The Zen of Tinnitus Acceptance

In the 1980s I absolutely loved punk rock. I lived in Greensboro, N.C. and struggling punker bands traveling from Atlanta to D.C. for weekend gigs would unload their equipment-filled vans into tiny bars for mid-week performances to pay for gas money for the trip. I would move toward the stage to listen to the raging of tatted, bare-chested men, roaring like aircraft engines, their words almost impossible to decipher. You didn’t need to. You didn’t listen to this music. You felt it. Now in my late ‘60s guess what I get? Can you say “tinnitus”? When it first showed up a decade or so ago I began wearing earplugs, closing doors quietly, and avoiding loud noises in the hopes that at least I could prevent further damage and perhaps turn down the volume a bit. It didn’t work. The stuff the audiol…

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The neural correlates of cognitive dysfunction in phantom sounds.

In conclusion, these results support for the first time the notion that cognitive changes in tinnitus patients are associated with changes in hippocampal activity as well as the anterior cingulate and insula. PMID: 27016059 [PubMed - as supplied by publisher] (Source: Brain Research)

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Chronic Cervicogenic Tinnitus Rapidly Resolved by Intermittent Use of Cervical Collar

Karl Bechter, Martin Wieland, Gerhard F. Hamann (Source: Frontiers in Psychiatry)

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Validation of PRISM (Pictorial Representation of Illness and Self Measure) as a novel visual assessment tool for the burden of suffering in tinnitus patients

Chronic subjective tinnitus is a frequent condition that affects the subject’s quality of life. The lack of objective measures of tinnitus necessitates the use of self-reporting and often time-consuming questi… (Source: Health and Quality of Life Outcomes)

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Endovascular Interventions for Idiopathic Intracranial Hypertension and Venous Tinnitus

Publication date: Available online 22 March 2016 Source:Neuroimaging Clinics of North America Author(s): Ferdinand K. Hui, Todd Abruzzo, Sameer A. AnsariTeaser Pulsatile tinnitus from intracranial venous abnormalities is an uncommon cause of pulse synchronous tinnitus. Endovascular therapies may have applications in many of these disease conditions. They have the advantage of being minimally invasive and may selectively eliminate the site of turbulence. Venous stenting has been used successfully to treat venous stenoses with low complication rates and high success rates in patients with idiopathic intracranial hypertension though randomized controlled data are lacking. Careful exclusion of other causes of tinnitus should be performed before consideration for surgical or endovascular t…

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Tinnitus

Publication date: Available online 22 March 2016 Source:Neuroimaging Clinics of North America Author(s): Suresh K. Mukherji (Source: Neuroimaging Clinics of North America)

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Endovascular Interventions for Idiopathic Intracranial Hypertension and Venous Tinnitus

Pulsatile tinnitus from intracranial venous abnormalities is an uncommon cause of pulse synchronous tinnitus. Endovascular therapies may have applications in many of these disease conditions. They have the advantage of being minimally invasive and may selectively eliminate the site of turbulence. Venous stenting has been used successfully to treat venous stenoses with low complication rates and high success rates in patients with idiopathic intracranial hypertension though randomized controlled data are lacking. Careful exclusion of other causes of tinnitus should be performed before consideration for surgical or endovascular treatment of presumed causative lesions of venous tinnitus. (Source: Neuroimaging Clinics)

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Tinnitus

has been a challenging topic for centuries. When I was “growing up,” we classified tinnitus as “subjective” versus “objective,” “pulsatile” versus “continuous,” or whether there was a retrotympanic mass. The answer to these questions directly affected the imaging evaluation and differential diagnosis. However, the various classifications created much confusion about this topic and led to inconsistent management and treatment of this important disorder. (Source: Neuroimaging Clinics)

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Neuroscience of Tinnitus

Tinnitus is a consequence of changes in auditory and nonauditory neural networks following damage to the cochlea. Homeostatic compensatory mechanisms occur after hearing loss and these mechanisms alter the balance of excitatory and inhibitory neurotransmitters. In many individuals with hearing loss, chronic tinnitus and related phenomena emerge. Some people with tinnitus are disturbed by this subjective sensation. When auditory network dysfunction is coupled with limbic-gating dysfunction, an otherwise meaningless auditory percept such as tinnitus may acquire negative emotional features. The development of effective treatment options is enhanced by the understanding of the neural networks underpinning tinnitus. (Source: Neuroimaging Clinics)

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Safety and Efficacy of Gamma Knife Radiosurgery for the Management of Koos Grade 4 Vestibular Schwannomas

