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Therapeutic Applications of rTMS for Tinnitus

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Therapeutic rTMS in Neurology

Abstract

Tinnitus, the phantom perception of sound in the absence of a corresponding acoustic signal, is a frequent disorder which is difficult to treat. Cognitive behavioral therapy can effectively facilitate the habitation to the phantom sound, but there exist no established therapeutic options for reducing the intensity or the loudness of tinnitus. Thus, there is an urgent need for more effective treatment approaches.

Functional imaging studies in tinnitus patients have revealed alterations in both auditory and nonauditory brain areas, which represent potential targets for treatment via repetitive transcranial magnetic stimulation (rTMS). Single sessions of rTMS over the temporal or temporoparietal cortex have been successful in transiently reducing tinnitus perception. Many but not all randomized controlled trials have revealed that repeated sessions of rTMS result in a significant reduction of tinnitus severity. However, available studies vary in methodological quality, variability in treatment results is high both within and across studies, effect sizes of rTMS in the reduction of tinnitus severity are only moderate, and only few studies assessed long-term outcome. Thus, even if quality of evidence is high, currently only a weak recommendation can be given for the use of rTMS for the treatment of chronic tinnitus.

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Authors and Affiliations

  1. Department of Psychiatry and Psychotherapy, Interdisciplinary Tinnitus Center, University of Regensburg, Regensburg, Germany

    Berthold Langguth

  2. Bezirksklinikum Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany

    Berthold Langguth

  3. Department of Otorhinolaryngology, University of Zurich, Frauenklinikstrasse 24, CH-8091, Zurich, Switzerland

    Tobias Kleinjung

  4. Section of Neurosurgery, Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Great King Street, 9016, Dunedin, New Zealand

    Dirk De Ridder

  5. BRAI2N, Sint Augustinus Hospital, Wilrijk, Belgium

    Dirk De Ridder

Authors
  1. Berthold Langguth
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  2. Tobias Kleinjung
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  3. Dirk De Ridder
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Corresponding author

Correspondence to Berthold Langguth .

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Editors and Affiliations

  1. BDH-Klinik Greifswald, Ernst-Moritz-Arndt Universität, Greifswald, Germany

    Thomas Platz

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Langguth, B., Kleinjung, T., De Ridder, D. (2016). Therapeutic Applications of rTMS for Tinnitus. In: Platz, T. (eds) Therapeutic rTMS in Neurology. Springer, Cham. https://doi.org/10.1007/978-3-319-25721-1_11

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  • DOI: https://doi.org/10.1007/978-3-319-25721-1_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-25719-8

  • Online ISBN: 978-3-319-25721-1

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