The medial nucleus of the trapezoid body (MNTB) is specialized for high frequency firing by expression of Kv3 channels, which minimize action potential (AP) duration, and Kv1 channels, which suppress multiple AP firing, during each calyceal giant EPSC. However, the outward K + current in MNTB neurons is dominated by another unidentified delayed rectifier. It has slow kinetics and a peak conductance of ∼37 nS; it is half-activated at −9.2 ± 2.1 mV and half-inactivated at −35.9 ± 1.5 mV. It is blocked by several non-specific potassium channel antagonists including quinine (100 μm) and high concentrations of extracellular tetraethylammonium (TEA; IC 50 = 11.8 mm), but no specific antagonists were found. These characteristics are similar to recombinant Kv2-mediated currents. Quantitative RT-PCR showed that Kv2.2 mRNA was much more prevalent than Kv2.1 in the MNTB. A Kv2.2 antibody showed specific staining and Western blots confirmed that it recognized a protein ∼110 kDa which was absent in brainstem tissue from a Kv2.2 knockout mouse. Confocal imaging showed that Kv2.2 was highly expressed in axon initial segments of MNTB neurons. In the absence of a specific antagonist, Hodgkin-Huxley modelling of voltage-gated conductances showed that Kv2.2 has a minor role during single APs (due to its slow activation) but assists recovery of voltage-gated sodium channels (Nav) from inactivation by hyperpolarizing interspike potentials during repetitive AP firing. Current-clamp recordings during high frequency firing and characterization of Nav inactivation confirmed this hypothesis. We conclude that Kv2.2-containing channels have a distinctive initial segment location and crucial function in maintaining AP amplitude by regulating the interspike potential during high frequency firing. Potassium currents have multiple and diverse roles in shaping electrical signalling, with different suites of voltage-gated and rectifying non-gated channels setting neuronal membrane potentials, firing threshold, action potential waveform and firing patterns. Identification of the channel family and subunits contributing to these functions in native neurons is complicated by their heterogeneous subunit composition, their particular functional localization to the plasma membrane and by the absence of specific antagonists for some families. For these reasons the full complement of the K + channels and subunits underlying native K + currents are still not known for any identified central neuron. We have focused on studying the potassium currents of a 'simple' neuron This paper has online supplemental material.within the medial nucleus of the trapezoid body (MNTB), which serves as a relay in the binaural circuits involved in sound source localization. These neurons receive the glutamatergic calyx of Held giant synapse, which reliably triggers postsynaptic APs with large, well-timed EPSCs which have a magnitude of around 30 times firing threshold. In vivo recordings show the calyceal input fires spontaneously at frequencies ranging between 0 and 100 Hz ...