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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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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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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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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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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Progression of unilateral moyamoya disease resulted in spontaneous occlusion of ipsilateral cavernous dural arteriovenous fistula: Case report.

Authors: Liu P, Xu Y, Lv X, Ge H, Lv M, Li Y Abstract The pathogenic association between cavernous dural arteriovenous fistula (CDAVF) and moyamoya disease remains unclear. This unusual case is the first report of a progression of unilateral moyamoya disease resulting in the spontaneous occlusion of ipsilateral CDAVF. A 52-year-old woman presented with two-week spontaneous exophthalmos, chemosis and tinnitus, and cerebral angiography showed a right CDAVF coexisting with ipsilateral moyamoya disease. Transvenous approaches through the inferior petrosal sinus and facial vein were attempted but failed. However, a progression of the moyamoya disease and disappearance of the CDAVF were observed on one month follow-up angiogram in accordance with the resolution of clinical symptoms. This…

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Adaptation of the Arabic Version of the Tinnitus Handicap Inventory

Conclusion The Arabic version of the THI is a valid and reliable tool for the assessment of the impact of tinnitus on the quality of life of Arabic-speaking patients with the complaint of chronic tinnitus. (Source: Otolaryngology - Head and Neck Surgery)

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2015 Equilibrium Committee Amendment to the 1995 AAO-HNS Guidelines for the Definition of Menieres Disease

Ménière’s disease is a disorder of the inner ear that causes attacks of vertigo and hearing loss, tinnitus, aural fullness in the involved ear. Over the past 4 decades, the Equilibrium Committee of the AAO-HNS has issued guidelines for diagnostic criteria, with the latest version being published in 1995. These criteria were reviewed in 2015 by the Equilibrium Committee, and revisions were approved at the recent meeting of the committee at the 2015 AAO-HNSF Annual Meeting. The following commentary outlines the amended and approved criteria. (Source: Otolaryngology - Head and Neck Surgery)

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Cerebral Processing of Emotionally Loaded Acoustic Signals by Tinnitus Patients

This study supports the hypothesis about the existence of a tinnitus-specific brain network. Such a network could respond to any acoustic stimuli by activating limbic areas involved in stress reactivity and emotional processing and by reducing activation of areas responsible for attention and acoustic filtering (thalamus, frontal regions), possibly reinforcing negative effects of tinnitus.Audiol Neurotol 2016;21:80-87 (Source: Audiology and Neurotology)

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Long-term vestibulocochlear functional outcome following retro-sigmoid approach to resection of vestibular schwannoma

The objective of this study was to evaluate long-term vestibulocochlear functional outcomes of patients operated for unilateral vestibular schwannoma via the retro-sigmoid approach. Patients who underwent vestibular schwannoma resection via retro-sigmoid approach between 2004 and 2008 at our institution, without prior surgical or radio-surgical therapy were considered to be eligible for this study. Preoperative auditory and vestibular symptoms were assessed retrospectively. Postoperative symptoms were prospectively assessed using a standardised questionnaire, pure tone audiometry, video-oculography, and rotary chair testing. Out of a total of 203 patients, 120 were eligible for this study, of whom 64 responded to follow-up requests and could be enrolled. Serviceable hearing was reported i…

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Cervicogenic somatosensory tinnitus: an indication for manual therapy plus education? Part 2: A pilot study

The aim of this study was to evaluate the efficacy of Manual Therapy Utrecht (MTU) plus education in patients with cervicogenic somatosensory tinnitus (CeT). (Source: Manual Therapy)

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Neuronavigated left temporal continuous theta burst stimulation in chronic tinnitus.

CONCLUSIONS: In our study, verum cTBS was not superior to sham which highlights the persistent need for improving non-invasive brain stimulation techniques for the treatment of tinnitus. Future research should focus on the transfer of positive single session effects to daily treatment trials. PMID: 26890094 [PubMed - as supplied by publisher] (Source: Restorative Neurology and Neuroscience)

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Variants in the KCNE1 or KCNE3 gene and risk of Ménière's disease: A meta-analysis.

CONCLUSIONS: Based on current evidence from published studies, neither of the two variants from KCNE was significantly associated with the risk of MD. Larger studies with mixed ethnicity subjects and stratified by clinical and sub-clinical characteristics are needed to validate our findings. PMID: 26890422 [PubMed - in process] (Source: Journal of Vestibular Research: Equilibrium and Orientation)

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Salicylate-Induced Hearing Loss Trigger Structural Synaptic Modifications in the Ventral Cochlear Nucleus of Rats via Medial Olivocochlear (MOC) Feedback Circuit.

