Weisz Nathan, Moratti Stephan, Meinzer Marcus, Dohrmann Katalin, Elbert Thomas
Department of Psychology, University of Konstanz, Germany.
PLoS Med. 2005 Jun;2(6):e153. doi: 10.1371/journal.pmed.0020153. Epub 2005 Jun 28.
The neurophysiological mechanisms underlying tinnitus perception are not well understood. Surprisingly, there have been no group studies comparing abnormalities in ongoing, spontaneous neuronal activity in individuals with and without tinnitus perception.
Here, we show that the spontaneous neuronal activity of a group of individuals with tinnitus (n = 17) is characterised by a marked reduction in alpha (8-12 Hz) power together with an enhancement in delta (1.5-4 Hz) as compared to a normal hearing control group (n = 16). This pattern was especially pronounced for temporal regions. Moreover, correlations with tinnitus-related distress revealed strong associations with this abnormal spontaneous activity pattern, particularly in right temporal and left frontal areas. Overall, effects were stronger for the alpha than for the delta frequency band. A data stream of 5 min, recorded with a whole-head neuromagnetometer under a resting condition, was sufficient to extract the marked differences.
Despite some limitations, there are arguments that the regional pattern of abnormal spontaneous activity we found could reflect a tinnitus-related cortical network. This finding, which suggests that a neurofeedback approach could reduce the adverse effects of this disturbing condition, could have important implications for the treatment of tinnitus.
耳鸣感知背后的神经生理机制尚未完全明确。令人惊讶的是,尚无群组研究比较有耳鸣感知和无耳鸣感知个体在持续自发神经元活动方面的异常情况。
在此,我们发现与正常听力对照组(n = 16)相比,一组耳鸣患者(n = 17)的自发神经元活动特征为α波(8 - 12赫兹)功率显著降低,同时δ波(1.5 - 4赫兹)增强。这种模式在颞叶区域尤为明显。此外,与耳鸣相关痛苦的相关性显示,这种异常的自发活动模式与之有很强的关联,特别是在右侧颞叶和左侧额叶区域。总体而言,α波频段的效应比δ波频段更强。在静息状态下用全头神经磁强计记录的5分钟数据流足以提取出明显差异。
尽管存在一些局限性,但有理由认为我们发现的异常自发活动区域模式可能反映了与耳鸣相关的皮质网络。这一发现表明神经反馈方法可能会减少这种困扰状况的不良影响,可能对耳鸣治疗具有重要意义。