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Featured ArticleBrief Communications

Tinnitus with a Normal Audiogram: Physiological Evidence for Hidden Hearing Loss and Computational Model

Roland Schaette and David McAlpine
Journal of Neuroscience 21 September 2011, 31 (38) 13452-13457; https://doi.org/10.1523/JNEUROSCI.2156-11.2011
Roland Schaette
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David McAlpine
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Article Information

DOI 
https://doi.org/10.1523/JNEUROSCI.2156-11.2011
PubMed 
21940438
Published By 
Society for Neuroscience
History 
  • Received April 30, 2011
  • Revision received July 13, 2011
  • Accepted July 25, 2011
  • First published September 21, 2011.
  • Version of record published September 21, 2011.
Copyright & Usage 
Copyright © 2011 the authors 0270-6474/11/3113452-06$15.00/0

Author Information

  1. Roland Schaette and
  2. David McAlpine
  1. University College London Ear Institute, London WC1X 8EE, United Kingdom
View Full Text

Author contributions

  1. Author contributions: R.S. and D.M. designed research; R.S. performed research; R.S. analyzed data; R.S. and D.M. wrote the paper.

View Abstract

Disclosures

    • Received April 30, 2011.
    • Revision received July 13, 2011.
    • Accepted July 25, 2011.
  • This study was supported by the British Tinnitus Association. We thank Paul Radomskij for helpful discussions about the ABR experiments, Thomas Cracknell and Leon Cox for assistance in the measurements, Lucy Anderson for blind analysis of the ABR data, and Jennifer Linden for valuable comments on the manuscript.

  • The authors have no competing financial interests.

  • Correspondence should be addressed to Roland Schaette, UCL Ear Institute, 332 Gray's Inn Road, London WC1X 8EE, United Kingdom. r.schaette{at}ucl.ac.uk

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The Journal of Neuroscience: 31 (38)
Journal of Neuroscience
Vol. 31, Issue 38
21 Sep 2011
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Tinnitus with a Normal Audiogram: Physiological Evidence for Hidden Hearing Loss and Computational Model
Roland Schaette, David McAlpine
Journal of Neuroscience 21 September 2011, 31 (38) 13452-13457; DOI: 10.1523/JNEUROSCI.2156-11.2011

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Tinnitus with a Normal Audiogram: Physiological Evidence for Hidden Hearing Loss and Computational Model
Roland Schaette, David McAlpine
Journal of Neuroscience 21 September 2011, 31 (38) 13452-13457; DOI: 10.1523/JNEUROSCI.2156-11.2011
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  • Tinnitus with normal audiogram
    Murray Grossan, M.D.
    Published on: 30 September 2011
  • Published on: (30 September 2011)
    Page navigation anchor for Tinnitus with normal audiogram
    Tinnitus with normal audiogram
    • Murray Grossan, M.D., Otolaryngology

    Tinnitus may be at 200 or 10,000 khz, which we normally do not test for. Also, you don't need 100% of the hair cells working well to get a normal audiogram. Suppose for example, that 60% of the hair cells were functioning, and you could still get a normal audiogram? Then the tinnitus could arise from the damaged 40%

    We see this in ears where the DPOE shows damage at certain tones, but the audiogram is normal, an...

    Show More

    Tinnitus may be at 200 or 10,000 khz, which we normally do not test for. Also, you don't need 100% of the hair cells working well to get a normal audiogram. Suppose for example, that 60% of the hair cells were functioning, and you could still get a normal audiogram? Then the tinnitus could arise from the damaged 40%

    We see this in ears where the DPOE shows damage at certain tones, but the audiogram is normal, and the tinnitus is at that tone.

    We also see patients who insist they have difficulty hearing speech, yet their audiogram is normal. In some patients, we find abnormal or reduced hair cell function on DPOE.

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.

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