CONCLUSION: Patients with Koos grade 4 vestibular schwannomas and minimal symptoms can be treated safely and effectively with GKRS. ABBREVIATIONS: GKRS, Gamma Knife radiosurgery VS, vestibular schwannoma (Source: Neurosurgery)

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Klinische Aspekte der Cochleaimplantation bei Morbus Menière sowie nach Labyrinthektomie

Laryngo-Rhino-OtolDOI: 10.1055/s-0042-100283 Hintergrund: Aufgrund der natürlichen Alterung und den gelockerten CI-Implantationskriterien werden vermehrt auch früher operierte Menière-Patienten mit einem Cochleaimplantat versorgt werden. Dabei stellt sich jedoch die Frage, ob eine Implantation bei vorbehandeltem Ohr erfolgsversprechend ist. Material und Methode: Anhand von 2 Fällen, bei denen wir eine Cochleaimplantation durchgeführt haben, einerseits 10 Jahre nach transmastoidaler Labyrinthektomie und andererseits bei beidseitigem Morbus Menière, sowie anhand der Literatur weisen wir auf Probleme und Erfolgsaussichten hin. Diskussion: Histologische Studien zeigen nur eine geringe Ossifikation der Cochlea nach Labyrinthektomie. Implantierte Menière-Patienten weisen eine bessere Spra…

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Relapsing polychondritis and lymphocytic meningitis with varied neurological symptoms

Conclusion Relapsing polychondritis is a challenging disease that can rarely manifest with varied neurological symptoms; recognition is extremely important, because high-dose corticosteroids should be used as soon as possible in suspected cases. (Source: Revista Brasileira de Reumatologia)

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What Is That Noise!?! My Take On Living With Tinnitus

Do you hear that? I often ask my family that question. Sometimes I can’t tell if the noise I am hearing is my tinnitus or if the sound is actually there. Usually, it is all in my head. Typically, I know this, to be honest, but I ask anyway, just in case. I have a 40-50% hearing loss in both of my ears, but only mild tinnitus. I am grateful for that. Sometimes I feel that the tinnitus is worse than the hearing loss! Unexplained sounds buzzing and whistling in your head can make you question your sanity. And give you the worst headache known to man. The lack of sound seems almost a relief in retrospect. Thus far, I have experienced two types of tinnitus. The first has been occurring on and off for several years and is not that troublesome. I am not sure what the trigger is, or even if there …

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Clinical trial on tonal tinnitus with tailor-made notched music training

Tinnitus is a result of hyper-activity/hyper-synchrony of auditory neurons coding the tinnitus frequency, which has developed due to synchronous mass activity owing to the lack of inhibition. We assume that re… (Source: BMC Neurology)

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Highway to Hearing Hell: Musicians and the Danger of Deafness

This article was originally published on The Conversation. Read the original article. – This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. (Source: Science - The Huffington Post)

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Disrupted Functional Brain Connectome in Unilateral Sudden Sensorineural Hearing Loss.

Authors: Xu H, Fan W, Zhao X, Li J, Zhang W, Lei P, Liu Y, Wang H, Cheng H, Shi H Abstract Sudden sensorineural hearing loss (SSNHL) is generally defined as sensorineural hearing loss of 30 dB or greater over at least three contiguous audiometric frequencies and within a three-day period. This hearing loss is usually unilateral and can be associated with tinnitus and vertigo. The pathogenesis of unilateral sudden sensorineural hearing loss is still unknown, and the alterations in the functional connectivity are suspected to involve one possible pathogenesis. Despite scarce findings with respect to alterations in brain functional networks in unilateral sudden sensorineural hearing loss, the alterations of the whole brain functional connectome and whether these alterations were alrea…

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Effects of pulsatile electrical stimulation of the round window on central hyperactivity after cochlear trauma in guinea pig.

This study aimed to investigate the effects of electrical stimulation in the form of brief biphasic shocks delivered to the round window of the cochlea on the spontaneous firing rates of hyperactive inferior colliculus neurons following acoustic trauma in guinea pigs. Effects during the stimulation itself included both inhibition and excitation but spontaneous firing was suppressed for up to hundreds of ms after the cessation of the shock train in all sampled hyperactive neurons. Pharmacological block of olivocochlear efferent action on outer hair cells did not eliminate the prolonged suppression observed in inferior colliculus neurons, and it is therefore likely that activation of the afferent pathways is responsible for the central effects observed. PMID: 26970475 [PubMed - as suppli…

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Hearing Health in College Instrumental Musicians and Prevention of Hearing Loss.

