Neurophysiological correlates of residual inhibition in tinnitus: Hints for trait-like EEG power spectra

Abstract

Magneto- and electroencephalography (M/EEG) investigations in tinnitus patients demonstrated anomalous oscillatory brain activity patterns compared to healthy controls. A well-established phenomenon in tinnitus is the possibility to temporary suppress tinnitus following acoustic stimulation, which is termed residual inhibition (RI). The few former neurophysiological investigations of RI reported partly conflicting results hampering consensus on tinnitus-specific brain activity and basic neural models.Hence, our objective was to investigate RI-specific oscillatory brain activity changes and whether these changes can be associated with behavioral measures of tinnitus loudness. Further, contrasts between acoustic stimulation responders and non-responders provide further insights in RI-related spontaneous brain activity.Three different types of noise stimuli were administered for acoustic stimulation in 45 tinnitus patients. Subjects resting state brain activity was recorded before and during RI via EEG alongside with subjective measurements of tinnitus loudness.On the whole-group level, tinnitus-unspecific changes were observed which fit established knowledge about basic neural responses after acoustic stimulation. Responder non-responder contrasts revealed differences in alpha and gamma band activity in line with the proposed neural models for oscillatory brain activity in tinnitus. Further analysis of sample characteristics demonstrated divergences between responders and nonresponders notably for tinnitus duration. During RI, distinct differences between responders and non-responders were exclusively observed for alpha band activity in auditory cortical areas. Neither correlations of behavioral tinnitus measures nor differences between stimulus-induced changes in ongoing brain activity could be detected.Taken together, our observations might be indicative of trait-specific forms of oscillatory signatures in different subsets and chronification grades of the tinnitus population possibly related to acoustic tinnitus suppression. Results and insights are not only useful to understand basic neural mechanisms behind RI but are also valuable for general neural models of tinnitus.HighlightsResidual inhibition provides a key method to study the basic mechanisms of tinnitus.We compared residual inhibition EEG activity between responders and non-responders.In responders, the alpha activity in auditory areas was increased during tinnitus suppression.Results and insights are valuable for understanding the neural mechanisms behind acoustic tinnitus suppression.

Cortical Reorganization Following Psychoeducational Counselling and Residual Inhibition Therapy (RIT) in Individuals with Tinnitus

“…Objective differences in the neuronal oscillatory bands have been found after an RI session. 45 46 47 In the present study, there was a reduction in P3 amplitude posttreatment. It is only plausible to expect that the fear and anxiety associated with tinnitus would have reduced post treatment which is projected via the P3 reduction.…”