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Functional Brain Regions Linked to Tinnitus Pathology and Compensation During Task Performance: A Systematic Review
Zaharadeen Jimoh1, Azmi Marouf2, Julianna Zenke3
1Faculty of Science, University of Alberta, Edmonton, Alberta, Canada.
Tinnitus alters brain activity, particularly in the auditory network. Functional MRI studies reveal changes in auditory cortex, cochlear nucleus, and thalamus, suggesting potential therapeutic targets.
Area of Science:
- Neuroscience
- Auditory Neuroscience
- Medical Imaging
Background:
- Tinnitus is a complex auditory disorder affecting millions globally.
- Understanding the neural correlates of tinnitus is crucial for developing effective treatments.
- Functional magnetic resonance imaging (fMRI) offers insights into brain activity patterns associated with tinnitus.
Purpose of the Study:
- To systematically review and synthesize fMRI findings on brain region activity in tinnitus patients.
- To identify specific brain networks and regions implicated in tinnitus pathology and compensation.
- To explore potential therapeutic targets based on altered brain activity.
Main Methods:
- Comprehensive literature search across multiple databases (MEDLINE, EMBASE, CINAHL, Web of Science, etc.) up to April 2022.
- Inclusion of studies using fMRI in adult human subjects with tinnitus, employing auditory stimulation paradigms.
- Exclusion of non-English studies, animal research, resting-state fMRI, and other imaging modalities.
Main Results:
- Variable activity in the auditory cortex (Heschl's gyrus), with some studies showing increased activity and others inhibition.
- Decreased connectivity between the auditory cortex and inferior colliculus (IC), with no significant influence of tinnitus on IC activation after controlling for confounders.
- Generally increased activation in the cochlear nucleus (CN) and significant inhibition of thalamic gating, suggesting thalamus as a potential therapeutic target.
Conclusions:
- Tinnitus patients exhibit significantly altered neuronal firing patterns within the auditory network compared to controls.
- The frequent coexistence of tinnitus and hyperacusis complicates the differentiation of their respective neural effects.
- fMRI findings highlight the widespread neural alterations in tinnitus and point towards the thalamus as a promising area for therapeutic intervention.
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