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Second-impact syndrome (SIS) occurs when the brain swells rapidly, and catastrophically, after a person has a second concussion before symptoms from an earlier one have subsided. This second blow may occur minutes, days, or weeks after an initial concussion, [ 1 ] and even the mildest grade of concussion can lead to second impact syndrome. [ 2 ]
The ossicles are suspended in the head and loosely coupled to the skull. When the head moves, the ossicles move out of phase with the head, but still follow the same cyclic motion. This causes the stapes to move in and out of the oval window. When vibrations come from the mastoid, inertial bone-conduction is greatest below 800 Hz. Putting the ...
Primary auditory neurons carry action potentials from the cochlea into the transmission pathway shown in the adjacent image. Multiple relay stations act as integration and processing centers. The signals reach the first level of cortical processing at the primary auditory cortex (A1), in the superior temporal gyrus of the temporal lobe . [ 6 ]
The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea (of the inner ear).. The mammalian middle ear contains three ossicles (malleus, incus, and stapes), which transfer the vibrations of the eardrum into waves in the fluid and membranes of the inner ear.
The hair cells are the primary auditory receptor cells and they are also known as auditory sensory cells, acoustic hair cells, auditory cells or cells of Corti. The organ of Corti is lined with a single row of inner hair cells and three rows of outer hair cells. The hair cells have a hair bundle at the apical surface of the cell.
Glasgow Coma Scale (GCS) is the most widely used scoring system used to assess the level of severity of a brain injury. This method is based on the objective observations of specific traits to determine the severity of a brain injury. It is based on three traits: eye opening, verbal response, and motor response, gauged as described below. [35]
The acoustic reflex (also known as the stapedius reflex, [1] stapedial reflex, [2] auditory reflex, [3] middle-ear-muscle reflex (MEM reflex, MEMR), [4] attenuation reflex, [5] cochleostapedial reflex [6] or intra-aural reflex [6]) is an involuntary muscle contraction that occurs in the middle ear in response to loud sound stimuli or when the person starts to vocalize.
Acoustic trauma is an injury to the inner ear that's often caused by exposure to a high-decibel noise. This injury can occur after exposure to a single, loud noise or from exposure to noises at significant decibels over a longer period of time. [medical citation needed] Many cases have included a period of reduced hearing after exposure to loud ...