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耳鸣患者的听觉诱发磁场。

Auditory evoked magnetic fields in individuals with tinnitus.

机构信息

National Institute for Health Research Nottingham Hearing Biomedical Research Unit, School of Clinical Sciences, University of Nottingham, Ropewalk House, 113 The Ropewalk, NG1 5DU, Nottingham, UK.

出版信息

Hear Res. 2013 Aug;302:50-9. doi: 10.1016/j.heares.2013.04.006. Epub 2013 Apr 29.

Abstract

Some forms of tinnitus are likely to be perceptual consequences of altered neural activity in the central auditory system triggered by damage to the auditory periphery. Animal studies report changes in the evoked responses after noise exposure or ototoxic drugs in inferior colliculus and auditory cortex. However, human electrophysiological evidence is rather equivocal: increased, reduced or no difference in N1/N1m evoked amplitudes and latencies in tinnitus participants have been reported. The present study used magnetoencephalography to seek evidence for altered evoked responses in people with tinnitus compared to controls (hearing loss matched and normal hearing) in four different stimulus categories (a control tone, a tone corresponding to the audiometric edge, to the dominant tinnitus pitch and a tone within the area of hearing loss). Results revealed that amplitudes of the evoked responses differed depending on the tone category. N1m amplitude to the dominant tinnitus pitch and the frequency within the area of hearing loss were reduced compared to the other two categories. Given that tinnitus pitch is typically within the area of hearing loss, the differences in the evoked responses pattern in tinnitus participants seem to be related more to the hearing loss than to the presence of tinnitus.

摘要

有些类型的耳鸣可能是听觉外周损伤引发的中枢听觉系统神经活动改变的知觉后果。动物研究报告称,在噪声暴露或耳毒性药物作用后,下丘和听觉皮层的诱发电位会发生变化。然而,人类的电生理证据相当矛盾:在耳鸣参与者中,N1/N1m 诱发幅度和潜伏期增加、减少或无差异的报告都有。本研究使用脑磁图(MEG)来寻找与对照组(听力损失匹配和正常听力)相比,耳鸣患者在四个不同刺激类别(控制音、与听阈边缘相对应的音、与主导耳鸣音调相对应的音和听力损失范围内的音)中诱发反应改变的证据。结果表明,诱发反应的幅度取决于音的类别。与其他两个类别相比,主导耳鸣音调的 N1m 幅度和听力损失范围内的频率降低。鉴于耳鸣音调通常在听力损失范围内,因此耳鸣参与者的诱发电位反应模式差异似乎与听力损失有关,而与耳鸣的存在关系不大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2731/3709092/33239ce20699/gr1.jpg

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