© 2002 Archives of Disease in Childhood
LEADING ARTICLE
Otology/Audiology
Current perspectives on tinnitus
1 Audiology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK
2 Essex County Hospital, Lexden Road, Colchester, Essex CO3 3NB, UK
Correspondence to:
Correspondence to:
Dr D M Baguley;
dmb29@cam.ac.uk
Experience of tinnitus is common in childhood
Keywords: tinnitus; hearing; otology; audiology
Tinnitus in adults has received much scientific and clinical attention of late. Traditional theories about the pathogenesis of tinnitus concentrated on the cochlea, but this model had some serious shortcomings and could not explain some clinical findings. A purely cochlear model of tinnitus fails to explain those patients who have tinnitus in the presence of normal hearing and conversely why many patients with cochlear hearing loss do not have tinnitus. In addition, symptoms of tinnitus related anxiety, insomnia, and general agitation are very common in adults troubled with tinnitus1 and cannot be ascribed to cochlear dysfunction alone.
To explain these seeming paradoxes it is necessary to look at what happens to auditory information in the brain as well as in the ear. Information is sent from the cochlea to the brain stem and then to the primary and associative auditory cortices in the temporal lobes to give the conscious
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This article has been cited by other articles:
-
Baguley, D. M
(2002). Mechanisms of tinnitus. Br Med Bull
63: 195-212
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