Authors: Fang L, Fu Y, Zhang TY Abstract Lesion-induced cochlear damage can result in synaptic outgrowth in the ventral cochlear nucleus (VCN). Tinnitus may be associated with the synaptic outgrowth and hyperactivity in the VCN. However, it remains unclear how hearing loss triggers structural synaptic modifications in the VCN of rats subjected to salicylate-induced tinnitus. To address this issue, we evaluated tinnitus-like behavior in rats after salicylate treatment and compared the amplitude of the distortion product evoked otoacoustic emission (DPOAE) and auditory brainstem response (ABR) between control and treated rats. Moreover, we observed the changes in the synaptic ultrastructure and in the expression levels of growth-associated protein (GAP-43), brain-derived neurotrophic…

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A Systematic Review and Meta-Analysis on the Association between Hypertension and Tinnitus.

This study suggests that hypertension might be one risk factor of tinnitus, and hypertension prevention and control might be helpful in preventing tinnitus. PMID: 26881064 [PubMed] (Source: International Journal of Hypertension)

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A Critical Approach to Evaluating Clinical Efficacy, Adverse Events and Drug Interactions of Herbal Remedies

Systematic reviews and meta‐analyses represent the uppermost ladders in the hierarchy of evidence. Systematic reviews/meta‐analyses suggest preliminary or satisfactory clinical evidence for agnus castus (Vitex agnus castus) for premenstrual complaints, flaxseed (Linum usitatissimum) for hypertension, feverfew (Tanacetum partenium) for migraine prevention, ginger (Zingiber officinalis) for pregnancy‐induced nausea, ginseng (Panax ginseng) for improving fasting glucose levels as well as phytoestrogens and St John’s wort (Hypericum perforatum) for the relief of some symptoms in menopause. However, firm conclusions of efficacy cannot be generally drawn. On the other hand, inconclusive evidence of efficacy or contradictory results have been reported for Aloe vera in the treatment of psori…

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Neural Hyperactivity of the Central Auditory System in Response to Peripheral Damage.

Authors: Zhao Y, Song Q, Li X, Li C Abstract It is increasingly appreciated that cochlear pathology is accompanied by adaptive responses in the central auditory system. The cause of cochlear pathology varies widely, and it seems that few commonalities can be drawn. In fact, despite intricate internal neuroplasticity and diverse external symptoms, several classical injury models provide a feasible path to locate responses to different peripheral cochlear lesions. In these cases, hair cell damage may lead to considerable hyperactivity in the central auditory pathways, mediated by a reduction in inhibition, which may underlie some clinical symptoms associated with hearing loss, such as tinnitus. Homeostatic plasticity, the most discussed and acknowledged mechanism in recent years, is …

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Can YOU hear THIS hissing noise? Tinnitus...and how to live with it

THE sound of silence is something people with tinnitus would treasure - do you know what suffering with the condition is really like? (Source: Daily Express - Health)

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Pulsatile tinnitus and a temporal bone mass

Publication date: Available online 16 February 2016 Source:European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): D.T. Ginat, M.B. Gluth (Source: European Annals of Otorhinolaryngology, Head and Neck Diseases)

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Clinical Reasoning: A 37-year-old man with multiple cranial neuropathies

A 37-year-old man presented with a 7-month history of vertigo, nausea, dysphagia, right-sided tinnitus, and hearing loss. He denied headache, paresthesias, change in vision, or problems with cognition. He endorsed a history of progressive fatigue, generalized weakness, and poor libido. His symptoms left him functionally impaired and bedridden. (Source: Neurology)

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Can YOU hear THIS hissing noise? It might mean a trip to the doctor…

THE sound of silence is something people with tinnitus would treasure - do you know what suffering with the condition is really like? (Source: Daily Express - Health)

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The Influence of Tinnitus on the Audiometric Threshold of Sufferers

Conclusion A proportion of tinnitus sufferers with self-professed normal hearing are likely to have mildly elevated pure tone audiometric thresholds. In patients with unilateral tinnitus, such elevated pure tone hearing thresholds are likely to be in the tinnitus ear and the contralateral non-tinnitus ear.[…]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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Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus

We describe the case of a patient who presented with debilitating pulsatile tinnitus in association with two jugular bulb diverticula. The diverticula were treated with stenting of the jugular bulb and coil embolization of the diverticula over two procedures. This resulted in successful resolution of symptoms and at 10 months follow-up the patient is asymptomatic. The technique is discussed with regard to similar published cases and surrogate measures of safety taken from the literature pertaining to idiopathic intracranial hypertension. (Source: Journal of NeuroInterventional Surgery)

