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The added value of auditory cortex transcranial random noise stimulation (tRNS) after bifrontal transcranial direct current stimulation (tDCS) for tinnitus.

作者信息

To Wing Ting, Ost Jan, Hart John, De Ridder Dirk, Vanneste Sven

机构信息

Center for Brain Health, School of Behavioral and Brain Sciences, The University of Texas at Dallas, 2200 W Mockingbird Lane, Dallas, TX, USA.

Brai2n Clinic, St. Augustinus, Antwerp, Belgium.

出版信息

J Neural Transm (Vienna). 2017 Jan;124(1):79-88. doi: 10.1007/s00702-016-1634-2. Epub 2016 Oct 19.


DOI:10.1007/s00702-016-1634-2
PMID:27761741
Abstract

Tinnitus is the perception of a sound in the absence of a corresponding external sound source. Research has suggested that functional abnormalities in tinnitus patients involve auditory as well as non-auditory brain areas. Transcranial electrical stimulation (tES), such as transcranial direct current stimulation (tDCS) to the dorsolateral prefrontal cortex and transcranial random noise stimulation (tRNS) to the auditory cortex, has demonstrated modulation of brain activity to transiently suppress tinnitus symptoms. Targeting two core regions of the tinnitus network by tES might establish a promising strategy to enhance treatment effects. This proof-of-concept study aims to investigate the effect of a multisite tES treatment protocol on tinnitus intensity and distress. A total of 40 tinnitus patients were enrolled in this study and received either bifrontal tDCS or the multisite treatment of bifrontal tDCS before bilateral auditory cortex tRNS. Both groups were treated on eight sessions (two times a week for 4 weeks). Our results show that a multisite treatment protocol resulted in more pronounced effects when compared with the bifrontal tDCS protocol or the waiting list group, suggesting an added value of auditory cortex tRNS to the bifrontal tDCS protocol for tinnitus patients. These findings support the involvement of the auditory as well as non-auditory brain areas in the pathophysiology of tinnitus and demonstrate the idea of the efficacy of network stimulation in the treatment of neurological disorders. This multisite tES treatment protocol proved to be save and feasible for clinical routine in tinnitus patients.

摘要

相似文献

[1]
The added value of auditory cortex transcranial random noise stimulation (tRNS) after bifrontal transcranial direct current stimulation (tDCS) for tinnitus.

J Neural Transm (Vienna). 2017-1

[2]
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[3]
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[4]
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[5]
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[6]
Auditory cortex tACS and tRNS for tinnitus: single versus multiple sessions.

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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
A scoping review of tinnitus research undertaken by New Zealand researchers: Aotearoa-an international hotspot for tinnitus innovation and collaboration.

J R Soc N Z. 2024-7-3

[2]
Neuromodulation Treatments Targeting Pathological Synchrony for Tinnitus in Adults: A Systematic Review.

Brain Sci. 2024-7-26

[3]
The efficacy of transcranial random noise stimulation in treating tinnitus: a systematic review.

Eur Arch Otorhinolaryngol. 2024-12

[4]
Short-Term Effect of Adjunctive Transcranial Random Noise Stimulation on Idiopathic Sudden Sensorineural Hearing Loss and Tinnitus: A Preliminary Study.

J Int Adv Otol. 2023-6

[5]
State of the art: non-invasive electrical stimulation for the treatment of chronic tinnitus.

Ther Adv Chronic Dis. 2023-1-18

[6]
Random noise stimulation in the treatment of patients with neurological disorders.

Neural Regen Res. 2022-12

[7]
Transcranial electric and acoustic stimulation for tinnitus: study protocol for a randomized double-blind controlled trial assessing the influence of combined transcranial random noise and acoustic stimulation on tinnitus loudness and distress.

Trials. 2022-5-19

[8]
Determining the Effects of Transcranial Direct Current Stimulation on Tinnitus, Depression, and Anxiety: A Systematic Review.

Brain Sci. 2022-4-8

[9]
Transcranial Random Noise Stimulation Modulates Neural Processing of Sensory and Motor Circuits, from Potential Cellular Mechanisms to Behavior: A Scoping Review.

eNeuro. 2022

[10]
Determining the effects of transcranial direct current stimulation on tinnitus and tinnitus-related outcomes: protocol for a systematic review.

BMJ Open. 2021-3-26

本文引用的文献

[1]
Emerging hubs in phantom perception connectomics.

Neuroimage Clin. 2016-2-4

[2]
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Sci Rep. 2016-2-2

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Brain Stimul. 2015-6-27

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Neural Plast. 2014

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Brain Stimul. 2014

[9]
Polarity specific suppression effects of transcranial direct current stimulation for tinnitus.

Neural Plast. 2014-4-10

[10]
Alterations of the emotional processing system may underlie preserved rapid reaction time in tinnitus.

Brain Res. 2014-4-23

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