Tuesday, March 29, 2016

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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Sunday, March 27, 2016

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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Wednesday, March 23, 2016

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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Tuesday, March 22, 2016

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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Sunday, March 20, 2016

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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Saturday, March 19, 2016

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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Friday, March 18, 2016

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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Tuesday, March 15, 2016

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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Sunday, March 13, 2016

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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Friday, March 11, 2016

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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