Tinnitus und multimodale kortikale Interaktion

Christian Dobel; Markus Junghöfer; Birgit Mazurek; Evangelos Paraskevopoulos; Joachim Groß

doi:10.1055/a-1959-3021

Laryngo-Rhino-Otologie, Table of Contents

CC BY-NC-ND 4.0 · Laryngorhinootologie 2023; 102(S 01): S59-S66
DOI: 10.1055/a-1959-3021

Referat

Tinnitus und multimodale kortikale Interaktion

Article in several languages: deutsch | English

Authors

Christian Dobel

¹Klinik und Poliklinik für HNO-Heilkunde, Universitätsklinikum Jena, Jena
Markus Junghöfer

²Institut für Biomagnetismus und Biosignalanalyse, Universität Münster, Münster
Birgit Mazurek

³Tinnituszentrum, Charité – Universitätsmedizin Berlin, Berlin
Evangelos Paraskevopoulos

⁴Department of Psychology, University of Cyprus, CY, Nicosia, Cyprus
Joachim Groß

²Institut für Biomagnetismus und Biosignalanalyse, Universität Münster, Münster

Abstract

Zusammenfassung

Mit dem Begriff des subjektiven Tinnitus wird ein wahrgenommenes Geräusch ohne externe Quelle beschrieben. Daher scheint es naheliegend, dass Tinnitus als rein auditives, sensorisches Problem verstanden werden kann. Aus klinischer Sicht ist das jedoch eine sehr unzureichende Beschreibung, da bei chronischem Tinnitus erhebliche Komorbiditäten vorliegen. Neurophysiolgische Untersuchungen mit unterschiedlichen bildgebenden Verfahren ergeben ein sehr ähnliches Bild, da bei Patienten mit chronischem Tinnitus nicht nur das auditive System betroffen ist, sonderen ein weitverzweigtes subkortikales und kortikales Netzwerk. Neben auditiven Verarbeitungssystemen sind insbesondere Netzwerke bestehend aus frontalen und parietalen Regionen gestört. Aus diesem Grund wird Tinnitus von einigen Autoren als Netzwerk-Störung konzeptualisiert und nicht als eine Störung eines eng umschriebenen Systems. Diese Ergebnisse und diese Sichtweise legen nahe, dass Tinnitus auf fach- und modalitätsübergreifende Weise diagnostiziert und behandelt werden muss.

Schlüsselwörter

Tinnitus - Komorbidität - bildgebende Verfahren - funktionelles Kernspintomographie - Elektroenzephalographie - Magnetenzephalographie

Full Text

References

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