Neural interaction in the human spiral ganglion: a TEM study.

A TEM study was performed on freshly fixed human spiral ganglions (HSG) collected during skull base surgery. This technique gives well preserved tissue for ultrastructural analysis. Unlike spiral ganglion cells in mature animals so far studied, most HSG cells lack a myelin coat, but are surrounded by a thin rim of Schwann cell (SC) cytoplasm. In the region of maximal innervation density (upper basal and middle turn), HSG cells were frequently ensheathed by the same Schwann cell, forming a "unit-like" structure. In this region the cells often showed signs of physical interaction where the SCs were frequently incompletely developed ("gaps") so that the cell membranes of adjacent ganglion cells (sometimes as many as four in one section plane) were in direct apposition. In one thin section as many as 20 of 100 ganglion cells were found to face the cell membrane, at any point, of an adjacent cell. At these "gaps" in the SC, complexes of cell membrane specializations occurred between individual HSG cells. The same nerve junctions were also found between unmyelinated nerve fibres and the body of large ganglion cells. Our findings may challenge the view that afferent information in the acoustic nerve is conveyed uninterrupted to the CNS at the level of the spiral ganglion.