Frontiers in Neurology,
Journal Year:
2021,
Volume and Issue:
12
Published: March 18, 2021
Although
tinnitus
represents
a
major
global
burden,
no
causal
therapy
has
yet
been
established.
Ongoing
controversies
about
the
neuronal
pathophysiology
of
hamper
efforts
in
developing
advanced
therapies.
Hypothesizing
that
unnoticed
co-occurrence
hyperacusis
and
differences
duration
may
possibly
differentially
influence
neural
correlate
tinnitus,
we
analyzed
33
patients
without
(T-group)
20
with
(TH-group).
We
found
crucial
between
T-group
TH-group
increase
annoyance,
complaints,
loudness,
central
gain
as
function
duration.
Hearing
thresholds
did
not
differ
TH-group.
In
TH-group,
complaints
(total
score)
were
significantly
greater
from
early
on
intensity
distinctly
increased
over
time
ca.
12
to
17
dB
when
persisted
more
than
5
years,
while
annoyance
responses
normal
sound
remained
nearly
constant.
contrast,
constant,
although
declined
27
down
15
beyond
years
persistence.
This
was
explained
through
gradually
time,
shown
by
questionnaire.
Parallel
shift
mainly
unilateral
(only
17%
bilateral)
completely
bilateral
(100%)
percept
occurred
T-group,
dominated
start
(75%).
Over
ABR
wave
V
amplitudes
(and
V/I
ratios)
reduced
delayed.
By
especially
III
III/I
ratio)
continued
be
enhanced
shortened
response
high-level
stimuli.
Interestingly,
line
signs
an
also
slightly
T-group.
The
findings
disclose
undiagnosed
main
cause
distress
time.
To
achieve
urgently
needed
personalized
therapies,
using
objective
tools
offered
here,
systematic
sub-classification
is
recommended.
Brain,
Journal Year:
2023,
Volume and Issue:
146(12), P. 4809 - 4825
Published: July 27, 2023
Mechanistic
insight
is
achieved
only
when
experiments
are
employed
to
test
formal
or
computational
models.
Furthermore,
in
analogy
lesion
studies,
phantom
perception
may
serve
as
a
vehicle
understand
the
fundamental
processing
principles
underlying
healthy
auditory
perception.
With
special
focus
on
tinnitus-as
prime
example
of
perception-we
review
recent
work
at
intersection
artificial
intelligence,
psychology
and
neuroscience.
In
particular,
we
discuss
why
everyone
with
tinnitus
suffers
from
(at
least
hidden)
hearing
loss,
but
not
loss
tinnitus.
We
argue
that
intrinsic
neural
noise
generated
amplified
along
pathway
compensatory
mechanism
restore
normal
based
adaptive
stochastic
resonance.
The
increase
can
then
be
misinterpreted
input
perceived
This
formalized
Bayesian
brain
framework,
where
percept
(posterior)
assimilates
prior
prediction
(brain's
expectations)
likelihood
(bottom-up
signal).
A
higher
mean
lower
variance
(i.e.
enhanced
precision)
shifts
posterior,
evincing
misinterpretation
sensory
evidence,
which
further
confounded
by
plastic
changes
underwrite
predictions.
Hence,
two
provide
most
explanatory
power
for
emergence
perceptions:
predictive
coding
top-down
resonance
complementary
bottom-up
mechanism.
conclude
both
also
play
crucial
role
Finally,
context
neuroscience-inspired
improve
contemporary
machine
learning
techniques.
Advanced Science,
Journal Year:
2023,
Volume and Issue:
11(3)
Published: Nov. 28, 2023
Abstract
OTOF
mutations
are
the
principal
causes
of
auditory
neuropathy.
There
reports
on
Otof
‐related
gene
therapy
in
mice,
but
there
is
no
preclinical
research
drug
evaluations.
Here,
Anc80L65
and
mouse
hair
cell‐specific
Myo15
promoter
(mMyo15)
used
to
selectively
effectively
deliver
human
cells
mice
nonhuman
primates
evaluate
efficacy
safety
drugs.
A
new
dual‐AAV
‐OTOF‐
hybrid
strategy
transfer
full‐length
generated,
which
can
stably
restore
hearing
adult
p.Q939*/Q939*
with
profound
deafness,
longest
duration
being
at
least
150
days,
best
therapeutic
effect
without
difference
from
wild‐type
mice.
An
AAV
microinjection
method
into
cochlea
cynomolgus
monkeys
impairment
further
established
found
be
safely
driven
by
mMyo15
cells.
In
addition,
dose
drugs
has
impact
normal
does
not
cause
significant
systemic
toxicity
both
primates.
summary,
this
study
develops
a
potential
for
DFNB9
patients
clinic
provides
complete,
standardized,
systematic
data
clinical
application.
Ear and Hearing,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 3, 2025
Objectives:
Hearing
aids
(HAs)
are
a
widely
accepted
first-line
treatment
option
for
individuals
suffering
from
both
hearing
loss
and
chronic
tinnitus.
Though
HAs
highly
effective
at
improving
speech
understanding,
their
effectiveness
in
ameliorating
tinnitus
symptoms
is
less
clear.
In
recent
years,
several
investigators
have
reported
on
attempts
to
predict
using
an
array
of
variables.
These
included
attributes
(e.g.,
frequency,
loudness,
character),
audiological
characteristics
degree
configuration
loss),
or
HA
signal
processing
parameters
gain,
noise
reduction
processing).
The
aims
this
study
were
determine
whether
(1)
usage
improves
tinnitus-related
distress
subjective
loudness
and,
if
so,
(2)
loss,
HA-use
time,
the
accuracy
fitting
influence
effect.
