基于感觉精度的耳鸣综合模型。

An Integrative Tinnitus Model Based on Sensory Precision.

作者信息

Sedley William, Friston Karl J, Gander Phillip E, Kumar Sukhbinder, Griffiths Timothy D

机构信息

Institute of Neuroscience, Newcastle University Medical School, Newcastle upon Tyne, UK.

Wellcome Trust Centre for Neuroimaging, University College London, London, UK.

出版信息

Trends Neurosci. 2016 Dec;39(12):799-812. doi: 10.1016/j.tins.2016.10.004. Epub 2016 Nov 18.

Abstract

Tinnitus is a common disorder that often complicates hearing loss. Its mechanisms are incompletely understood. Current theories proposing pathophysiology from the ear to the cortex cannot individually - or collectively - explain the range of experimental evidence available. We propose a new framework, based on predictive coding, in which spontaneous activity in the subcortical auditory pathway constitutes a 'tinnitus precursor' which is normally ignored as imprecise evidence against the prevailing percept of 'silence'. Extant models feature as contributory mechanisms acting to increase either the intensity of the precursor or its precision. If precision (i.e., postsynaptic gain) rises sufficiently then tinnitus is perceived. Perpetuation arises through focused attention, which further increases the precision of the precursor, and resetting of the default prediction to expect tinnitus.

摘要

耳鸣是一种常见病症,常使听力损失情况复杂化。其发病机制尚未完全明确。目前从耳朵到皮层提出病理生理学的理论,无论是单独还是综合起来,都无法解释现有的一系列实验证据。我们提出了一个基于预测编码的新框架,其中皮层下听觉通路的自发活动构成了一种“耳鸣先兆”,这种先兆通常作为与“安静”这一主导感知相悖的不精确证据而被忽略。现有模型将增加先兆强度或其精度的作用机制作为促成因素。如果精度(即突触后增益)充分提高,那么就会感觉到耳鸣。耳鸣持续存在是通过集中注意力实现的,这会进一步提高先兆的精度,并将默认预测重置为预期耳鸣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce50/5152595/d81d9aca5b3c/gr1.jpg

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