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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(12): 1867-73. |
Effect of Urea Dehydration on the Electrocochleography in Normal Ears |
Cheong Sam Lee, MD, and Yong Soo Yim, MD |
Department of Otolaryngology, College of Medicine, Kosin University, Pusan, Korea |
요소에 의한 탈수가 정상 이(耳)의 고막외 전기와우도에 미치는 영향 |
이정삼 · 임용수 |
고신대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
The ratio of the amplitudes of summating potential(SP) to action potential(AP), commonly referred to as the SP/AP ratio, has been suggested as a diagnostic tool for Meniere’s disease. It was confirmed in many studies that an abnormally large SP in Meniere’s disease causes an abnormally increased SP/AP ratio of electrocochleogram(ECoG). Recent studies in patients with Meniere’s disease and in animal models of endolymphatic hydrops have demonstrated a decrease in SP toward normal and a reduction of the SP/AP ratio after glycerol dehydration. However, the lack of control data for normal individuals makes it difficult to interpret small changes in SP/AP ratio in patients with endolymphatic hydrops. This study was, therefore, undertaken to evaluate changes in electrochochleogram of normal subjects in reponse to a dehydration induced by urea administration. Fourty five volunteers without otologic disease were tested three-times with extratympanic ECoG. The SP and AP were measured at a 95 dB HL of click stimulus. The results are as follows : 1) The SP/AP ratio was not significantly different between the male and female subjects both in the baseline and dehydration conditions. 2) There was no difference in the SP/AP ratio between the right and left ears of the same subject. 3) In the left ears of 35 males, the dehydration SP/AP ratio at 60 and 90 minutes after urea administration were lower than the baseline SP/AP ratio. 4) The SP/AP ratio tended to decrease as the serum osmolality increased in 24 males.
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Keywords:
ECoGㆍDehydrationㆍUreaㆍSerum osmolalityㆍSP/AP ratio. |
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