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Similarities Between Treatments of Tinnitus and Central Pain

  • Dirk De Ridder
  • Aage R. Møller

Keypoints

  1. 1.

    Neurobiology, pathophysiology, neuroimaging, and clinical presentation share many common aspects between neuropathic pain and tinnitus.

     
  2. 2.

    Similar treatments for pain and tinnitus exist, but pharmacological methods are more successful for treatment of pain than for treatment of tinnitus.

     
  3. 3.

    Peripheral and intracranial ablative neurosurgical treatments yield common results and complications for pain and tinnitus.

     
  4. 4.

    The most promising analogous treatments for pain and tinnitus are non-invasive and invasive methods for neuromodulation, such as various forms of brain stimulation using transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS).

     
  5. 5.

    TENS, for stimulation of peripheral nerves, and neurofeedback, have beneficial effects on both pain and tinnitus.

     
  6. 6.

    Invasive neuromodulatory treatments such as coch­lear implants, dorsal column stimulation/auditory brainstem implant, subthalamic nucleus stimulation, and sensory cortex stimulation are beneficial for both tinnitus and pain.

     

Keywords

Tinnitus Central pain Treatment Cortical stimulation Peripheral nerve stimulation Transcranial magnetic stimulation Transcranial direct current stimulation 

Abbreviations

ABI

Auditory brainstem implant

CI

Cochlear implant

DBS

Deep brain stimulation

DCN

Dorsal cochlear nucleus

DCSCS

Dorsal column spinal cord stimulation

DLPFC

Dorsolateral prefrontal cortex

EEG

Electroencephalography

fMRI

Functional MRI

MRI

Magnetic resonance imaging

MSI

Magnetic source imaging

MVD

Microvascular decompression

PET

Positron emission tomography

rTMS

Repetitive TMS

STN

Subthalamic nucleus

tDCS

Transcranial direct current stimulation

TENS

Transderm electric nerve stimulation

TMS

Transcranial magnetic stimulation

TMS

Trans cranial magnetic stimulation

VTA

Ventral tegmental area

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.TRI Tinnitus Clinic Antwerp, BRAI²N & Department of NeurosurgeryUniversity Hospital AntwerpEdegemBelgium

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