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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

Artikel in mehreren Sprachen: deutsch | English
Christian Dobel
1   Klinik und Poliklinik für HNO-Heilkunde, Universitätsklinikum Jena, Jena
,
Markus Junghöfer
2   Institut für Biomagnetismus und Biosignalanalyse, Universität Münster, Münster
,
Birgit Mazurek
3   Tinnituszentrum, Charité – Universitätsmedizin Berlin, Berlin
,
Evangelos Paraskevopoulos
4   Department of Psychology, University of Cyprus, CY, Nicosia, Cyprus
,
Joachim Groß
2   Institut für Biomagnetismus und Biosignalanalyse, Universität Münster, Münster
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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


Publikationsverlauf

Artikel online veröffentlicht:
02. Mai 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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