• M Vischer, A Haenggeli, J Zhang, M Pelizzone, R Häusler, and E M Rouiller.
• University Clinic of ENT, Head and Neck Surgery, Inselspital, Bern, Switzerland.
• Am J Otol. 1997 Nov 1; 18 (6 Suppl): S27-9.

HypothesisElectrical stimulation of the cochlea at high rates induces significant adaptation of the auditory nerve.BackgroundA new development of cochlear implants is the use of speech processors delivering electrical pulses on the implanted electrodes at high rates, such as 1,000 pulses per second (pps) and above. Such a stimulation mode allows subjects with cochlear implants to reach excellent understanding of speech.MethodsLong Evans-rats received implantation of stimulating electrodes in the left cochlea. Two hundred-millisecond trains of short (20 microns) monophasic pulses were delivered in 50% duty cycle at 500 microA above threshold. The pulse rate in the train was increased from 100 pps to 1,500 pps. Electrically evoked auditory brainstem responses (EABR) were recorded. The amplitude of the compound action potential of the auditory nerve to each single pulse in the train was measured as the first vertex positive wave (WAVE I) of the EABR.ResultsAt 100 and 200 pps, WAVE I amplitudes to each pulse were large and remained stable throughout the pulse train. For increasing pulse rates, WAVE I amplitudes progressively decreased during the first 40 to 50 ms of the train and reached 80% at 300 pps to 15% at 1,500 pps of the maximal amplitude observed for the first pulse in the train.ConclusionsThe decrease of the WAVE I amplitude in response to high-rate pulsatile stimulation reflects an adaptation of the auditory nerve due, at least in part, to the refractory period of auditory nerve fibers.

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