CONCLUSION: Improving the type of information disseminated to college musicians may reduce the risk of ear-related deficits. Noise dosage information, HPD information, and prevention education grounded in theories like the Health Belief Model may increase awareness and promote greater use of HPDs in this population. PMID: 26966962 [PubMed - as supplied by publisher] (Source: Medical Problems of Performing Artists)

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Quality of life and aspects of hearing of collective urban transport workers

Conclusion: the workers of public transport in the present study showed a good level of quality of life, considerable knowledge and limited complaints with regard to hearing issues, tinnitus and dizziness. (Source: Revista CEFAC)

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Surgical Treatment of Tinnitus

This article will address both tinnitus-specific and tinnitus non-specific procedures for objective and subjective causes. (Source: Neuroimaging Clinics)

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Study about the consequences of different sound pressure levels emitted by magnetic resonance imaging equipment

Conclusion: the use of hearing protectors is relevant as a preventive measure for controlling the level of noise that affects the individual’s cochlea, thus minimizing the physical and psycho-social effects resulting from noise exposure. (Source: Revista CEFAC)

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Otoneurological screening of civil construction workers performing work at height

Conclusion: one third of the construction workers who perform work at height presented otoneurological screening results that indicate alteration. (Source: Revista CEFAC)

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Tinnitus: Is there a place for brain stimulation?

Authors: van Zwieten G, Smit JV, Jahanshahi A, Temel Y, Stokroos RJ Abstract Tinnitus is the perception of a “phantom sound” and has a high prevalence. Although many therapies have been investigated within the last decades, there is still no effective standard therapy. Animal studies and human functional imaging studies revealed that tinnitus perception is associated with many complex changes in multiple brain structures. There is growing evidence that brain stimulation might be able to interrupt the local altered neuronal activity and hereby inhibit tinnitus perception. In this editorial review, an update is given on the most promising targets for brain stimulation. Promising structures for stimulation are the dorsal cochlear nucleus, the inferior colliculus and the medial genicul…

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Clinical Association Between Brain MRI Findings With Epidural Blood Patch in Spontaneous Intracranial Hypotension

Conclusions: The results of our study indicated no difference between MRI findings in both conservative treatment and EBP modalities; however, there were differences in initial pain score. Therefore, clinical presentation of SIH patients may be critical and help physicians make a decision of EBP procedure. (Source: Journal of Neurosurgical Anesthesiology)

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Atypical Feeding and Drainage of Dural AV Fistula

Dural arteriovenous fistulas (DAVF) are frequent causes of pulsatile tinnitus. Color Doppler sonography may play a useful, complementary role to CTA/MRA and digital subtraction angiography (DSA) in the assessment of these anomalies’ characteristics, such as an ipsilateral increased flow volume and a low resistive index. In this article, we report a case of DAVF first detected with Color Doppler sonography that displayed an uncharacteristic venous drainage pattern. Published on 2016-03-07 13:37:35 (Source: Journal of the Belgian Society of Radiology)

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Little research into benefits of wearing earplugs to concerts

Reuters Health - A review of the literature turned up only two high quality studies that looked at whether wearing earplugs to music venues will prevent hearing loss and tinnitus directly afterward. (Source: Reuters: Health)

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Venous Abnormalities Leading to Tinnitus

Venous anomalies are the most commonly identified abnormality by imaging in the work-up for pulse synchronous tinnitus. Potential diagnoses include idiopathic intracranial hypertension, sigmoid sinus wall anomalies, transverse and sigmoid sinus stenosis, jugular bulb anomalies, and prominent posterior fossa emissary veins. These causes are discussed in detail along with the association between sigmoid sinus wall anomalies and idiopathic intracranial hypertension. (Source: Neuroimaging Clinics)

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Advanced Neuroimaging of Tinnitus

Publication date: Available online 5 March 2016 Source:Neuroimaging Clinics of North America Author(s): Prashant Raghavan, Andrew Steven, Tanya Rath, Dheeraj GandhiTeaser Although tinnitus may originate in damage to the peripheral auditory apparatus, its perception and distressing symptomatology are consequences of alterations to auditory, sensory, and limbic neural networks. This has been described in several studies, some using advanced structural MR imaging techniques such as diffusion tensor imaging. An understanding of these complex changes could enable development of targeted treatment. New MR imaging techniques enabling detailed depiction of the labyrinth may be useful when diagnosis of Meniere disease is equivocal. Advances in computed tomography and MR imaging have enabled n…

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Venous Abnormalities Leading to Tinnitus

