The Vestibular Epithelia in Experimental Hydrops

Morpho-pathological features, observed by scanning electron microscopy, in guinea pigs with endolymphatic hydrops of 4-14 months included shortening of the hair cell tufts, loss of tufts, retraction of sensory hair cells away from the surrounding tissue and hair cell loss. After 22 months of hydrops, there was complete loss of hair cells with indifferentiation of the epithelium. The loss of ciliary tufts involved loss of both stereocilia and kinocilia identified as short stubs and holes respectively. Control macular epithelia showed no hair tuft loss although ampullae in control ears could show some loss

Quantitative Evaluation of Scanning Electron Microscopy-Examined Ciliary Morphological Changes in Control and Noise Exposed Guinea Pig Cochleas

Many investigations of noise-induced hearing loss have demonstrated a poor correlation between hearing threshold and hair cell loss. One reason for this is that more subtle changes in the hair cell, such as detailed morphological changes of stereocilia, have not been evaluated. However, examining such changes increases the problem of distinguishing experimental pathological changes from artefacts. Preparation of the specimen for scanning electron microscopy (SEM) may result in too many artefacts for an adequate quantification of defects due to noise exposure. One problem with some earlier studies seems to be lack of controls and/or statistical analysis for the purpose of eliminating the influence of artefacts and spontaneous degeneration. The aim of this study was to compare unexposed and noise-exposed cochleas examined with SEM in order to determine if subtle changes due to noise could be distinguished from preparation artefacts and from spontaneous deterioration. Ten different types of hair cell changes were found in exposed and control animals. By means of using controls for statistical comparison with noise-exposed animals two cell damage categories hair cell loss and missing stereocilia were found to be produced by exposure to noise

Impulse noise and continuous noise of equivalent frequency spectrum and total sound energy

It has been proposed that impulse noise and continuous noise affect the inner ear differently and investigations have found impulse noise to be harmful to both the inner hair cells and the outer hair cells. Scanning electron microscopy and non-standard methods for statistical analysis have facilitated the evaluation of different types of morphological changes after exposure to various kinds of noise. Morphological differences were compared in groups of guinea pigs exposed to either impulse noise or continuous noise of equivalent duration, spectral content and energy. Functionally, the groups also showed similar threshold elevations. In order to separate the two groups, subtle hair cell changes were recorded and evaluated either alone, in combination with each other or with hair cell loss. It was found that both the inner hair cells and the outer hair cells were affected differently by impulse noise than by continuous noise even though the auditory thresholds were similar

Impulse noise of different durations

This paper describes a comparison between auditory threshold elevations and morphological cochlear changes evaluated with scanning electron microscopy in order to identify cochlear defects in guinea pigs exposed to impulse noise of varying durations. There was a significant difference in the auditory threshold shifts between animals exposed for 3 and 12 hours. Hair cell loss is generally used as a morphological correlate to noise-induced hearing loss. Minor stereocilia changes, quantified with non-standard statistical methods have been used as a complement. Morphologically, it was not possible to separate cochleas exposed to impulse noise for 3 and 12 hours when only lost hair cells were evaluated. Quantitative evaluation of subtle morphological changes are valuable in the correlation of noise-induced hearing loss with morphologic changes

Hyperprolactinemia in some Meniere patients even in the absence of incapacitating vertigo

Stress can be a significant factor influencing ear pathologies and is often reported to trigger the symptoms of Meniere's disease. Both physiological and psychological stress provokes the release of prolactin from the pituitary thus allowing the classification of prolactin as a major stress hormone. We investigated the level of the stress hormone prolactin in a Swedish population with early symptoms of Meniere's disease. The median prolactin level in the Meniere patients (n = 33) was not significantly different from that of non-Meniere patients (n = 23). However, in the Meniere group one female (90 year old) had prolactin levels in the upper normal range for women, one male (77 year old) had prolactin levels above the normal limit for men, and a third patient (76 year old female) presented hyper prolactinemia with more than twice the normal level. MR1 confirmed a pituitary adenoma in this patient. This study provides further support for the recent report of hyperprolactinemia in some patients with long-standing Meniere's disease and presenting incapacitating vertigo in France. The data emphasize the likely implication of stress in this pathology where the stress hormone prolactin is likely to represent one actor in a complex hormonal imbalance affecting the inner ear