Dysregulation of limbic and auditory networks in tinnitus.

Leaver, Amber M;Renier, Laurent;Chevillet, Mark A;Morgan, Susan;Rauschecker, Josef P;et.al.
(2011) Neuron — Vol. 69, n° 1, p. 33-43 (2011)

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Authors
  • Leaver, Amber MUniversity of Georgetown
    Author
  • Renier, LaurentUCLouvain
    Author
  • Chevillet, Mark AUniversity of Georgetown
    Author
  • Morgan, SusanUniversity of Georgetown
    Author
  • Rauschecker, Josef PUniversity of Georgetown
    Author
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Abstract
Tinnitus is a common disorder characterized by ringing in the ear in the absence of sound. Converging evidence suggests that tinnitus pathophysiology involves damage to peripheral and/or central auditory pathways. However, whether auditory system dysfunction is sufficient to explain chronic tinnitus is unclear, especially in light of evidence implicating other networks, including the limbic system. Using functional magnetic resonance imaging and voxel-based morphometry, we assessed tinnitus-related functional and anatomical anomalies in auditory and limbic networks. Moderate hyperactivity was present in the primary and posterior auditory cortices of tinnitus patients. However, the nucleus accumbens exhibited the greatest degree of hyperactivity, specifically to sounds frequency-matched to patients' tinnitus. Complementary structural differences were identified in ventromedial prefrontal cortex, another limbic structure heavily connected to the nucleus accumbens. Furthermore, tinnitus-related anomalies were intercorrelated in the two limbic regions and between limbic and primary auditory areas, indicating the importance of auditory-limbic interactions in tinnitus.
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Citations

Leaver, A. M., Renier, L., Chevillet, M. A., Morgan, S., Kim, H. J., & Rauschecker, J. P. (2011). Dysregulation of limbic and auditory networks in tinnitus. Neuron, 69(1), 33-43. https://doi.org/10.1016/j.neuron.2010.12.002 (Original work published 2011)