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Deep brain stimulation effects in patients with tinnitus.

Yongbing Shi1, Kim J Burchiel, Valerie C Anderson

  • 1Department of Otolaryngology-Head and Neck Surgery, Oregon Hearing Research Center, Portland, OR 97201, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|August 1, 2009
PubMed
Summary

Deep brain stimulation (DBS) may reduce tinnitus loudness in some patients. This study suggests DBS targeting nonauditory thalamus structures could offer relief for certain individuals experiencing tinnitus.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Otolaryngology

Background:

  • Tinnitus is a common auditory perception disorder.
  • Current treatments for severe tinnitus have limited efficacy.
  • Deep brain stimulation (DBS) is an established therapy for movement disorders.

Purpose of the Study:

  • To investigate the effects of DBS on tinnitus in patients with co-existing movement disorders.
  • To assess the potential of DBS as a novel therapeutic approach for tinnitus.

Main Methods:

  • A case series involving chart review of seven patients with movement disorders and tinnitus.
  • Four patients underwent specialized tinnitus clinic testing with DBS systems on and off.
  • Tinnitus loudness was assessed using self-ratings and psychoacoustic measurements.

Main Results:

  • Three out of seven patients reported decreased tinnitus loudness when DBS was active.
  • Two patients experienced reduced tinnitus loudness during clinic testing when DBS targeted the ventralis intermedius nucleus of the thalamus.
  • These reductions were associated with prolonged residual inhibition in responsive patients.

Conclusions:

  • DBS of non-thalamic auditory structures shows potential for tinnitus relief.
  • These findings suggest a possible neuromodulatory mechanism for tinnitus management.
  • Further research is warranted to explore DBS for tinnitus treatment.