Shulman Abraham, Goldstein Barbara
Health Science Center at Brooklyn, State University of New York, Box 1239, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Int Tinnitus J. 2002;8(2):77-86.
This preliminary report is an account of 21 consecutive patients who had tinnitus of the severe disabling type and were examined with quantitative electroencephalography (QEEG). A multimetric analysis of the raw data was highlighted by an abnormal incidence of significant central nervous system electrical dysfunction identified in each patient (21 of 21). Relative power was increased or decreased in the temporal region in 10 of 21 patients. Relative power was reported to be increased or decreased in temporal frontal regions in 20 of 21 patients. Coherence irregularity was identified in all 21 patients. QEEG preliminary data support the hypothesis of a final common pathway for tinnitus and the significant role of the temporal and temporofrontal regions of interest in patients with tinnitus of the severe disabling type. QEEG with multimetric analysis is considered a significant addition to the medical audiological tinnitus patient protocol as one of a battery of electrophysiological tests for the clinical identification of a predominantly central type of tinnitus.
本初步报告介绍了连续21例患有严重致残性耳鸣的患者,这些患者均接受了定量脑电图(QEEG)检查。对原始数据的多指标分析突出显示,每位患者(21例中的21例)均存在明显的中枢神经系统电功能障碍异常发生率。21例患者中有10例颞区相对功率增加或降低。21例患者中有20例报告颞额区相对功率增加或降低。在所有21例患者中均发现了相干性不规则。QEEG初步数据支持了耳鸣存在最终共同通路的假设,以及颞区和颞额区在严重致残性耳鸣患者中的重要作用。多指标分析的QEEG被认为是医学听力学耳鸣患者诊疗方案的重要补充,是用于临床识别主要为中枢型耳鸣的一系列电生理测试之一。