Document Detail


Neurootological differentiations in endogenous tinnitus.
MedLine Citation:
PMID:  20420344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vertigo and tinnitus are very frequent complaints. Often, we find multisensory syndromes combined with tinnitus, hearing impairment, vertigo, and nausea. From more than 10,000 cases, we evaluated 757 randomly selected neurootological patients suffering from endogenous tinnitus. First, we classified the 10,000 patients into those suffering from the basic tetrad of tinnitus forms: bruits, endogenous (maskable) tinnitus, exogenous (nonmaskable) tinnitus, and other syndromes such as the slow brainstem syndrome. Then, of all the endogenous tinnitus patients, we randomly selected our study sample (n = 757), and those patients underwent a complex neurosensory investigation, including neurootological history; classic audiometry; acoustic brainstem-evoked potentials; acoustic cortically evoked potentials; visually evoked potentials; electronystagmography of spontaneous, caloric, rotatory, and optokinetic nystagmus; and craniocorpography with several vestibulospinal tests. For this study, we primarily examined the historical findings. The statistical results demonstrate that tinnitus is interconnected to a multifactorial disease background with a broad spectrum of individual complaints. Finally, the topodiagnostics of the functional neurootometric analysis shows that this type of endogenous tinnitus constitutes decidedly more central than peripheral statoacoustic pathology.
Authors:
Claus-F Claussen; Arti Pandey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international tinnitus journal     Volume:  15     ISSN:  0946-5448     ISO Abbreviation:  Int Tinnitus J     Publication Date:  2009  
Date Detail:
Created Date:  2010-04-27     Completed Date:  2010-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612993     Medline TA:  Int Tinnitus J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  174-84     Citation Subset:  IM    
Affiliation:
Neurootologisches Forschungsinstitut der 4-G-Forschung E.V., Bad Kissingen, Germany. claussensolog@t-online.de
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MeSH Terms
Descriptor/Qualifier:
Acoustic Stimulation
Adult
Aged
Auditory Pathways / physiopathology
Craniocerebral Trauma / complications,  physiopathology
Diagnosis, Differential
Evoked Potentials, Auditory, Brain Stem / physiology
Female
Follow-Up Studies
Hearing Tests*
Humans
Male
Meniere Disease / diagnosis,  physiopathology,  therapy
Middle Aged
Reaction Time
Sound Spectrography
Spinal Cord / physiopathology
Temporal Lobe / physiopathology
Tinnitus / classification,  diagnosis*,  etiology,  physiopathology
Vestibular Function Tests*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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