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Clinical Findings That Differentiate Co-Occurrence of Hyperacusis and Tinnitus from Tinnitus Alone
- Title
- Clinical Findings That Differentiate Co-Occurrence of Hyperacusis and Tinnitus from Tinnitus Alone
- Authors
- Shin, Seung-Ho; Byun, Sung Wan; Lee, Zoo Young; Kim, Min-Jee; Kim, Eun Hye; Lee, Ho Yun
- Ewha Authors
- 변성완; 신승호; 이주영; 이호윤
- SCOPUS Author ID
- 변성완; 신승호; 이주영; 이호윤
- Issue Date
- 2022
- Journal Title
- YONSEI MEDICAL JOURNAL
- ISSN
- 0513-5796
1976-2437
- Citation
- YONSEI MEDICAL JOURNAL vol. 63, no. 11, pp. 1035 - 1042
- Keywords
- Tinnitus; hyperacusis; electroencephalography
- Publisher
- YONSEI UNIV COLL MEDICINE
- Indexed
- SCIE; SCOPUS; KCI
- Document Type
- Article
- Abstract
- Purpose: We aimed to assess the characteristics of patients with concurrent tinnitus and hyperacusis, determine the best audio-logical criteria for predicting hyperacusis, and confirm whether objective evidence of changes in the brain exists. Materials and Methods: The medical records of patients with tinnitus who visited the hospital between March 2020 and Decem-ber 2021 were reviewed. Data on accompanying hyperacusis, audiological profiles, and questionnaires including the Tinnitus Handicap Inventory (THI), Beck Depression Inventory, and numerical rating scale were analyzed. Resting-state quantitative elec-troencephalography (qEEG) using power spectral density (PSD) and event-related spectral perturbation (ERSP) were performed to objectively quantify changes in the brain.Results: A total of 194 patients were analyzed. Among them, 51 (26.3%) reported combined subjective hyperacusis with tinnitus. However, the proportions widely varied from 7.4% to 68.4% based on three audiological criteria for assessment. A higher score on the THI questionnaire was independently associated with the co-occurrence of tinnitus and hyperacusis. Fair agreement was ob-served between subjective hyperacusis and the audiological criterion based on a loudness discomfort level (LDL) of <= 90 dB at two or more frequencies for the diagnosis of hyperacusis. An increased beta-PSD and decreased levels of gamma-PSD, all-ERSP, and delta-ERSP were observed in patients with hyperacusis (p<0.05).Conclusion: Patients with co-occurring tinnitus and hyperacusis had more severe tinnitus distress. An LDL of <= 90 dB at two or more frequencies may be applicable to predict accompanying hyperacusis in subjects with tinnitus, and qEEG also provides more objective information.
- DOI
- 10.3349/ymj.2022.0274
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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