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Published on: August 24, 2017
The relation between perception and brain activity in gaze-evoked tinnitus
Margriet J van Gendt1, Kris Boyen, Emile de Kleine
1Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.
Summary
Gaze-evoked tinnitus (GET) involves phantom sounds modulated by eye movements. This study reveals altered auditory cortex activity and brainstem responses in GET patients, supporting a thalamocortical loop dysfunction model for tinnitus.
Area of Science:
- Neuroscience
- Auditory Neuroscience
- Medical Imaging
Background:
- Tinnitus, a phantom auditory perception, lacks clear understanding of its neural basis.
- Gaze-evoked tinnitus (GET), a rare form, presents an opportunity to study tinnitus pathophysiology due to its link with eye movements.
Purpose of the Study:
- To investigate the neural correlates of gaze-evoked tinnitus (GET) using functional magnetic resonance imaging (fMRI).
- To explore the relationship between peripheral eye gaze, auditory brain activity, and tinnitus perception.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was employed in normal-hearing controls and patients with GET.
- Brain activity was measured during peripheral eye gaze tasks, focusing on auditory pathways like the auditory cortex (AC), medial geniculate body (MGB), and inferior colliculus (IC).
Main Results:
- In controls, peripheral gaze inhibited the auditory cortex but showed no response in the MGB and IC.
- GET patients exhibited reduced cortical inhibition, MGB inhibition, and IC activation during peripheral gaze.
- Increased tinnitus loudness correlated with higher cochlear nucleus (CN) and IC activity and reduced AC inhibition.
Conclusions:
- Altered brain activity in the auditory cortex, MGB, and IC during eye movements is associated with GET.
- Findings support a thalamocortical loop dysfunction model for tinnitus, potentially involving brainstem reorganization after vestibular schwannoma removal.
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