Abstract
The phantom sound perception mechanism by which a sound perception occurs without any external sound source is still enigmatic. According to our previous fMRI study, a small region in the parietal operculum 3 was hyperactivated as a function of tinnitus periodicity in subjects with acoustic trauma tinnitus sequelae. This region was localized in the vicinity of neural correlates of middle-ear tympano-ossicular chain movements due to pressure variations. Disturbed proprioceptors are known to trigger illusory perceptions; therefore, we hypothesized that a disturbance of middle-ear proprioceptors may originate phantom sound perceptions. We designed an fMRI study that aimed to stimulate middle-ear proprioceptors by repetitive vibrations using various rates of click trains. In this study, we report that exposure to specific rates of stimuli for a few minutes at comfortable intensity level in healthy subjects distinctly triggered transient tinnitus-like aftereffects. The fMRI neural correlates of the aftereffects were unequivocally localized in the same parietal region as in acoustic trauma tinnitus sufferers. Our results strongly suggest that a middle-ear kinesthetic/proprioceptive illusion exists at the origin of acoustic trauma tinnitus via a somatosensory pathway encompassing the trigeminal system.
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Acknowledgments
We are grateful to Alain Roux and Hervé Mathieu for their technical assistance and the NATO group HFM-229 for their precious advises. This work was supported by Grants from Délégation Générale de l’Armement (DGA) under number 11 CA 801 (to A. J.). We thank the Grenoble MRI facility, partially funded by the French national program “Investissement d’Avenir” run by the ‘Agence Nationale pour la Recherche’ Grant No- ANR-11-INBS-0006.
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Job, A., Jacob, R., Pons, Y. et al. Specific activation of operculum 3 (OP3) brain region during provoked tinnitus-related phantom auditory perceptions in humans. Brain Struct Funct 221, 913–922 (2016). https://doi.org/10.1007/s00429-014-0944-0
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DOI: https://doi.org/10.1007/s00429-014-0944-0