Publication date: Available online 5 March 2016 Source:Neuroimaging Clinics of North America Author(s): Michael A. Reardon, Prashant RaghavanTeaser Venous anomalies are the most commonly identified abnormality by imaging in the work-up for pulse synchronous tinnitus. Potential diagnoses include idiopathic intracranial hypertension, sigmoid sinus wall anomalies, transverse and sigmoid sinus stenosis, jugular bulb anomalies, and prominent posterior fossa emissary veins. These causes are discussed in detail along with the association between sigmoid sinus wall anomalies and idiopathic intracranial hypertension. (Source: Neuroimaging Clinics of North America)

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Advanced Neuroimaging of Tinnitus

Although tinnitus may originate in damage to the peripheral auditory apparatus, its perception and distressing symptomatology are consequences of alterations to auditory, sensory, and limbic neural networks. This has been described in several studies, some using advanced structural MR imaging techniques such as diffusion tensor imaging. An understanding of these complex changes could enable development of targeted treatment. New MR imaging techniques enabling detailed depiction of the labyrinth may be useful when diagnosis of Meniere disease is equivocal. Advances in computed tomography and MR imaging have enabled noninvasive diagnosis of dural arteriovenous fistulae. (Source: Neuroimaging Clinics)

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Insomnia in patients with chronic tinnitus: Cognitive and emotional distress as moderator variables

Tinnitus is often associated with disturbed sleep, but there are also patients without sleep problems. The mechanisms for developing insomnia or not in tinnitus patients are still unknown. The aim of the present study was to extract possible tinnitus specific factors that increase the risk of developing insomnia based on the analysis of a large patient cohort suffering from chronic tinnitus. (Source: Journal of Psychosomatic Research)

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but not fetal hemoglobin differentiates chronic mountain sickness from healthy Andean highlanders

Chronic mountain sickness (CMS) results from chronic hypoxia. It is unclear why certain highlanders develop CMS. We hypothesized modest increases in fetal hemoglobin (HbF) is associated with lower CMS severity. In this cross-sectional study, we showed that normal HbF levels (median 0.4%) were found in all 153 adult Andean natives in Cerro de Pasco, Peru. Compared to healthy adults, the borderline elevated hemoglobin group frequently had symptoms (headaches, tinnitus, cyanosis, dilatation of veins) of CMS. (Source: Experimental Hematology)

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Association of tinnitus and hearing loss in otological disorders: a decade-long epidemiological study in a South Indian population

Conclusion The present study could identify the most prevalent otological risk factors leading to development of tinnitus with hearing loss in a South Indian population. (Source: Brazilian Journal of Otorhinolaryngology)

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Resolution of Concussion Symptoms After Osteopathic Manipulative Treatment: A Case Report.

Authors: Guernsey DT, Leder A, Yao S Abstract A concussion is the result of a biomechanical force directed toward the head, causing neurologic dysfunction. The inflammatory response and the production of reactive oxygen species are proposed mechanisms for the symptoms and long-term sequelae of concussion. Osteopathic manipulative treatment (OMT) may help reduce inflammation by improving glymphatic flow. The authors describe the effect of OMT on a patient with mild concussion symptoms, including nausea, dizziness, tinnitus, and imbalance. The patient was evaluated with the Sensory Organization Test before and after undergoing a 25-minute session of OMT. After the session, the patient reported resolution of symptoms, and his sensory organization test score improved by 6 points. The r…

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Neurotological Findings at a Health Unit for Adults with Cervicalgia

Conclusion Neurotological complaints were frequent in this population, verifying the importance of these tests in the dysfunctions of the cervical region or the craniocervical junction.[…]Thieme Publicações Ltda Rio de Janeiro, BrazilArticle in Thieme eJournals:Table of contents  |  Abstract  |  open access Full text (Source: International Archives of Otorhinolaryngology)

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Imaging Interpretation of Temporal Bone Studies in a Patient with Tinnitus

This article provides a summary of the imaging findings of structural causes of tinnitus. (Source: Neuroimaging Clinics of North America)

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Flufenamic acid prevents behavioral manifestations of salicylate-induced tinnitus in the rat.

