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耳鸣与脑刺激

Tinnitus and Brain Stimulation.

机构信息

Neurosurgery, Department of Surgical Sciences, University of Otago, Dunedin, New Zealand.

Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.

出版信息

Curr Top Behav Neurosci. 2021;51:249-293. doi: 10.1007/7854_2021_219.


DOI:10.1007/7854_2021_219
PMID:33826134
Abstract

The pathophysiological mechanisms that underlie the generation and maintenance of tinnitus are being unraveled progressively. Based on this knowledge, a large variety of different neuromodulatory interventions have been developed and are still being designed, adapting to the progressive mechanistic insights in the pathophysiology of tinnitus. rTMS targeting the temporal, temporoparietal, and the frontal cortex has been the mainstay of non-invasive neuromodulation. Yet, the evidence is still unclear, and therefore systematic meta-analyses are needed for drawing conclusions on the effectiveness of rTMS in chronic tinnitus. Different forms of transcranial electrical stimulation (tDCS, tACS, tRNS), applied over the frontal and temporal cortex, have been investigated in tinnitus patients, also without robust evidence for universal efficacy. Cortex and deep brain stimulation with implanted electrodes have shown benefit, yet there is insufficient data to support their routine clinical use. Recently, bimodal stimulation approaches have revealed promising results and it appears that targeting different sensory modalities in temporally combined manners may be more promising than single target approaches.While most neuromodulatory approaches seem promising, further research is required to help translating the scientific outcomes into routine clinical practice.

摘要

耳鸣产生和维持的病理生理机制正在逐步被揭示。基于这一知识,已经开发出了大量不同的神经调节干预措施,并且还在不断设计中,以适应耳鸣病理生理学的不断深入的机制见解。针对颞叶、颞顶叶和额叶皮层的 rTMS 一直是非侵入性神经调节的主要手段。然而,证据仍然不明确,因此需要进行系统的荟萃分析,才能得出 rTMS 治疗慢性耳鸣有效性的结论。不同形式的经颅电刺激(tDCS、tACS、tRNS)应用于额叶和颞叶皮层,也已经在耳鸣患者中进行了研究,但普遍有效性的证据仍然不足。植入电极的皮层和深部脑刺激显示出了益处,但目前的数据还不足以支持其常规临床应用。最近,双模态刺激方法显示出了有希望的结果,似乎表明以时间组合的方式针对不同的感觉模态进行靶向治疗可能比单一目标方法更有前途。虽然大多数神经调节方法似乎很有前景,但需要进一步的研究来帮助将科学成果转化为常规临床实践。

相似文献

[1]
Tinnitus and Brain Stimulation.

Curr Top Behav Neurosci. 2021

[2]
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

[3]
Tinnitus: therapeutic use of superficial brain stimulation.

Handb Clin Neurol. 2013

[4]
Head-to-Head Comparison of Transcranial Random Noise Stimulation, Transcranial AC Stimulation, and Transcranial DC Stimulation for Tinnitus.

Front Psychiatry. 2013-12-18

[5]
Controversy: Does repetitive transcranial magnetic stimulation/ transcranial direct current stimulation show efficacy in treating tinnitus patients?

Brain Stimul. 2008-7-1

[6]
Transient tinnitus suppression induced by repetitive transcranial magnetic stimulation and transcranial direct current stimulation.

Eur J Neurol. 2006-9

[7]
Strategies for enhancement of transcranial magnetic stimulation effects in tinnitus patients.

Int Tinnitus J. 2009

[8]
Non-invasive neuromodulation for tinnitus: A meta-analysis and modeling studies.

Brain Stimul. 2021

[9]
Transcranial magnetic stimulation: a new diagnostic and therapeutic tool for tinnitus patients.

Int Tinnitus J. 2008

[10]
Multisite rTMS for the treatment of chronic tinnitus: stimulation of the cortical tinnitus network--a pilot study.

Brain Topogr. 2012-12-11

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]
The Current State of Tinnitus Diagnosis and Treatment: a Multidisciplinary Expert Perspective.

J Assoc Res Otolaryngol. 2024-10

[3]
Consecutive Dual-Session Transcranial Direct Current Stimulation in Chronic Subjective Severe to Catastrophic Tinnitus with Normal Hearing.

J Pers Med. 2024-5-28

[4]
Tinnitus: Clinical Insights in Its Pathophysiology-A Perspective.

J Assoc Res Otolaryngol. 2024-6

[5]
Screening for Circulating Inflammatory Proteins Does Not Reveal Plasma Biomarkers of Constant Tinnitus.

J Assoc Res Otolaryngol. 2023-12

[6]
Tinnitus-on the interplay between emotion and cognition.

HNO. 2024-1

[7]
[Tinnitus-on the interplay between emotion and cognition. German version].

HNO. 2023-10

[8]
Tinnitus Guidelines and Their Evidence Base.

J Clin Med. 2023-4-24

[9]
Tinnitus at the Junction of Traditional Medicine and Modern Technology.

Nutrients. 2023-4-14

[10]
Activate & fire: a feasibility study in combining acoustic stimulation and continuous theta burst stimulation in chronic tinnitus.

BMC Neurol. 2023-1-12

本文引用的文献

[1]
Network-level macroscale structural connectivity predicts propagation of transcranial magnetic stimulation.

Neuroimage. 2021-4-1

[2]
Non-invasive neuromodulation for tinnitus: A meta-analysis and modeling studies.

Brain Stimul. 2021

[3]
Repetitive transcranial magnetic stimulation on chronic tinnitus: a systematic review and meta-analysis.

BMC Psychiatry. 2020-11-23

[4]
Effects of tDCS on neuroplasticity and inflammatory biomarkers in bipolar depression: Results from a sham-controlled study.

Prog Neuropsychopharmacol Biol Psychiatry. 2021-3-8

[5]
tDCS Accelerates the Rehabilitation of MCAO-Induced Motor Function Deficits via Neurogenesis Modulated by the Notch1 Signaling Pathway.

Neurorehabil Neural Repair. 2020-7

[6]
Low-Frequency Repetitive Transcranial Magnetic Stimulation for the Treatment of Chronic Tinnitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Biomed Res Int. 2020

[7]
A future for neuronal oscillation research.

Brain Neurosci Adv. 2019-3-1

[8]
Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018).

Clin Neurophysiol. 2020-1-1

[9]
Transcranial Current Stimulation Alters the Expression of Immune-Mediating Genes.

Front Cell Neurosci. 2019-10-25

[10]
Noninvasive Bimodal Neuromodulation for the Treatment of Tinnitus: Protocol for a Second Large-Scale Double-Blind Randomized Clinical Trial to Optimize Stimulation Parameters.

JMIR Res Protoc. 2019-9-27

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