Conscious hearing is usually a complex post-construction related to previous experiences.
The hearing of external physical stimuli is primarily automatic and unconscious.
Most sensed sounds are never made conscious.
Based on previous experiences, the brain has stored certain differentiated memories in different parts of the brain, created variable algorithms which sounds should be made conscious in different contexts.
Hearing is often fragmented and previously stored sound memories in many different brain regions allow us to automatically and unconsciously make educated guesses as to what we should actually hear.
When we sleep, the activity in the auditory areas is as high as when we are awake. During sleep, all unimportant sounds are suppressed. During sleep there is some form of unconscious hearing where important sounds make us consciuos and we wake up.
Stroke in an area outside the auditory cortex can cause the cognitive meaning of heard sounds to disappear or in the case of a stroke in another area can cause the emotional meaning of heard sounds to disappear.
The meaning of one's own language occurs automatically and to some extent unconsciously. Never heard words are made conscious and possibly the context can give the meaning.
Hallucinations are examples of conscious automatic hearing without external physical stimuli.
During anesthesia, the auditory cortex is activated in a similar way as during sleep. New study suggests that this is not related to external or internal stimuli. The researchers believe that recorded activity is spontaneous nerve activity.
We found that, although thalamic inputs to the cortex are distinct between spontaneous and evoked activity, under anesthesia sound stimuli engage stereotyped cortical cell assemblies that are already present in spontaneous activity. By contrast, sound stimuli evoke sound-specific cell assemblies in awake conditions, when sounds are perceived by the animal.
Filipchuk et al. show that when awake mice perceive sounds, the auditory cortex produces sound-specific neuronal assemblies distinct from its ongoing activity, whereas under anesthesia sound-evoked assemblies are indistinguishable from ongoing activity.
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