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- Title
Which tinnitus patients benefit from transcranial magnetic stimulation?
- Authors
Kleinjung, Tobias; Steffens, Thomas; Sand, Philipp; Murthum, Tobias; Hajak, Goeran; Strutz, Juergen; Langguth, Berthold; Eichhammer, Peter
- Abstract
Objectives: Chronic tinnitus is associated with hyperactivity of the central auditory system. Low-frequency repetitive transcranial magnetic stimulation (rTMS) of the temporal cortex has been proposed as a treatment for chronic tinnitus. This study determined the factors that predict a beneficial outcome with rTMS treatment. Study Design: Forty-five patients with chronic tinnitus underwent 10 sessions of low-frequency rTMS to their left auditory cortex. The treatment outcome was assessed with a tinnitus questionnaire. Therapeutic success was related to the patients’ clinical characteristics. Results: A significant reduction in tinnitus complaints occurred after rTMS. In the questionnaire, 40% of the patients improved by five points or more. Treatment responders were characterized by shorter duration of tinnitus complaints and no hearing impairment. Conclusion: Tinnitus-related neuroplastic changes might be less pronounced in patients with normal hearing and a short history of complaints. This could explain why those patients benefitted more from rTMS treatment.
- Subjects
SURGERY; MEDICAL sciences; MEDICINE; BIOLOGY
- Publication
Otolaryngology-Head & Neck Surgery, 2007, Vol 137, Issue 4, p589
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1016/j.otohns.2006.12.007