Yilmaz Eren, Yildirim Duzgun, Sanli Deniz Esin Tekcan, Elpen Pinar, Tuzuner Filiz Gosterisli, Inan Neslihan Gokmen, Sirin Ahmet, Yagimli Mustafa, Tozan Hakan, Sanli Ahmet Necati, Kandemirli Sedat Giray
Faculty of Health Sciences, Istanbul Gelisim University, Istanbul, Turkey.
Vocational School of Health Sciences, Department of Medical Imaging, Acibadem University, Istanbul, Turkey.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5277-5284. doi: 10.1007/s12070-024-04963-7. Epub 2024 Aug 28.
In this study, it was aimed to assess the microstructural changes in the main central auditory pathway in cases with subjective tinnitus. In total, 101 subjects (52 cases with bilateral subjective non-pulsatile tinnitus and 49 healthy cases as the control group) were included in the study. Participants underwent pure tone audiogram and Diffusion Tensor Imaging-Magnetic Resonance Imaging (DTI-MRI) examination with a 3 Tesla MRI device. The number of tracts, tract length, volume, and quantitative anisotropy (QA) and normalized quantitative anisotropy' (nQA) values were calculated by plotting cochleocortical pathways from the cochlear nerve to ipsilateral and contralateral Heschl's gyrus (HG). In pure tone audiometry, the control group had lower hearing thresholds than cases with tinnitus. Fibres and nQA values from the right cochlear nerve to the right HG were significantly lower in the tinnitus group than in the control group. Cochlear nuclei voxel counts were significantly decreased in the tinnitus group. Both cochlear nucleus volumes were higher in the tinnitus group than in the control group. nQA values in both cochlear nuclei were decreased in the tinnitus group. This study showed that the most commonly affected part in subjective non-pulsatile tinnitus cases is the cochlear nucleus. Therefore, the cochlear nucleus should be evaluated more carefully in cases presenting with subjective tinnitus.
在本研究中,旨在评估主观性耳鸣患者主要中枢听觉通路的微观结构变化。本研究共纳入101名受试者(52例双侧主观性非搏动性耳鸣患者和49例健康受试者作为对照组)。参与者使用3特斯拉磁共振成像设备进行了纯音听力图和扩散张量成像-磁共振成像(DTI-MRI)检查。通过绘制从蜗神经到同侧和对侧颞横回(HG)的蜗皮质通路,计算束的数量、束长度、体积以及定量各向异性(QA)和归一化定量各向异性(nQA)值。在纯音听力测定中,对照组的听力阈值低于耳鸣患者。耳鸣组从右侧蜗神经到右侧HG的纤维和nQA值显著低于对照组。耳鸣组蜗核体素计数显著减少。耳鸣组双侧蜗核体积均高于对照组。耳鸣组双侧蜗核的nQA值均降低。本研究表明,主观性非搏动性耳鸣病例中最常受影响的部位是蜗核。因此,对于出现主观性耳鸣的病例,应更仔细地评估蜗核。
Indian J Otolaryngol Head Neck Surg. 2024-12
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