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) – This week’s topics include seafood consumption and Alzheimer’s disease, transcranial stimulation for tinnitus, long-term use of marijuana and cognition, and mobile texts for medication adherence (Source: MedPage Today Psychiatry)

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Clinical features of vestibular migraine in Egypt

Conclusions Vestibular migraine is one of the leading causes of dizziness in both adults and children. A high percentage of patients showed abnormalities in Videonystagmography during testing documenting vestibular system involvement in migraine patients during the dizziness attack. Good history taking and analysis of aural symptoms helps in the differential diagnosis. The profile of VM patients is outlined. (Source: Egyptian Journal of Ear, Nose, Throat and Allied Sciences)

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Manual Therapy and Exercise for a Patient With Neck-Tongue Syndrome: A Case Report.

Discussion This case report describes the physical therapy management of an individual with NTS. The management strategy followed a protocol similar to that used for cervicogenic headaches (CH) due to the involvement of the upper cervical spine with both NTS and CH and the lack of evidence for the treatment of NTS. Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther, Epub 11 Jan 2016. doi:10.2519/jospt.2016.6195. PMID: 26868897 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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Clinical outcomes of middle fossa craniotomy for superior semicircular canal dehiscence repair.

CONCLUSIONS SSCD remains an underdiagnosed and undertreated condition. Surgical repair of SSCD using a middle fossa craniotomy is associated with a high rate of symptom resolution. Continued investigation using a larger patient cohort and longer-term follow-up could further demonstrate the effectiveness of using middle fossa craniotomy for SSCD repair. PMID: 26871374 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)

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Prevalence of Pulsatile Tinnitus Among Patients With Migraine

Conclusion: PT can be observed in the context of migraine. Migraine treatment with avoidance of dietary triggers with or without medication can possibly lead to resolution of PT. (Source: Otology and Neurotology)

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Notched environmental sounds: a new hearing aid‐supported tinnitus treatment evaluated in 20 patients

(Source: Clinical Otolaryngology)

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Can YOU hear this hissing, buzzing, ROARING noise? It might mean a trip to the doctor…

THE sound of silence is something people with tinnitus would treasure - do you know what suffering with the condition is really like? (Source: Daily Express - Health)

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Prospective case‐controlled sound localisation study after cochlear implantation in adults with single‐sided deafness and ipsilateral tinnitus

ConclusionsSubjects can better locate sound in the CION condition than in the CIOFF condition. (Source: Clinical Otolaryngology)

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Acupuncture as a Treatment Option in Treating Posttraumatic Stress Disorder-Related Tinnitus in War Veterans: A Case Presentation

This article presents a case of three war veterans with PTSD symptoms who received a series of acupuncture treatments for tinnitus with positive outcomes. Even though the article presents cases of only three veterans and was based on self-reports, there were very clear trends on how veterans with tinnitus symptoms responded to acupuncture treatments. Information generated from this case presentation is a good starting place in exploring evidence-based approaches in treating tinnitus symptoms in war veterans with PTSD. (Source: Journal of Holistic Nursing)

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Deafferentation-based pathophysiological differences in phantom sound: Tinnitus with and without hearing loss

Publication date: 1 April 2016 Source:NeuroImage, Volume 129 Author(s): Sven Vanneste, Dirk De Ridder Tinnitus has been considered an auditory phantom percept. Recently a theoretical multiphase compensation mechanism at a cortical level has been hypothesized linking auditory deafferentation to tinnitus. This Bayesian brain model predicts that two very different kinds of tinnitus should exist, depending on the amount of hearing loss: an auditory cortex related form of tinnitus not associated with hearing loss, and a (para)hippocampal form associated with hearing loss, in which the auditory cortex might be of little relevance. In order to verify this model, resting state source analyzed EEG recordings were made in 129 tinnitus patients, and correlated to the mean hearing loss, the range …

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Effects of Erlong Zuoci decoction on the age-related hearing loss in C57BL/6J mice

Conclusion The results demonstrated that ELZCD prevented ARHL in C57BL/6J mice and p53/Bak-mediated mitochondrial apoptosis of SG cells might be involved in the mechanisms. Graphical abstract (Source: Journal of Ethnopharmacology)

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Separation of Power-line Noise from Tinnitus Sound, to aid medical diagnoses

