Tympanic electrocochleography for evaluation of endolymphatic hydrops

There has been increased interest in electrocochleography for the diagnosis and intraoperative monitoring of patients with endolymphatic hydrops. Attention has been focused on the determination of the summating potential: action potential (SP:AP) ratio from alternating polarity clicks. Review of thi...

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Veröffentlicht in:The Laryngoscope 1992-06, Vol.102 (6), p.614-622
Hauptverfasser: Levine, Samuel C., Margolis, Robert H., Fournier, Eric M., Winzenburg, Sandra M.
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container_end_page 622
container_issue 6
container_start_page 614
container_title The Laryngoscope
container_volume 102
creator Levine, Samuel C.
Margolis, Robert H.
Fournier, Eric M.
Winzenburg, Sandra M.
description There has been increased interest in electrocochleography for the diagnosis and intraoperative monitoring of patients with endolymphatic hydrops. Attention has been focused on the determination of the summating potential: action potential (SP:AP) ratio from alternating polarity clicks. Review of this technique at the University of Minnesota led to a reevaluation of the usual interpretation of these recordings. Separate examination of the rarefaction and condensation click recordings provides insight into abnormal response patterns. Cases are presented to illustrate a variety of normal and abnormal patterns including abnormal differences in the latency of condensation and rarefaction‐click‐generated action potentials, increased summating potential, uncanceled cochlear microphonic, and reduced action potential and summating potential amplitudes. These response categories may be useful in understanding the pathophysiology of Meniere's disease.
doi_str_mv 10.1288/00005537-199206000-00005
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Attention has been focused on the determination of the summating potential: action potential (SP:AP) ratio from alternating polarity clicks. Review of this technique at the University of Minnesota led to a reevaluation of the usual interpretation of these recordings. Separate examination of the rarefaction and condensation click recordings provides insight into abnormal response patterns. Cases are presented to illustrate a variety of normal and abnormal patterns including abnormal differences in the latency of condensation and rarefaction‐click‐generated action potentials, increased summating potential, uncanceled cochlear microphonic, and reduced action potential and summating potential amplitudes. These response categories may be useful in understanding the pathophysiology of Meniere's disease.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>1602909</pmid><doi>10.1288/00005537-199206000-00005</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Journals@Ovid Complete
subjects Acoustic Stimulation
Action Potentials - physiology
Adult
Audiometry, Evoked Response - methods
Biological and medical sciences
Cochlea - physiopathology
Diagnosis, Differential
Dizziness - diagnosis
Dizziness - physiopathology
Evoked Potentials, Auditory, Brain Stem - physiology
Female
Hearing Loss - diagnosis
Hearing Loss - physiopathology
Hearing Loss, Sensorineural - diagnosis
Hearing Loss, Sensorineural - physiopathology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Meniere Disease - diagnosis
Meniere Disease - physiopathology
Middle Aged
Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)
Reaction Time - physiology
Tinnitus - diagnosis
Tinnitus - physiopathology
Tympanic Membrane - physiopathology
title Tympanic electrocochleography for evaluation of endolymphatic hydrops
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