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Tinnitus and Multimodal Cortical Interaction.

Christian DobelMarkus JunghöferBirgit MazurekEvangelos ParaskevopoulosJoachim Groß
Published in: Laryngo- rhino- otologie (2023)
The term of subjective tinnitus is used to describe a perceived noise without an external sound source. Therefore, it seems to be obvious that tinnitus can be understood as purely auditory, sensory problem. From a clinical point of view, however, this is a very inadequate description, as there are significant comorbidities associated with chronic tinnitus. Neurophysiological investigations with different imaging techniques give a very similar picture, because not only the auditory system is affected in chronic tinnitus patients, but also a widely ramified subcortical and cortical network. In addition to auditory processing systems, networks consisting of frontal and parietal regions are particularly disturbed. For this reason, some authors conceptualize tinnitus as a network disorder rather than a disorder of a circumscribed system. These findings and this concept suggest that tinnitus must be diagnosed and treated in a multidisciplinary and multimodal manner.
Keyphrases
  • hearing loss
  • working memory
  • newly diagnosed
  • prognostic factors
  • air pollution
  • physical activity
  • mental health
  • mass spectrometry
  • pain management
  • quality improvement
  • chronic pain
  • fluorescence imaging