Ryan Daniel, Bauer Carol A
Department of Diagnostic Radiology, Southern Illinois University School of Medicine, Memorial Medical Center, 701 North 1st Street, Springfield, IL 62794-9662, USA.
Department of Surgery, Southern Illinois University School of Medicine, 301 North 8th Street P.O. Box 19662, Springfield, IL 62794-9662, USA.
Neuroimaging Clin N Am. 2016 May;26(2):187-96. doi: 10.1016/j.nic.2015.12.001. Epub 2016 Mar 22.
Tinnitus is a consequence of changes in auditory and nonauditory neural networks following damage to the cochlea. Homeostatic compensatory mechanisms occur after hearing loss and these mechanisms alter the balance of excitatory and inhibitory neurotransmitters. In many individuals with hearing loss, chronic tinnitus and related phenomena emerge. Some people with tinnitus are disturbed by this subjective sensation. When auditory network dysfunction is coupled with limbic-gating dysfunction, an otherwise meaningless auditory percept such as tinnitus may acquire negative emotional features. The development of effective treatment options is enhanced by the understanding of the neural networks underpinning tinnitus.
耳鸣是耳蜗受损后听觉和非听觉神经网络发生变化的结果。听力损失后会出现稳态补偿机制,这些机制会改变兴奋性和抑制性神经递质的平衡。在许多听力损失患者中,会出现慢性耳鸣及相关现象。一些耳鸣患者会受到这种主观感觉的困扰。当听觉网络功能障碍与边缘系统门控功能障碍同时出现时,耳鸣等原本无意义的听觉感知可能会获得负面情绪特征。对耳鸣背后神经网络的理解有助于开发有效的治疗方案。