Brotherton, H;
Turtle, C;
Plack, CJ;
Munro, KJ;
Schaette, R;
(2019)
Earplug-Induced Changes in Acoustic Reflex Thresholds Suggest that Increased Subcortical Neural Gain May Be Necessary but Not Sufficient for the Occurrence of Tinnitus.
Neuroscience
10.1016/j.neuroscience.2019.03.017.
(In press).
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Abstract
The occurrence of tinnitus is associated with hearing loss and neuroplastic changes in the brain, but disentangling correlation and causation has remained difficult in both human and animal studies. Here we use earplugs to cause a period of monaural deprivation to induce a temporary, fully reversible tinnitus sensation, to test whether differences in subcortical changes in neural response gain, as reflected through changes in acoustic reflex thresholds (ARTs), could explain the occurrence of tinnitus. Forty-four subjects with normal hearing wore an earplug in one ear for either 4 (n = 27) or 7 days (n = 17). Thirty subjects reported tinnitus at the end of the deprivation period. ARTs were measured before the earplug period and immediately after taking the earplug out. At the end of the earplug period, ARTs in the plugged ear were decreased by 5.9 ± 1.1 dB in the tinnitus-positive group, and by 6.3 ± 1.1 dB in the tinnitus-negative group. In the control ear, ARTs were increased by 1.3 ± 0.8 dB in the tinnitus-positive group, and by 1.6 ± 2.0 dB in the tinnitus-negative group. There were no significant differences between the groups with 4 and 7 days of auditory deprivation. Our results suggest that either the subcortical neurophysiological changes underlying the ART reductions might not be related to the occurrence of tinnitus, or that they might be a necessary component of the generation of tinnitus, but with additional changes at a higher level of auditory processing required to give rise to tinnitus.
Type: | Article |
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Title: | Earplug-Induced Changes in Acoustic Reflex Thresholds Suggest that Increased Subcortical Neural Gain May Be Necessary but Not Sufficient for the Occurrence of Tinnitus |
Location: | United States |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1016/j.neuroscience.2019.03.017 |
Publisher version: | http://doi.org/10.1016/j.neuroscience.2019.03.017 |
Language: | English |
Additional information: | Copyright © 2019 The Authors. Published by Elsevier Ltd on behalf of IBRO. This is an open access article under the CC BY license (http://creativecommons.org/ licenses/by/4.0/). |
Keywords: | acoustic reflex threshold, auditory deprivation, earplug, neural plasticity, tinnitus |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute |
URI: | https://discovery.ucl.ac.uk/id/eprint/10071002 |
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