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 |
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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. 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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.</description><subject>Acoustic Stimulation</subject><subject>Action Potentials - physiology</subject><subject>Adult</subject><subject>Audiometry, Evoked Response - methods</subject><subject>Biological and medical sciences</subject><subject>Cochlea - physiopathology</subject><subject>Diagnosis, Differential</subject><subject>Dizziness - diagnosis</subject><subject>Dizziness - physiopathology</subject><subject>Evoked Potentials, Auditory, Brain Stem - physiology</subject><subject>Female</subject><subject>Hearing Loss - diagnosis</subject><subject>Hearing Loss - physiopathology</subject><subject>Hearing Loss, Sensorineural - diagnosis</subject><subject>Hearing Loss, Sensorineural - physiopathology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Meniere Disease - diagnosis</subject><subject>Meniere Disease - physiopathology</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</subject><subject>Reaction Time - physiology</subject><subject>Tinnitus - diagnosis</subject><subject>Tinnitus - physiopathology</subject><subject>Tympanic Membrane - physiopathology</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtv1DAUhS1EVYbCT0DKomIXuI7fy6pvadRKVYHCxrIdhwn1xKk9U8i_b4ZMp9t6Y_nc75xrHYQKDF9wJeVXGA9jRJRYqQr4-Cr_S2_QDDOCS6oUe4tmABUpJavu3qH3Of8BwIIw2Ef7mEOlQM3Q6e2w7E3XusIH71YpuugWwcffyfSLoWhiKvyjCWuzamNXxKbwXR3D6FmMiisWQ51inz-gvcaE7D9u7wP07ez09viinF-fXx4fzUvHgLJSYJDK1c5Z7pVQloG0EizlnkorrKqlBeetqcAQxRzHDTNc1MQYXDlDKTlAn6fcPsWHtc8rvWyz8yGYzsd11oKMHXAqR1BOoEsx5-Qb3ad2adKgMehNg_q5Qb1rcJJG66ftjrVd-vrFOFU2zg-3c5OdCU0ynWvzDqOcMkI32MmE_W2DH169Xs-Pbn4yRjFs1M1vyimmzSv_bxdj0r3mggimf1yd619336uTixusKXkCHqibRw</recordid><startdate>199206</startdate><enddate>199206</enddate><creator>Levine, Samuel C.</creator><creator>Margolis, Robert H.</creator><creator>Fournier, Eric M.</creator><creator>Winzenburg, Sandra M.</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199206</creationdate><title>Tympanic electrocochleography for evaluation of endolymphatic hydrops</title><author>Levine, Samuel C. ; Margolis, Robert H. ; Fournier, Eric M. ; Winzenburg, Sandra M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5045-71089cdccb6e979b508b80b46e48b7b9d8b0ceba20a395c61f5a67d3aa12ca443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Acoustic Stimulation</topic><topic>Action Potentials - physiology</topic><topic>Adult</topic><topic>Audiometry, Evoked Response - methods</topic><topic>Biological and medical sciences</topic><topic>Cochlea - physiopathology</topic><topic>Diagnosis, Differential</topic><topic>Dizziness - diagnosis</topic><topic>Dizziness - physiopathology</topic><topic>Evoked Potentials, Auditory, Brain Stem - physiology</topic><topic>Female</topic><topic>Hearing Loss - diagnosis</topic><topic>Hearing Loss - physiopathology</topic><topic>Hearing Loss, Sensorineural - diagnosis</topic><topic>Hearing Loss, Sensorineural - physiopathology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Meniere Disease - diagnosis</topic><topic>Meniere Disease - physiopathology</topic><topic>Middle Aged</topic><topic>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</topic><topic>Reaction Time - physiology</topic><topic>Tinnitus - diagnosis</topic><topic>Tinnitus - physiopathology</topic><topic>Tympanic Membrane - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Levine, Samuel C.</creatorcontrib><creatorcontrib>Margolis, Robert H.</creatorcontrib><creatorcontrib>Fournier, Eric M.</creatorcontrib><creatorcontrib>Winzenburg, Sandra M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levine, Samuel C.</au><au>Margolis, Robert H.</au><au>Fournier, Eric M.</au><au>Winzenburg, Sandra M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tympanic electrocochleography for evaluation of endolymphatic hydrops</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1992-06</date><risdate>1992</risdate><volume>102</volume><issue>6</issue><spage>614</spage><epage>622</epage><pages>614-622</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>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.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>1602909</pmid><doi>10.1288/00005537-199206000-00005</doi><tpages>9</tpages></addata></record> |
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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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