Messina Aldo, Corvaia Alessandro, Marino Chiara
Department of Biomedical, Dental, Morphological and Functional Imaging Sciences, University of Messina, 98100 Messina, Italy.
Regina Margherita Otoneurological Center, 90145 Palermo, Italy.
Audiol Res. 2022 May 23;12(3):281-289. doi: 10.3390/audiolres12030029.
Tinnitus is generally defined as the perception of sound in the absence of vibration of an external elastic body. If this definition appears useful to differentiate tinnitus from somatosounds, it is not suitable for distinguishing it from psychiatric hallucinations. Nor does this solution define a temporal limit of duration of the perception, which is important for distinguishing pathological tinnitus from those occasional noises that we all perceive from time to time. A complete definition appears necessary not only to achieve homogeneity in epidemiological studies but also to set up correct and personalized therapeutic schemes. An analogy with neuropsychiatric studies and, in particular, the concept of auditory hallucinosis are proposed by the authors to define tinnitus. According to the authors, tinnitus is auditory hallucinosis, and similarly, vertigo is spatial hallucinosis.
耳鸣通常被定义为在没有外部弹性体振动的情况下对声音的感知。如果这个定义有助于将耳鸣与躯体声音区分开来，那么它并不适合将耳鸣与精神性幻觉区分开来。该定义也没有界定这种感知持续时间的时间界限，而这对于区分病理性耳鸣与我们偶尔都会感知到的那些偶然噪音很重要。一个完整的定义不仅对于在流行病学研究中实现同质性是必要的，而且对于制定正确且个性化的治疗方案也是必要的。作者们提出将耳鸣与神经精神病学研究，特别是与幻听症的概念进行类比来定义耳鸣。根据作者们的观点，耳鸣是听觉性幻觉，同样，眩晕是空间性幻觉。
