Neuroanatomy of tinnitus.

Scandinavian audiology. Supplementum Pub Date : 1999-01-01
A H Lockwood, R J Salvi, R F Burkard, P J Galantowicz, M L Coad, D S Wack
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Abstract

We tested the hypothesis that tinnitus was due to excessive spontaneous activity in the central auditory system by seeking cerebral blood flow (CBF) changes that paralleled changes in the loudness of tinnitus in patients able to alter the loudness of their tinnitus. We found CBF changes in the left temporal lobe in patients with right ear tinnitus, in contrast to bilateral temporal lobe activity associated with stimulation of the right ear. The tones activated more extensive portions of the brain in patients than controls. We conclude that tinnitus is not cochlear in origin and associated with plastic transformations of the central auditory system. We suggest that tinnitus arises as a consequence of these aberrant new pathways and may be the auditory system analog to phantom limb sensations in amputees.

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耳鸣的神经解剖学。
我们通过寻找脑血流量(CBF)变化来验证耳鸣是由于中央听觉系统过度自发活动引起的假设,这些脑血流量变化与能够改变耳鸣响度的患者耳鸣响度的变化相平行。我们发现右耳耳鸣患者左颞叶CBF变化,与右耳刺激相关的双侧颞叶活动相反。与对照组相比,这些音调激活了患者大脑更广泛的部分。我们得出结论,耳鸣的起源不是耳蜗,而是与中枢听觉系统的塑性转化有关。我们认为耳鸣是这些异常的新通路的结果,可能是听觉系统类似于截肢者的幻肢感觉。
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Crises. Central auditory tests. Neuroanatomy of tinnitus. Clinical relevance of medial efferent auditory pathways. Selected management approaches to central auditory processing disorders.
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