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Schlee, W.

Publications and source records attributed to Schlee, W..

3 recordsLinked to original sources

Neurophysiological correlates of residual inhibition in tinnitus: Hints for trait-like EEG power spectra

Magneto- and electroencephalography (M/EEG) investigations in tinnitus patients demonstrated anomalous oscillatory brain activity patterns compared to healthy controls. A well-established phenomenon in tinnitus is the possibility to temporary suppress tinnitus following acoustic stimulation, which is termed residual inhibition (RI). The few former neurophysiological investigations of RI reported partly conflicting results hampering consensus on tinnitus-specific brain activity and basic neural models. Hence, our objective was to investigate RI-specific oscillatory brain activity changes and whether these changes can be associated with behavioral measures of tinnitus loudness. Further, contrasts between acoustic stimulation responders and non-responders provide further insights in RI-related spontaneous brain activity. Three different types of noise stimuli were administered for acoustic stimulation in 45 tinnitus patients. Subjects resting state brain activity was recorded before and during RI via EEG alongside with subjective measurements of tinnitus loudness. On the whole-group level, tinnitus-unspecific changes were observed which fit established knowledge about basic neural responses after acoustic stimulation. Responder non-responder contrasts revealed differences in alpha and gamma band activity in line with the proposed neural models for oscillatory brain activity in tinnitus. Further analysis of sample characteristics demonstrated divergences between responders and nonresponders notably for tinnitus duration. During RI, distinct differences between responders and non-responders were exclusively observed for alpha band activity in auditory cortical areas. Neither correlations of behavioral tinnitus measures nor differences between stimulus-induced changes in ongoing brain activity could be detected. Taken together, our observations might be indicative of trait-specific forms of oscillatory signatures in different subsets and chronification grades of the tinnitus population possibly related to acoustic tinnitus suppression. Results and insights are not only useful to understand basic neural mechanisms behind RI but are also valuable for general neural models of tinnitus. HighlightsO_LIResidual inhibition provides a key method to study the basic mechanisms of tinnitus. C_LIO_LIWe compared residual inhibition EEG activity between responders and non-responders. C_LIO_LIIn responders, the alpha activity in auditory areas was increased during tinnitus suppression. C_LIO_LIResults and insights are valuable for understanding the neural mechanisms behind acoustic tinnitus suppression. C_LI

neuroscience↗

Phantom auditory perception (tinnitus) is characterised by stronger anticipatory auditory predictions

How phantom perceptions arise and the factors that make individuals prone to such experiences are not well understood. An attractive phenomenon to study these questions is tinnitus, a very common auditory phantom perception which is not explained by hyperactivity in the auditory pathway alone. Our framework posits that a predisposition to developing (chronic) tinnitus is dependent on individual traits relating to the formation and utilization of sensory predictions. Predictions of auditory stimulus frequency (remote from tinnitus frequency) were studied using a paradigm parametrically modulating regularity (i.e. predictability) of tone sequences and applying decoding techniques on magnetoencephalographic (MEG) data. For processes likely linked to short-term memory, individuals with tinnitus showed an enhanced anticipatory prediction pattern associated with increasing sequence regularity. In contrast, individuals without tinnitus engaged the same processes following the onset of the to-be-decoded sound. We posit that this tendency to optimally anticipate static and changing auditory inputs may determine which individuals faced with persistent auditory pathway hyperactivity factor it into auditory predictions, and thus perceive it as tinnitus. While our study constitutes a first step relating vulnerability to tinnitus with predictive processing, longitudinal studies are needed to confirm the predisposition model of tinnitus development.

neuroscience↗

aMpLiTuDe MoDuLaTeD noise for tinnitus suppression in tonal and noise-like tinnitus

BackgroundAcoustic stimulation offers a potential treatment approach for tinnitus but also in-sights in its basic mechanisms by short-term tinnitus suppression called residual inhibition (RI). The effects of RI were found to be depending on intensity, length or sound types covering the individual tinnitus characteristics. In patients with tonal tinnitus RI was increased with amplitude modulated (AM) pure tones at the individual tinnitus frequency while the effects of modulated noise sounds have not been systematically researched.\n\nObjectivesThe aim of the present study was to investigate whether in patients with noise-like tinnitus RI can be increased by AM noise-like stimuli according to the individual tinnitus frequency range.\n\nMethodsFor this purpose the individual tinnitus characteristics (noise-like and tonal tinnitus) were assessed via customizable noise-band matching, in order to generate bandpass filtered stimuli according to the individual tinnitus sound (individualized bandpass filtered sounds; IBP). Subsequent, various stimuli differing in bandpass filtering and AM were tested with respect to their potential to induce RI. Patients were acoustically stimulated with seven different types of stimuli for three minutes each and had to rate the loudness of their tinnitus after each stimuli.\n\nResultsResults indicate a general efficacy of noise stimuli for the temporary suppression of tinnitus, but no significant differences between AM and unmodulated IBP. Significantly better effects were observed for the subgroup with noise-like tinnitus (n=14), especially directly after stimulation offset.\n\nConclusionsThe study at hand provides further insights in potential mechanisms behind RI for different types of tinnitus. Beyond that, derived principles may qualify for new or extend current tinnitus sound therapies.

neuroscience↗