Somatic tinnitus: clinical and neurophysiological features

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Abstract

Objectives – to identify variations in the intensity of tinnitus during the certain motor maneuvers, to evaluate the clinical and neurophysiological features of modulation in patients with tinnitus.

Material and methods. Vertebro-neurological, otorhino-laryngological examinations, audiological and neurophysiological (trigeminal evoked potentials) examinations were carried out in 100 patients with complaints of tinnitus.

Results. In 55% of patients the change in the intensity of tinnitus during various motor maneuvers was registered. The examination of these patients revealed a tendency towards the expression of myofascial disorders, a high burden with ear noise, the low values of compliance according to tympanometry, and the lengthening of the latent periods of peak trigeminal evoked potentials.

Conclusion. The results obtained may indicate the participation of the somatosensory system in the pathogenesis of tinnitus.

About the authors

Alfiya R. Gilaeva

Kazan State Medical Academy

Author for correspondence.
Email: algi89@mail.ru
ORCID iD: 0000-0002-2941-2717

postgraduate student of the Department of Neurology

Russian Federation, Kazan

Sergey B. Mosikhin

Kazan State Medical Academy

Email: algi89@mail.ru
ORCID iD: 0000-0001-8291-3169

PhD, Professor of the Department of Otorhinolaryngology

Russian Federation, Kazan

Gulnara I. Safiullina

Kazan State Medical Academy

Email: algi89@mail.ru
ORCID iD: 0000-0003-2890-8945

PhD, Professor of the Department of Rehabilitology and sports medicine

Russian Federation, Kazan

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2. Figure 1. Noise burden diagram: the THI questionnaire data of the patients with tinnitus, subgroups 1 and 2.

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3. Figure 2. Compliance value (in ml) in patients with or without modulation.

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Copyright (c) 2019 Gilaeva A.R., Mosikhin S.B., Safiullina G.I.

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