Salgueiro, Sandra Rodríguez, Niebla, Odelsa Ancheta, Coro Antich, Rosa María, Prieto, Tania Valdés, Pedroso, Yahima Harvey, Jaramillo, Armando Alvaré, Gutiérrez, Pavel Prado, and Rodríguez, Valia Rodríguez
Deafness is one of the most widespread disabilities in the world. Its incidence in Cuba is 2.1 per 1,000 inhabitants. The origin of deafness is mainly sensorineural. This kind of hearing loss is caused by death of cochlear hair cells (located in the organ of Corti), which induces degeneration of spiral ganglion neurons. In a previous light microscopy study using a rat model of ototoxicity, it was observed that the organ of Corti was damaged since the second week of deafness, whereas the loss of spiral ganglion neurons was not significant until the eighth week of deafness. In order to define the onset of degenerative changes, a study by Transmission Electron Microscopy of the organ of Corti and spiral ganglion neurons was carried out. Rat cochleae sampled after 2, 4, 8 and 16 weeks of deafness and healthy controls were analyzed. The supporting cells of the organ of Corti were damaged since the second week. Type I spiral ganglion neurons showed progressive degenerative changes since the fourth week. Myelin sheaths of the peripheral processes innervating the organ of Corti showed signs of degeneration since the fourth week of deafness. Most of the remaining neurons exhibited complete demyelination at sixteen weeks of deafness, resulting in the pathological type III spiral ganglion neurons. The above results indicate that the injury of the organ of Corti induces ultrastructural degenerative changes of the spiral ganglion neurons before the significant loss of these cells and their dendrites. [ABSTRACT FROM AUTHOR]