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Hyperacusis may be described as a decreased threshold for discomfort from sound. It may have a serious impact on an individual's lifestyle, as a result of decreased sociability and inability to spend time with family and friends due to intolerance of sound.
Subject:
We present a case of hyperacusis associated with depression, with no other audiological abnormality. The patient reported greater difficulty during the depressive episode.
Method:
Audiological investigation was undertaken, followed by counselling and medication for depression.
Results and conclusion:
The pathophysiological mechanism of hyperacusis in depression is discussed. Outcomes following treatment with directive counselling and lithium (an antidepressant) are described. Research indicates that both hyperacusis and depression can be caused by hypoactivity of 5-hydroxytryptamine (also known as serotonin) in the brain. The patient reported improvement which cannot be explained solely on the basis of counselling. Enhancement of serotonin activity due to lithium, prescribed for depression, may also play a role in alleviation of hyperacusis.
This paper addresses the vibratory mechanics associated with frequency discrimination of basilar membrane within the cochlear of the inner ear. Periodic excitation is provided to the oval window, which results in generation of waves within the fluid-filled cochlear traveling towards the apex. These waves interact with the compliant basilar membrane structure causing its vibratory motion. Solution procedure of the fluid/structure model consists of a two-step process. First, a finite element calculation (ANSYS) solves for the membrane vibration with an initial harmonic pressure distribution. Second, a control volume analysis links the resultant vibratory motion with the fluid pressure acting on the basilar membrane, thus a pressure feedback loop is accomplished. Results show that dominant factors affecting vibratory characteristics of the basilar membrane are its structural geometry and attenuation of pressure wave as it travels away from the oval window. Calculations clearly capture the designed function of the basilar membrane, principally its frequency discrimination behavior.
The distribution of post-natal bone deposition was examined in the cochlea of 10-, 25-, 50- and 90-day-old dogs that had been intraperitoneally injected with tetracycline (20 mg/kg) five days before sacrifice. The temporal bones were embedded in methylmethacrylate and sectioned in a single mid-modiolar section 30 μm thick. The post-natal bone deposition occurs both on the periosteal surfaces and on the vascular canals of the endochondral layer until the age of 90 days. Scattered bone deposition is also shown on the endosteal layer of the three turns and on the spiral lamina until the age of 25 and 10 days respectively. The percentage extension of the osteogenetic fronts shows a higher value at the periosteal layer than at the endochondral or endosteal layers.
A cochlear fistula found in a naturally healed mastoid cavity is reported. The patient is a 53-year-old Japanese woman who was complaining of unsteadiness. She hada long history of otorrhoea in childhood. Her tympanic and mastoid cavities were widely open and were covered by thin epithelium. The posterior wall of the ear canal was missing. She had no hearing in the ear but responded to electrical promontory testing. Exploratory surgery was indicated at which fistulae of the basal turn of the cochlea and the horizontal semicircular canal were found. These fistulae were sealed by pieces of bone andmuscle.
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