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(2007) Galantamine treatment ofvascular dementia: a randomized trial. The basis for therelatively selective damage to the basal cochlea is not clear,but mechanical, vascular, and toxic-metabolic theorieshave been proposed—the mechanical theory postulatesshear forces from a “jet effect” at this location, whereasthe vascular theory maintains that this region is suscep-tible to ischemia because it is at the juncture of the maincochlear and cochlear ramus arteries, and the toxic-meta-bolic theory implicates late development of free radicalsin mitochondria followed by excitotoxic neural swellingand induction of apoptotic cell death in the organ of Corti(Lim and Melnick, 1971; Yamane et al., 1995; Hendersonet al., 2006; Le Prell et al., 2007)

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