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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Neurophysiol
2014 ; 112
(12
): 3197-208
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Increased contralateral suppression of otoacoustic emissions indicates a
hyperresponsive medial olivocochlear system in humans with tinnitus and
hyperacusis
#MMPMID25231612
Knudson IM
; Shera CA
; Melcher JR
J Neurophysiol
2014[Dec]; 112
(12
): 3197-208
PMID25231612
show ga
Atypical medial olivocochlear (MOC) feedback from brain stem to cochlea has been
proposed to play a role in tinnitus, but even well-constructed tests of this idea
have yielded inconsistent results. In the present study, it was hypothesized that
low sound tolerance (mild to moderate hyperacusis), which can accompany tinnitus
or occur on its own, might contribute to the inconsistency. Sound-level tolerance
(SLT) was assessed in subjects (all men) with clinically normal or near-normal
thresholds to form threshold-, age-, and sex-matched groups: 1) no tinnitus/high
SLT, 2) no tinnitus/low SLT, 3) tinnitus/high SLT, and 4) tinnitus/low SLT. MOC
function was measured from the ear canal as the change in magnitude of
distortion-product otoacoustic emissions (DPOAE) elicited by broadband noise
presented to the contralateral ear. The noise reduced DPOAE magnitude in all
groups ("contralateral suppression"), but significantly more reduction occurred
in groups with tinnitus and/or low SLT, indicating hyperresponsiveness of the MOC
system compared with the group with no tinnitus/high SLT. The results suggest
hyperresponsiveness of the interneurons of the MOC system residing in the
cochlear nucleus and/or MOC neurons themselves. The present data, combined with
previous human and animal data, indicate that neural pathways involving every
major division of the cochlear nucleus manifest hyperactivity and/or
hyperresponsiveness in tinnitus and/or low SLT. The overactivation may develop in
each pathway separately. However, a more parsimonious hypothesis is that top-down
neuromodulation is the driving force behind ubiquitous overactivation of the
auditory brain stem and may correspond to attentional spotlighting on the
auditory domain in tinnitus and hyperacusis.