Luo Yangta, Feng Shuai, Jiang Xuejun, Gong Shusheng, Liu Ke
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Nov;35(11):1038-1041. doi: 10.13201/j.issn.2096-7993.2021.11.017.
Tinnitus is one of the most common clinical symptoms of otology, and its pathogenesis is still unclear. The mechanism of tinnitus has been studied through a cognitive progress from the periphery (cochlea) to auditory center to the limbic system. Auditory peripheral lesions, such as damages to ribbon synapses, may form excitatory deafferentation, then it induces the auditory center to start the compensatory gain, leading to an increase in excitatory response; If the damage is further aggravated, it may cause continuous enhancement of central gain effect, hyperexcitability may occur and leading to tinnitus. Besides, the limbic system may be involved in the maintenance or exacerbation of tinnitus symptoms. This paper reviews the recent researches on tinnitus mechanism and auditory center plasticity.
耳鸣是耳科最常见的临床症状之一,其发病机制尚不清楚。耳鸣的机制已通过从外周(耳蜗)到听觉中枢再到边缘系统的认知进展进行了研究。听觉外周病变,如带状突触损伤,可能形成兴奋性传入阻滞,进而诱导听觉中枢启动代偿性增益,导致兴奋性反应增强;如果损伤进一步加重,可能导致中枢增益效应持续增强,可能出现过度兴奋并导致耳鸣。此外,边缘系统可能参与耳鸣症状的维持或加重。本文综述了耳鸣机制和听觉中枢可塑性的最新研究。