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Neural substrates of tinnitus severity
International Journal of Psychophysiology ( IF 3 ) Pub Date : 2022-08-29 , DOI: 10.1016/j.ijpsycho.2022.08.009
Manuel Czornik 1 , Niels Birbaumer 2 , Christoph Braun 3 , Martin Hautzinger 4 , Stephan Wolpert 5 , Hubert Löwenheim 5 , Azim Malekshahi 2
Affiliation  

Subjective chronic tinnitus is a prevalent auditory perception characterized by an absence of a corresponding acoustic source. It is often accompanied by hearing deficits and may lead to various psychological problems including sleep disorder, depression and anxiety. To investigate the differential neuronal profile of patients with severe and less severe chronic tinnitus, 34 tinnitus patients were distributed in two groups and their EEG resting state activity was compared. Using standardized Low Resolution Electromagnetic Tomography (sLORETA) a significant and substantial frontal increase in theta wave activity was found in the group with severe tinnitus (p = .013). The correlated severity of depression and anxiety had no influence on the electrophysiological metric. These results support a tinnitus-related global network change in which prefrontal areas are part of a network which exerts a top-down influence on the auditory cortices. The demonstrated slowing of oscillations in the responsible network may constitute a neuronal marker for the prefrontal brain network lacking the capacity to inhibit overexcitation. The magnitude of this influence is linked to the subjective strength of the tinnitus distress.



中文翻译:

耳鸣严重程度的神经基质

主观慢性耳鸣是一种普遍的听觉感知,其特征是没有相应的声源。它通常伴有听力缺陷,并可能导致各种心理问题,包括睡眠障碍、抑郁和焦虑。为了研究重度和轻度慢性耳鸣患者的神经元分布差异,将 34 名耳鸣患者分布在两组中,并比较他们的脑电图静息状态活动。使用标准化的低分辨率电磁断层扫描 (sLORETA),发现严重耳鸣组的 theta 波活动显着且显着的正面增加(p = .013)。抑郁和焦虑的相关严重程度对电生理指标没有影响。这些结果支持与耳鸣相关的全球网络变化,其中前额区域是对听觉皮层施加自上而下影响的网络的一部分。负责任网络中所证明的振荡减慢可能构成前额脑网络缺乏抑制过度兴奋能力的神经元标记。这种影响的大小与耳鸣痛苦的主观强度有关。

更新日期:2022-09-01
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