Somatic Tinnitus

Ralli, Massimo; Greco, Antonio; Cialente, Fabrizio; Stadio, Arianna Di; Virgilio, Armando De; Longo, Lucia; Ciofalo, Andrea; Turchetta, Rosaria; Cianfrone, Giancarlo; Vincentiis, Marco de

doi:10.5935/0946-5448.20170022

Cited by 11 publications

(11 citation statements)

References 73 publications

(110 reference statements)

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“…The association of tinnitus with somatic disorders has been reported by many authors [ 26 , 28 , 37 , 38 , 47 , 50 – 53 ]; significant improvements in tinnitus have been described upon somatic treatment in patients with somatic tinnitus [ 25 – 32 ]. A comparison of 16 studies published between 1964 and 2016 on tinnitus changes following TMJ therapy showed that, on average, 69% of patients reported tinnitus improvement or complete resolution after TMJ disorder treatment, while 32% reported no changes [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

et al. 2018

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ObjectiveDetermine in a cohort of patients with normal hearing and chronic tinnitus if self-reported history for temporomandibular joint (TMJ) dysfunction and a positive modulation of tinnitus in the TMJ region could be suggestive of an underlying TMJ disorder.Patients and methodsThe study included 226 patients presenting to the Head and Neck Service of our University Hospital. Following audiological and somatic tinnitus evaluation, patients were divided into two groups. The study group (n = 134) included subjects that met both the following criteria: A) a self-reported history for TMJ dysfunction and B) a positive modulation of tinnitus following somatic maneuvers in the TMJ region. The control group (n = 92) included patients with similar demographic and tinnitus characteristics that did not meet the proposed criteria for somatic tinnitus. Afterwards, patients underwent clinical TMJ evaluation in the Service of Clinical Gnathology of our University.ResultsOne hundred thirty-one patients (57.9%) received a clinical diagnosis of TMJ disorder according to DC/TMD Axis I; 79.1% in the study group and 27.2% in the control group. Ninety-five (42.1%) patients were negative for TMJ disorders; 20.9% in the study group and 72.8% in the control group. A significantly higher number of TMJ disorders was found in patients in the study group compared to the control group (p<0.0001). Most patients had joint disorders (67.2%), followed by other (29.8%) and pain disorders (29%). Logistic regression analysis in the study group showed that female gender was more prevalent in patients with TMJ disorders.ConclusionOur findings in patients with chronic tinnitus and normal hearing suggest that self-reported history for somatic dysfunction and modulation of tinnitus, when occurring simultaneously in the TMJ region, can be useful to preliminarily identify patients with TMJ disorders.

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Section: Discussionmentioning

confidence: 99%

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

et al. 2018

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“…performed to evaluate the presence somatic tinnitus [18][19][20][21][22] ; all maneuvers on the temporomandibular joint and head and neck did not induce a modulation of tinnitus pitch or loudness, thus excluding a somatosensory origin of tinnitus.…”

Section: Taste Disorders In Msmentioning

confidence: 99%

Ageusia, Hyposmia, Dizziness and Tinnitus as Presenting Symptoms of Multiple Sclerosis

Ralli¹,

DâAguanno²,

Altieri³

et al. 2018

The International Tinnitus Journal

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Multiple Sclerosis (MS) is a chronic inflammatory and neurodegenerative disease of the central nervous system characterized by the destruction of myelin sheaths and axonal loss. Presenting symptoms of multiple sclerosis may vary and if not promptly identified may lead to a delayed diagnosis of Multiple sclerosis. In this paper, we present a rare case of a patient with ageusia as presenting symptom of Multiple sclerosis; the symptom spontaneously resolved after two weeks and was followed by hyposmia, dizziness, tinnitus and facial paraesthesia that eventually led to a clinical diagnosis of Multiple sclerosis. The presence of gustatory, olfactory and audio-vestibular symptoms has been associated with disease activity and progression of several inflammatory and neurodegenerative diseases of the central nervous system including Multiple sclerosis. Gustatory alterations may be due to the presence of demyelinating lesion in the brain area of taste; the progression of the disease may explain the additional olfactory and audio-vestibular symptoms described in this patient. Even if taste alteration is an extremely rare presenting symptom of Multiple sclerosis, its presence in young women should always be carefully investigated as it could be an early sign of Multiple sclerosis.

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“…However, not all individuals with clinical hearing loss develop hypersensitivity to sound; recent literature has proposed a role for "hidden hearing loss" in subjects with apparent normal hearing thresholds and a reduced neural output from the cochlea [32][33][34][35] . Hyperacusis may involve and be modulated by areas outside the classical auditory pathways following multisensory integration, as also described in tinnitus [36][37][38] .…”

Section: Introductionmentioning

confidence: 92%

Hyperacusis in Children: A Preliminary Study on the Effects of Hypersensitivity to Sound on Speech and Language

Ralli

Greco

Altissimi

et al. 2018

The International Tinnitus Journal

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There is a growing awareness that children may experience hyperacusis, a condition that is often associated with behavioral and developmental disorders. This preliminary study was aimed to investigate the effects of hyperacusis alone on various components of speech and language in children without developmental disorders. This study was conducted on 109 children aged between 4 and 7 years attending kindergarten and primary school. Hyperacusis was assessed through behavioral observation of children and questionnaires for parents. Different components of speech and language were assessed through specific tests. Hyperacusis was diagnosed in fifteen children (13.8%); ten (66.7%) were attending primary school and five (33.3%) kindergarten. A significant difference between children with and without hyperacusis was found for tests evaluating the average number of words in a sentence and phonemic fluency; older children appeared to have more difficulties. Several differences in education profiles were found: parents of children with hyperacusis spent less time with their children compared to parents of children without hyperacusis. Our preliminary results suggest some difficulties in lexical access and the use of shorter sentences by children with hypersensitivity to sound; however, the small size of our sample and the largely unknown interactions between hyperacusis and developmental disorders suggest caution when interpreting these results. Further studies on larger samples are necessary to gain additional knowledge on the effects of hyperacusis on speech and language in children without developmental disorders.

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Somatic Tinnitus

Cited by 11 publications

References 73 publications

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Ageusia, Hyposmia, Dizziness and Tinnitus as Presenting Symptoms of Multiple Sclerosis

Hyperacusis in Children: A Preliminary Study on the Effects of Hypersensitivity to Sound on Speech and Language

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