CONCLUSIONS: We suggest that SSA-induced tinnitus could possibly be prevented by administration of a TRPM2 ion channel antagonist, FFA at 66 mg/kg bw. PMID: 26925138 [PubMed - as supplied by publisher] (Source: Archives of Medical Science)

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Imaging Interpretation of Temporal Bone Studies in a Patient with Tinnitus

This article provides a summary of the imaging findings of structural causes of tinnitus. (Source: Neuroimaging Clinics)

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Elevated Acoustic Startle Responses in Humans: Relationship to Reduced Loudness Discomfort Level, but not Self-Report of Hyperacusis

Abstract Increases in the acoustic startle response (ASR) of animals have been reported following experimental manipulations to induce tinnitus, an auditory disorder defined by phantom perception of sound. The increases in ASR have been proposed to signify the development of hyperacusis, a clinical condition defined by intolerance of normally tolerable sound levels. To test this proposal, the present study compared ASR amplitude to measures of sound-level tolerance (SLT) in humans, the only species in which SLT can be directly assessed. Participants had clinically normal/near-normal hearing thresholds, were free of psychotropic medications, and comprised people with tinnitus and without. ASR was measured as eyeblink-related electromyographic activity in response to a noise pulse p…

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Symptom: Right-Sided Tinnitus

No abstract available (Source: The Hearing Journal)

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Arterial Abnormalities Leading to Tinnitus

Publication date: Available online 28 February 2016 Source:Neuroimaging Clinics of North America Author(s): Timothy R. Miller, Yafell Serulle, Dheeraj GandhiTeaser Tinnitus is a common symptom that usually originates in the middle ear. Vascular causes of pulsatile tinnitus are categorized by the location of the source of the noise within the cerebral-cervical vasculature: arterial, arteriovenous, and venous. Arterial stenosis secondary to atherosclerotic disease or dissection, arterial anatomic variants at the skull base, and vascular skull base tumors are some of the more common causes of arterial and arteriovenous pulsatile tinnitus. Noninvasive imaging is indicated to evaluate for possible causes of pulsatile tinnitus, and should be followed by catheter angiography if there is a st…

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Tinnitus prevalence in New Zealand.

CONCLUSION: This is the first nationally representative study of tinnitus prevalence in New Zealand and largest study sample internationally for tinnitus prevalence to date. Tinnitus is a public health problem affecting approximately 207,000 people in the New Zealand population aged ≥14 years. This study has highlighted the importance of sex and age in defining a high-risk tinnitus population, but our knowledge falls short of profiling their ethnic and social-economic characteristics. PMID: 26922445 [PubMed - as supplied by publisher] (Source: New Zealand Medical Journal)

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Arterial Abnormalities Leading to Tinnitus

Tinnitus is a common symptom that usually originates in the middle ear. Vascular causes of pulsatile tinnitus are categorized by the location of the source of the noise within the cerebral-cervical vasculature: arterial, arteriovenous, and venous. Arterial stenosis secondary to atherosclerotic disease or dissection, arterial anatomic variants at the skull base, and vascular skull base tumors are some of the more common causes of arterial and arteriovenous pulsatile tinnitus. Noninvasive imaging is indicated to evaluate for possible causes of pulsatile tinnitus, and should be followed by catheter angiography if there is a strong clinical suspicion for a dural arteriovenous fistula. (Source: Neuroimaging Clinics)

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Clinical Evaluation of Tinnitus

Publication date: Available online 28 February 2016 Source:Neuroimaging Clinics of North America Author(s): Ronna Hertzano, Taylor B. Teplitzky, David J. EisenmanTeaser The clinical evaluation of patients with tinnitus differs based on whether the tinnitus is subjective or objective. Subjective tinnitus is usually associated with a hearing loss, and therefore, the clinical evaluation is focused on an otologic and audiologic evaluation with adjunct imaging/tests as necessary. Objective tinnitus is divided into perception of an abnormal somatosound or abnormal perception of a normal somatosound. The distinction between these categories is usually possible based on a history, physical examination, and audiogram, leading to directed imaging to identify the underlying abnormality. (Source:…

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Dural Arteriovenous Fistulae

This article describes the natural history, clinical presentation, classification, imaging features, and management options of intracranial DAVF. (Source: Neuroimaging Clinics of North America)

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Clinical Evaluation of Tinnitus

The clinical evaluation of patients with tinnitus differs based on whether the tinnitus is subjective or objective. Subjective tinnitus is usually associated with a hearing loss, and therefore, the clinical evaluation is focused on an otologic and audiologic evaluation with adjunct imaging/tests as necessary. Objective tinnitus is divided into perception of an abnormal somatosound or abnormal perception of a normal somatosound. The distinction between these categories is usually possible based on a history, physical examination, and audiogram, leading to directed imaging to identify the underlying abnormality. (Source: Neuroimaging Clinics)

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Dural Arteriovenous Fistulae

This article describes the natural history, clinical presentation, classification, imaging features, and management options of intracranial DAVF. (Source: Neuroimaging Clinics)

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