This recent study from California (Xiang Wang et al, Hearing Research, Volume 234, Issues 1-2, December 2007, Pages 52-58) reported that the long recognized ototoxic effect of aminoglycosides—gentamycin and streptomycin—is in experimental gerbils model,  not due to direct effect on the outer hair cells.

Editor’s choice :  Aminoglycoside ototocixity & ohc...?

CALORIC TESTING & MRV...?

This series from Melbourne (Vitkovic, Paine & Rance, Audiology & Neurotology  Vol. 13, No 2, 2008) reported significant emetic response to caloric stimulation in patients with migraine-related vertigo as a possible diagnostic sign of this entity from other vertigo with co-existing history of migraine

Text Box: otolaryngologyinafrica.net

December 7 2007

Vol 7, No 4

Otorhinolaryngology news

In this issue

· T-tube & Endoscopic DCR…?

· Caloric Testing & MRV…?

· Aminoglycosides & OHCs

· Case of The Week

Text Box: Biodun Olusesi
 Newsletter Editor
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Journal Watch: Deferring Planned Neck Dissection Following Chemoradiation for Stage IV Head and Neck Cancer: The Utility of PET-CT, Nayak JV et al, 2007

 

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 Biodun

Abstract:  The cochlear outer hair cell (OHC), which plays a crucial role in mammalian hearing through its unique voltage-dependent motility, has been established as a primary target of the ototoxicity of aminoglycoside antibiotics. These polycationic drugs are also known to block a wide variety of ion channels, purinergic ionotropic channels, and nicotinic ACh receptors in hair cells in vitro. The OHC motor protein, prestin, is a voltage-sensitive transmembrane protein containing several negatively charged residues on both intra- and extracellular surface. The acidic sites may be susceptible to polycationic-charged aminoglycoside binding, which may result in disruption of motility. We attempted to examine whether aminoglycosides such as streptomycin and gentamicin could affect OHC motility and its electrical signature, the nonlinear capacitance (NLC) in adult gerbil OHCs. Somatic motility and NLC were measured under the whole-cell voltage-clamp mode. Streptomycin and gentamicin were applied extracellularly or intracellularly. Results show that streptomycin and gentamicin did not change either the magnitude of motility or the NLC. Theses results suggest that, although streptomycin and gentamicin can block mechanotransduction channels as well as ACh receptors in hair cells, they have no direct affect on OHC somatic motility.

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Abstract: This study presents the neuro-otological findings of 523 patients attending a tertiary vestibular clinic with migraine- and nonmigraine-related dizziness. Subjects were categorized into one of 4 groups, definite migrainous vertigo, probable migrainous vertigo, vestibular disorder coexisting with migraine and nonmigraine-related dizziness. No notable relationship was found between the numbers of abnormal findings between the groups for the majority of the neuro-otological tests. However, there was a significant trend in emetic response to caloric testing. The definite migrainous vertigo group were at least 4 times more likely to be nauseous to caloric testing than any other migraine category. This difference was independent of the magnitude of caloric responses between the emetic migraine groups. While further investigation is required, this study has potentially identified that nauseous/emetic response to caloric stimulation may be a distinguishing factor between migrainous vertigo and other vestibular disorders including those with a coexisting history of migraine.

 

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