Head, Neck, and Eye Movements That Modulate Tinnitus.
Head, Neck, and Eye Movements That Modulate Tinnitus.
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DOI：
10.1055/s-0028-1095895
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发表时间：
2008-11
影响因子：
--
通讯作者：
Salvi R
中科院分区：
文献类型：
--
作者：
Simmons R;Dambra C;Lobarinas E;Stocking C;Salvi R
最近的人类功能性脑成像研究表明，耳鸣的神经发生器可能位于中枢神经系统中，并涉及听觉和非听觉中枢。研究表明，许多患有躯体性耳鸣的患者通过眼睛、头部、颈部、下巴和肩部的运动和操作可以调节耳鸣的响度和音调，这强化了非听觉中枢在耳鸣发病机制和调节中的贡献。在大多数情况下，这些操作会导致耳鸣响度或音调增加而不是降低。我们的结果表明，大多数耳鸣患者在执行这些操作时仅感受到响度或音调的适度变化。然而，一些患者报告称，这些操作可以显着调节响度或音调，有时调节幅度为 2 到 3 倍。躯体性耳鸣的高患病率说明了听觉通路与支配头、颈、肩和眼的其他感觉运动系统之间存在复杂的多模式相互作用。
Recent functional brain imaging studies in humans suggest that the neural generator(s) for tinnitus may reside in the central nervous system and involve both auditory as well as nonauditory centers. The contribution of nonauditory centers in the pathogenesis and regulation of tinnitus is reinforced by studies showing that many patients have somatic tinnitus whereby movements and manipulations of the eyes, head, neck, jaw, and shoulder can modulate the loudness and pitch of their tinnitus. In most cases, the maneuvers lead to increases in tinnitus loudness or pitch rather than decreases. Our results indicate that most tinnitus patients experience only a modest change in loudness or pitch when performing these maneuvers. However, some patients report that these maneuvers significantly modulate the loudness or pitch, sometimes by a factor of 2 to 3. The high prevalence of somatic tinnitus serves to illustrate the complex multimodal interactions that exist between the auditory pathway and other sensory-motor systems innervating the head, neck, shoulders, and eyes.