Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus

This study was aimed at delineating and comparing differences in clinical characteristics and brain activity between patients with low- and high-frequency tinnitus (LFT and HFT, respectively) using high-density electroencephalography (EEG). This study enrolled 3217 patients with subjective tinnitus...

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Main Authors: Jiajia Zhang, Zhen Zhang, Shujian Huang, Huiqun Zhou, Yanmei Feng, Haibo Shi, Dan Wang, Wenya Nan, Hui Wang, Shankai Yin
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2020/5285362
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author Jiajia Zhang
Zhen Zhang
Shujian Huang
Huiqun Zhou
Yanmei Feng
Haibo Shi
Dan Wang
Wenya Nan
Hui Wang
Shankai Yin
author_facet Jiajia Zhang
Zhen Zhang
Shujian Huang
Huiqun Zhou
Yanmei Feng
Haibo Shi
Dan Wang
Wenya Nan
Hui Wang
Shankai Yin
author_sort Jiajia Zhang
collection DOAJ
description This study was aimed at delineating and comparing differences in clinical characteristics and brain activity between patients with low- and high-frequency tinnitus (LFT and HFT, respectively) using high-density electroencephalography (EEG). This study enrolled 3217 patients with subjective tinnitus who were divided into LFT (frequency<4000 Hz) and HFT (≥4000 Hz) groups. Data regarding medical history, Tinnitus Handicap Inventory, tinnitus matching, and hearing threshold were collected from all patients. Twenty tinnitus patients and 20 volunteers were subjected to 256-channel EEG, and neurophysiological differences were evaluated using standardized low-resolution brain electromagnetic tomography (sLORETA) source-localized EEG recordings. Significant differences in sex (p<0.001), age (p=0.022), laterality (p<0.001), intensity (p<0.001), tinnitus type (p<0.001), persistent tinnitus (p=0.04), average threshold (p<0.001), and hearing loss (p=0.028) were observed between LFT and HFT groups. The tinnitus pitch only appeared to be correlated with the threshold of the worst hearing loss in the HFT group. Compared with the controls, the LFT group exhibited increased gamma power (p<0.05), predominantly in the posterior cingulate cortex (PCC, BA31), whereas the HFT group had significantly decreased alpha1 power (p<0.05) in the angular gyrus (BA39) and auditory association cortex (BA22). Higher gamma linear connectivity between right BA39 and right BA41 was observed in the HFT group relative to controls (t=3.637, p=0.027). Significant changes associated with increased gamma in the LFT group and decreased alpha1 in the HFT group indicate that tinnitus pitch is crucial for matching between the tinnitus and control groups. Differences of band frequency energy in brain activity levels may contribute to the clinical characteristics and internal tinnitus “spectrum” differences.
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spelling doaj-art-ba38afda5911408db0e8e2317c9f13aa2025-08-20T03:23:26ZengWileyNeural Plasticity2090-59041687-54432020-01-01202010.1155/2020/52853625285362Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency TinnitusJiajia Zhang0Zhen Zhang1Shujian Huang2Huiqun Zhou3Yanmei Feng4Haibo Shi5Dan Wang6Wenya Nan7Hui Wang8Shankai Yin9Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Radiology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 200233, ChinaDepartment of Psychology, Shanghai Normal University, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, ChinaThis study was aimed at delineating and comparing differences in clinical characteristics and brain activity between patients with low- and high-frequency tinnitus (LFT and HFT, respectively) using high-density electroencephalography (EEG). This study enrolled 3217 patients with subjective tinnitus who were divided into LFT (frequency<4000 Hz) and HFT (≥4000 Hz) groups. Data regarding medical history, Tinnitus Handicap Inventory, tinnitus matching, and hearing threshold were collected from all patients. Twenty tinnitus patients and 20 volunteers were subjected to 256-channel EEG, and neurophysiological differences were evaluated using standardized low-resolution brain electromagnetic tomography (sLORETA) source-localized EEG recordings. Significant differences in sex (p<0.001), age (p=0.022), laterality (p<0.001), intensity (p<0.001), tinnitus type (p<0.001), persistent tinnitus (p=0.04), average threshold (p<0.001), and hearing loss (p=0.028) were observed between LFT and HFT groups. The tinnitus pitch only appeared to be correlated with the threshold of the worst hearing loss in the HFT group. Compared with the controls, the LFT group exhibited increased gamma power (p<0.05), predominantly in the posterior cingulate cortex (PCC, BA31), whereas the HFT group had significantly decreased alpha1 power (p<0.05) in the angular gyrus (BA39) and auditory association cortex (BA22). Higher gamma linear connectivity between right BA39 and right BA41 was observed in the HFT group relative to controls (t=3.637, p=0.027). Significant changes associated with increased gamma in the LFT group and decreased alpha1 in the HFT group indicate that tinnitus pitch is crucial for matching between the tinnitus and control groups. Differences of band frequency energy in brain activity levels may contribute to the clinical characteristics and internal tinnitus “spectrum” differences.http://dx.doi.org/10.1155/2020/5285362
spellingShingle Jiajia Zhang
Zhen Zhang
Shujian Huang
Huiqun Zhou
Yanmei Feng
Haibo Shi
Dan Wang
Wenya Nan
Hui Wang
Shankai Yin
Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus
Neural Plasticity
title Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus
title_full Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus
title_fullStr Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus
title_full_unstemmed Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus
title_short Differences in Clinical Characteristics and Brain Activity between Patients with Low- and High-Frequency Tinnitus
title_sort differences in clinical characteristics and brain activity between patients with low and high frequency tinnitus
url http://dx.doi.org/10.1155/2020/5285362
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