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정상청력인 이명 환자에서의 청성뇌간반응 검사

Auditory Brainstem Response in Normal Hearing Patients with Tinnitus

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주제분류이비인후과학

초록

The aim of our study is to evaluate the auditory nerve and auditory brainstem function of the normal hearing individuals with tinnitus and without tinnitus using auditory brainstem response (ABR). Methods:Twenty three individuals with tinnitus (study group) and 23 without tinnitus (control group) were participated in the study. The ABR parameters [latency of waves l, lll, V; interpeak intervals l-lll, lll-V, l-V; amplitude of wave l, lll, V; amplitude ratio between wave V and I (V/I), wave III and I (III/I)] were compared between two groups. Results:The ABR results from the normal-hearing individuals with and without tinnitus were within normal limits. However, the study group showed the tendency of prolongation in latencies of waves l, lll, V; interpeak interval of l-lll, lll-V, l-V, even though it was not statistically significant. In addition, the amplitude of wave V and V/I amplitude ratio in the study group were significantly larger than those in the control group. Conclusions:Our results suggest that the origin of tinnitus in normal hearing can be auditory brainstem, even though more investigations are needed. Therefore, ABR might contribute to the workup of normal hearing patients with tinnitus.

Abstract

The aim of our study is to evaluate the auditory nerve and auditory brainstem function of the normal hearing individuals with tinnitus and without tinnitus using auditory brainstem response (ABR). Methods:Twenty three individuals with tinnitus (study group) and 23 without tinnitus (control group) were participated in the study. The ABR parameters [latency of waves l, lll, V; interpeak intervals l-lll, lll-V, l-V; amplitude of wave l, lll, V; amplitude ratio between wave V and I (V/I), wave III and I (III/I)] were compared between two groups. Results:The ABR results from the normal-hearing individuals with and without tinnitus were within normal limits. However, the study group showed the tendency of prolongation in latencies of waves l, lll, V; interpeak interval of l-lll, lll-V, l-V, even though it was not statistically significant. In addition, the amplitude of wave V and V/I amplitude ratio in the study group were significantly larger than those in the control group. Conclusions:Our results suggest that the origin of tinnitus in normal hearing can be auditory brainstem, even though more investigations are needed. Therefore, ABR might contribute to the workup of normal hearing patients with tinnitus.

참고문헌 (27)

  1. 장지원, "우리나라(한국)의 이명검사 현황 및 이명검사 방법제안", 대한이비인후과학회지 두경부외과학, 57(10), pp.671~686 (2014), 대한이비인후과학회[DOI]
  2. Shargordsky J, "Prevalence and characeristics of tinnitus among US adult", AM J Med, 123(8), pp.711~718 (2010)
  3. 조양선, "Prevalence of Otolaryngologic Diseases in South Korea: Data from the Korea National Health and Nutrition Examination Survey 2008", Clinical and Experimental Otorhinolaryngology, 3(4), pp.183~193 (2010), 대한이비인후과학회
  4. Simps JJ, "A review of evidence in support of a role for 5-HT in the perception of tinnitus", Hear Res, 145(1-2), pp.1~7 (2000)
  5. Axelsson A, "Tinnitus: a study of its prevalence and characteristics", Br J Audiol, 23(1), pp.53~62 (1989)
  6. Nicolas-Peul C, "Characteristics of tinnitus and etiology of associated hearing loss: a study of 123 patients", Inter Tin J, 8(1), pp.37~44 (2002)
  7. Tonndorf J., "Stereocilia dysfunction, a cause of sensory hearing loss, recruitment, poor speech discrimination and tinnitus", Acta Otolaryngol, 91(5-6), pp.469~479 (1981)
  8. Jastreboff PJ, "Phantom auditory perception (tinnitus): mechanisms of generation and perception", Neurosci Res, 8(4), pp.221~254 (1990)
  9. House JW, "Tinnitus: surgical treatment", Ciba Found Symp, 85, pp.204~216 (1981)
  10. 김리석, "청성뇌간반응과 청성지속반응을 이용한 영유아의 청력역치 예측", 대한이비인후과학회지 두경부외과학, 54(9), pp.592~602 (2011), 대한이비인후과학회
  11. Nemati S, "Cochlear and brainstem audiologic findings in normal hearing tinnitus subjects in comparison with non-tinnitus control group", Acta Medica Iranica, 52(11), pp.822~826 (2014)
  12. Maruizi M, "Contribution to the diffentiation of peripheral versus central tinnitus via auditory brain stem response evaluation", Audiology, 24(3), pp.207~216 (1985)
  13. 정다정, "이명의 발생기전", 대한이비인후과학회지 두경부외과학, 57(6), pp.357~363 (2014), 대한이비인후과학회[DOI]
  14. Ami M, "Relation of distortion product otoacoustic emission with tinnitus", Laryngoscope, 118(4), pp.712~717 (2008)
  15. Park CW, "Clinical study with objective methods in tinnitus patients", Korean J Otorhinolaryngol-Head Neck Surg, 42(6), pp.695~699 (1999)
  16. Berrettini S, "Some uncharacteristic clinical signs and symptoms of acoustic neuroma", J Otolaryngol, 26(2), pp.97~103 (1997)
  17. Lanting CP, "Functional imaging of unilateral tinnitus using fMRI", Acta Otolaryngol, 128(4), pp.415~421 (2008)
  18. Gu JW, "Brainstem auditory evoked potentials suggest a role for the ventral cochlear nucleus in tinnitus", J Assoc Res Otolaryngol, 13(6), pp.819~833 (2013)
  19. Adams JC, "Neuronal morphology in the human cochlear nucleus", Arch Otolaryngol Head Neck Surg, 112(12), pp.1253~1261 (1986)
  20. Fullerton BC, "Comparison of cat and human brain stem auditory evoked potentials", Electroencephalogr Clin Neurophysiol, 66(6), pp.547~570 (1987)
  21. Melcher JR, "Generators of the brainstem auditory evoked potential in cat lll Identified cell population", Hear Res, 93(1-2), pp.52~71 (1996)
  22. Lemaire MC, "Brainstem auditory evoked responses in patients with tinnitus", Audiology, 34(6), pp.287~300 (1995)
  23. Kehrle HM, "Comparison of auditory brainstem response results in normal hearing patients with and without tinnitus", Arch Otolaryngol Head Neck Surg, 134(6), pp.647~651 (2008)
  24. Moller AR, "Evoked potentials from the inferior colliculus in man", Electroencephalogy Clin Neurophysiol, 53(6), pp.612~620 (1992)
  25. Ikner CL, "The effect of tinnitus on ABR latencies", Ear Hear, 11(1), pp.16~20 (1990)
  26. Rosenhall U, "Auditory brainstem response latencies in patients with tinnitus", Scand Audiol, 24(2), pp.97~100 (1995)
  27. Lee SC., "Brainstem evoked response audiometry and acoustic reflex in high frequency hearing", J Clinical Otolaryngol, 4(2), pp.282~292 (1993)

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