ABR was only a positive-negative deflection. Before PND 120, the SO response did not contribute to the ABR as it occurred outside the ABR time-span. After PND 140, the SO response was correlated with multiple waves of the ABR with its dominant component corresponding to the ABR P3 wave. The latency, threshold, and amplitude of the SO response developed to the adult-like level at PND 140, while the rate-following ability in the SO response reached the adult level at PND 160. Presumably this was due to more complicated mechanisms underlying the auditory adaptation. The adaptation of the SO response was directly proportional to the stimulus rate and intensity as well as developmental status. Developmental comparison between the ABR and the focal responses from four auditory brainstem nuclei indicated that each ABR component may have a dominant contributor from the auditory brainstem, but there was no simple and exclusive association between the ABR component and the auditory brainstem nuclei.