Alterations in auditory change detection associated with tinnitus residual inhibition induced by auditory electrical stimulation. 2015

Saeid Mahmoudian, and Mohammad Farhadi, and Mehrnaz Mohebbi, and Farshid Alaeddini, and Mojtaba Najafi-Koopaie, and Ehsan Darestani Farahani, and Hamidreza Mojallal, and Ronak Omrani, and Ahmad Daneshi, and Thomas Lenarz
ENT and Head and Neck Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.

BACKGROUND Residual inhibition (RI) is a temporary phenomenon that happens following offset of appropriate complete or partial acoustical and electrical masking stimulations in people who experience tinnitus. The biologic mechanisms associated with RI are not yet fully understood. Few studies have been focused on RI. Auditory mismatch negativity (MMN) as a change-detection tool may be an appropriate tool to explore the processing changes because of tinnitus and RI. OBJECTIVE The purpose of this study was to investigate alterations in auditory change detection and auditory sensory memory related to RI induced by auditory electrical stimulation (AES) using MMN brain mapping in participants with tinnitus. METHODS This investigation was a single-blind randomized controlled clinical trial study. Participants were randomly assigned into two groups: AES and placebo electrical stimulation (PES). METHODS Twenty-eight participants with chronic subjective tinnitus aged 22- to 45-yr-old participated in the study. METHODS After randomization, all participants received both AES and PES for 1 min in different sessions. METHODS Brain mapping of multifeature MMN paradigm was recorded from 29 scalp electrodes pre- and post-AES and PES. Following AES, participants were categorized into two groups: RI and nonresidual inhibition (NRI). The grand average MMN waveforms and isopotential topographic maps were obtained in RI, NRI, and PES groups. RESULTS Three MMN parameters for five deviants of frequency, intensity, duration, location, and silent gap were compared among three groups of RI, NRI, and PES. Statistical analyses revealed significant between-subject effects for AES on MMN amplitude of frequency and duration deviant, MMN area under the curve of frequency, intensity, and duration deviants. CONCLUSIONS Presence of RI can reestablish change-detection mechanisms in the central auditory pathways. It is suggested that MMN is reliable for assessment of change-detection system in people with tinnitus. It can be a useful technique in monitoring effects of treatments and rehabilitation.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D005072 Evoked Potentials, Auditory The electric response evoked in the CEREBRAL CORTEX by ACOUSTIC STIMULATION or stimulation of the AUDITORY PATHWAYS. Auditory Evoked Potentials,Auditory Evoked Response,Auditory Evoked Potential,Auditory Evoked Responses,Evoked Potential, Auditory,Evoked Response, Auditory,Evoked Responses, Auditory,Potentials, Auditory Evoked
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000161 Acoustic Stimulation Use of sound to elicit a response in the nervous system. Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001306 Auditory Pathways NEURAL PATHWAYS and connections within the CENTRAL NERVOUS SYSTEM, beginning at the hair cells of the ORGAN OF CORTI, continuing along the eighth cranial nerve, and terminating at the AUDITORY CORTEX. Auditory Pathway,Pathway, Auditory,Pathways, Auditory
D001307 Auditory Perception The process whereby auditory stimuli are selected, organized, and interpreted by the organism. Auditory Processing,Perception, Auditory,Processing, Auditory

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