Tinnitus is generated by aberrant neural activity in the auditory pathway
Extensive neurophysiological and neuroimaging evidence demonstrates that tinnitus is driven by maladaptive plastic changes in the central auditory pathway, characterized by aberrant spontaneous firing rates, neural hyperactivity, and pathological synchrony.
The retrieved papers universally support the claim that tinnitus is generated by aberrant neural activity—such as increased spontaneous firing rates, hyperactivity, bursting, and pathological synchrony—within the auditory pathway following peripheral deafferentation or plastic changes.
Hannah Schultheiβ, Isma Zulfiqar, Michelle Moerel. Modelling homeostatic plasticity in the auditory cortex results in neural signatures of tinnitus. 2022. https://doi.org/10.1101/2022.09.12.507667
Paper 0 models homeostatic plasticity in the auditory cortex, showing that increased neural noise and firing rates serve as signatures of tinnitus.
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Susan E Shore, Larry E Roberts, Berthold Langguth. Maladaptive plasticity in tinnitus--triggers, mechanisms and treatment.. 2016. https://doi.org/10.1038/nrneurol.2016.12
Paper 1 reviews maladaptive neural plasticity resulting in increased spontaneous firing rates and synchrony within central auditory structures.
Jos J Eggermont, Peter A Tass. Maladaptive neural synchrony in tinnitus: origin and restoration.. 2015. https://doi.org/10.3389/fneur.2015.00029
Paper 2 links tinnitus to aberrant neural synchrony and delta-band activity generated by deafferented auditory networks.
Jos J Eggermont. Role of auditory cortex in noise- and drug-induced tinnitus.. 2008. https://doi.org/10.1044/1059-0889(2008/07-0025)
Paper 3 describes tinnitus as the result of pathologically increased synchrony and activation within interconnected auditory neural assemblies.
Juan D San Juan, Tianqu Zhai, Angela Ash-Rafzadeh, Xiao-Su Hu, Jessica Kim, Charles Filipak, Kaiwen Guo, Mohammed N Islam, Ioulia Kovelman, Gregory J Basura. Tinnitus and auditory cortex: using adapted functional near-infrared spectroscopy to measure resting-state functional connectivity.. 2021. https://doi.org/10.1097/WNR.0000000000001561
Paper 4 uses neuroimaging to show that tinnitus arises from aberrant hyperactivation and increased resting-state functional connectivity within the auditory cortex.
Jos J Eggermont. Central tinnitus.. 2003. https://doi.org/10.1016/s0385-8146(02)00122-0
Paper 5 explains that hearing loss reduces lateral inhibition, inducing hypersensitivity, hyperactivity, and altered tonotopic maps in central auditory levels.
Jos J Eggermont. Correlated neural activity as the driving force for functional changes in auditory cortex.. 2007. https://doi.org/10.1016/j.heares.2007.01.008
Paper 6 demonstrates that correlated neural activity and hypersynchrony drive functional changes and reorganization in the auditory cortex underlying tinnitus.
Rui Cai, Lynne Ling, Madan Ghimire, Kevin A Brownell, Donald M Caspary. Tinnitus-related increases in single-unit activity in awake rat auditory cortex correlate with tinnitus behavior.. 2024. https://doi.org/10.1016/j.heares.2024.108993
Paper 7 finds that rats with behavioral evidence of tinnitus exhibit significant increases in spontaneous, sound-evoked, and bursting activity in primary auditory cortex.
Susan Shore, Jianxun Zhou, Seth Koehler. Neural mechanisms underlying somatic tinnitus.. 2007. https://doi.org/10.1016/S0079-6123(07)66010-5
Paper 8 shows that bimodal somatosensory integration modulates firing rates and synchrony in dorsal cochlear nucleus neurons, correlating with somatic tinnitus.
James A Kaltenbach. Tinnitus: Models and mechanisms.. 2011. https://doi.org/10.1016/j.heares.2010.12.003
Paper 9 synthesizes evidence that tinnitus stems from excitatory and inhibitory imbalances causing hyperactivity, bursting discharges, and neural synchrony.
A Shulman, A Strashun. Descending auditory system/cerebellum/tinnitus.. 1999. https://pubmed.ncbi.nlm.nih.gov/10753427/
Paper 10 discusses how aberrant auditory stimuli and tinnitus influence the activity and function of the descending auditory system.
A H Lockwood, R J Salvi, R F Burkard, P J Galantowicz, M L Coad, D S Wack. Neuroanatomy of tinnitus.. 1999. https://pubmed.ncbi.nlm.nih.gov/10803913/
Paper 11 concludes that tinnitus is central in origin, arising from plastic transformations and excessive spontaneous activity in the central auditory system.
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