Design:
Participants
recruited
as
part
“Unification
Treatments
Interventions
Tinnitus
Patients
(UNITI)”
study,
large
multicenter
randomized
controlled
trial
conducted
across
five
European
sites.
Here,
we
report
60
participants
with
mild-to-moderate
that
HAs-only
arm
UNITI.
programmed
according
National
Acoustic
Laboratories-Nonlinear
2
Desired
Sensation
Level
((i/o)
v.5)
prescriptive
formulas
was
verified
in-situ
verification.
Subsequently,
underwent
12-week
phase.
Improvements
measured
Handicap
Inventory
(THI)
Functional
Index
(TFI),
well
(dB
HL),
assessed
after
6
12
weeks
treatment.
Accuracy
operationalized
deviation
real
ear–aided
response
target
parameters,
specified
by
respective
formula.
Results:
Participants’
time
averaged
4.8
hr/d
(SD
2.4
hr/d)
over
Multilevel
regression
analyses
revealed
significant
reductions
scores
(THI:
F
(2,156)
=
7.80,
p
<
0.01;
TFI:
(2,155)
8.79,
0.01)
treatment,
compared
baseline.
After
usage,
THI
decreased
11.64
points
TFI
12.80
points,
average.
There
no
further
statistically
between
M
1.75,
0.89;
−1.58,
0.91).
Contrary
expectations,
none
factors
predicted
these
effects.
Subjective
remained
unchanged
(M
1.90;
(1,105)
0.40,
0.53).
Conclusions:
associated
distress—irrespective
attributes,
characteristics.
Future
research
designs
include
additional
predictors,
control
groups
larger,
more
heterogeneous
samples
needed
clarify
mechanisms
change
amplification
Human Brain Mapping,
Journal Year:
2024,
Volume and Issue:
45(3)
Published: Feb. 15, 2024
Abstract
The
hippocampus
and
parahippocampal
gyrus
have
been
implicated
as
part
of
a
tinnitus
network
by
number
studies.
These
structures
are
usually
considered
in
the
context
“limbic
system,”
concept
typically
invoked
to
explain
emotional
response
tinnitus.
Despite
this
common
framing,
it
is
not
apparent
from
current
literature
that
necessarily
main
functional
role
these
persistent
Here,
we
highlight
different
encompasses
their
most
commonly
position
within
brain—that
is,
memory
system.
We
consider
an
auditory
object
held
memory,
which
may
be
made
associated
activity
gyrus.
Evidence
animal
human
studies
implicating
reviewed
used
anchor
for
hypothesis.
potential
hippocampus/parahippocampal
facilitate
maintenance
percept
via
communication
with
cortex,
rather
than
(or
addition
to)
mediating
responses
percept.
Frontiers in Neural Circuits,
Journal Year:
2022,
Volume and Issue:
15
Published: Jan. 6, 2022
Neuronal
hyperexcitability
in
the
central
auditory
pathway
linked
to
reduced
inhibitory
activity
is
associated
with
numerous
forms
of
hearing
loss,
including
noise
damage,
age-dependent
and
deafness,
as
well
tinnitus
or
processing
deficits
autism
spectrum
disorder
(ASD).
In
most
cases,
accompanying
are
interpreted
an
active
compensatory
response
absence
synaptic
activity,
increased
neural
gain
control
(increased
output
relative
input).
We
here
suggest
that
also
could
be
related
immaturity
impairment
tonic
strength
typically
develops
activity-dependent
process
ascending
experience.
these
high-SR
nerve
fibers,
which
critical
for
shortest
latencies
lowest
sound
thresholds,
may
have
either
not
matured
(possibly
congenital
deafness
autism)
dysfunctional
after
sudden,
stressful
trauma
loss
cognitive
decline).
Fast
can
occur
despite
maintained
basal
hearing.
case,
nuclei,
fast
parvalbumin
positive
interneuron
(PV-IN)
dendrites
diminished
frontal
brain
regions.
This
leads
hippocampal
LTP/LTD
deficiencies,
deficits,
unbalanced
extra-hypothalamic
stress
control.
Under
conditions,
a
weaken
local
neuronal
coupling
homeostatic
vascular
responses
required
metabolic
support
adjustment
processes.
emphasize
need
distinguish
two
states
excitatory/inhibitory
imbalance
disorders:
(i)
conditions
preserved
sustained
strength,
following
deprivation
maintain
precise
through
memory
linked,
transient
disinhibition
enhanced
spiking
fidelity
(central
gain⇑)
(ii)
critically
part
synchronization
over
broader
frequency
range,
reliability
gain⇓).
latter
stage
mutually
reinforces
processes,
increasing
risks
canonical
dementia
syndromes.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: April 7, 2023
Tinnitus
is
the
perception
of
a
ringing,
buzzing
or
hissing
sound
"in
ear"
without
external
stimulation.
Previous
research
has
demonstrated
changes
in
resting-state
functional
connectivity
tinnitus,
but
findings
do
not
overlap
and
are
even
contradictory.
Furthermore,
how
altered
tinnitus
related
to
cognitive
abilities
currently
unknown.
Here
we
investigated
differences
between
20
patients
with
chronic
control
participants
matched
age,
sex
hearing
loss.
All
underwent
magnetic
resonance
imaging,
audiometric
assessments,
filled
questionnaires
targeting
anxiety
depression.
Significant
were
obtained.
However,
did
find
significant
associations
scores
coupling
default
mode
network
precuneus
superior
parietal
lobule,
supramarginal
gyrus,
orbitofrontal
cortex.
Further,
distress
correlated
lateral
occipital
complex.
This
first
study
providing
evidence
for
disruptions
that
dysfunctions
tinnitus.
The
constant
attempt
decrease
sensation
might
occupy
certain
brain
resources
otherwise
available
concurrent
operations.