Publication date: Available online 6 February 2016 Source:Perspectives in Science Author(s): J. Dhoulath Beegum, D. Chithraprasad, Alan Jacob, D.S. Ananthakrishnan, Gayatri Nair, Namitha S. Nair, Irene Miriam Isaac Tinnitus, is one of the leading symptom in neurological disorders, particularly relating with diseases of the middle ear, blood vessels or the aftereffect as a result of exposure to certain medications. The preliminary diagnosis of tinnitus is established by subjecting the patient to common tinnitus simulated sounds. This helps to assess the patient’s perception of tinnitus on a score that helps in planning further treatments involved with medications or advanced interventions. The major drawback within this widely accepted preliminary diagnosis technique is that of the…

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Emerging hubs in phantom perception connectomics

Publication date: Available online 4 February 2016 Source:NeuroImage: Clinical Author(s): Anusha Mohan, Dirk De Ridder, Sven Vanneste Brain networks are small-world networks typically characterized by the presence of hubs, i.e. nodes that have significantly greater number of links in comparison to other nodes in the network. These hubs act as short cuts in the network and promote long-distance connectivity. Long-distance connections increase the efficiency of information transfer but also increase the cost of the network. Brain disorders are associated with an altered brain connectome which reflects either as a complete change in the network topology, as in, the replacement of hubs or as an alteration in the connectivity between the hubs while retaining network structure. The current …

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Relationship between tinnitus and suicidal behaviour in Korean men and women: a cross‐sectional study

ConclusionThis study has important implications for enhanced screening and evaluation of mental health status and suicidal ideation/behaviour among tinnitus patients. (Source: Clinical Otolaryngology)

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Could the biological robustness of low level laser therapy (Photobiomodulation) impact its use in the management of mucositis in head and neck cancer patients

Low level laser therapy (LLLT) was first introduced for potential clinical applications by Mester in the late 1960s. This form of laser treatment, currently referred to as photobiomodulation (PBM), limits radiation intensity by transferring low energy to tissues and thereby does not generate heat. Among the clinical indications for which LLLT has been reported to be efficacious are pain relief (back and neck, orthodontic, shoulder), wound healing, carpal tunnel syndrome, colorectal cancer, elbow disorders, fibromyalgia, lymphedema, musculoskeletal dysfunction, myofascial pain syndrome, neurological dysfunctions, patella-femoral pain syndrome, rheumatoid arthritis, shoulder impingement syndrome, and tinnitus. (Source: Oral Oncology)

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New scoring system of an interview for the diagnosis of benign paroxysmal positional vertigo.

Conclusion This study investigated a novel instrument to diagnose benign paroxysmal positional vertigo (BPPV). Objective To develop a new scoring system of an interview for the diagnosis of BPPV. Methods The answers to questions on dizziness and/or vertigo (D/V) (571 patients) were analyzed and the questions for which the answers differed significantly between the patients with and without BPPV were selected. Results This study established an intensive questionnaire with a scoring system. It consists of the following questions: (1) Is rotary vertigo a characteristic of your D/V? (2) Is your D/V triggered when you roll your head over in a supine position? (3) Does your D/V disappear within 5 min? (4) Have you previously experienced hearing loss in one ear, or have you experienced hearing lo…

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Relieve ringing ears with these eight natural remedies

(NaturalNews) Ringing in the ears – or tinnitus – is one of the most annoying conditions you can develop. It can have a big impact on your ability to hear, as well as being incredibly distracting and interfering with your daily life.(1)Tinnitus is quite… (Source: NaturalNews.com)

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Transcranial Magnetic Stimulation for Chronic Tinnitus

This commentary discusses a study published in JAMA Otolaryngology–Head & Neck Surgery that evaluated transcranial magnetic stimulation for the treatment of chronic tinnitus. (Source: JAMA)

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A mutation of the succinate dehydrogenase B gene in a Korean family with paraganglioma

We report a case of germline SDHB mutation. This mutation was a deletion of thymine at nucleotide position 757 in exon 7 of the SDHB gene (c.757delT). (Source: Familial Cancer)

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AMA Hearing Loss/Tinnitus Guidelines

No abstract available (Source: The Hearing Journal)

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The relationship between tinnitus and vascular anomalies on temporal bone CT scan: a retrospective case control study

Conclusions In patients who complained of subjective nonpulsatile tinnitus with unknown etiology, some temporal bone vascular variations, including high riding jugular bulb, dehiscent carotid canal, left-sided MEV enlargement, and petrous bone pneumatization, seemed to have an association with tinnitus. Further studies comparing all these entities between pulsatile and nonpulsatile groups and healthy controls should be undertaken. (Source: Surgical and Radiologic Anatomy)

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Pitch and Loudness Tinnitus in Individuals with Presbycusis

Conclusion There is no significant association between the hearing loss of patients with presbycusis and the pitch and loudness of tinnitus.[…]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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