Keypoints
-
1.
Neurosurgeons can contribute in a similar fashion to treatments of tinnitus as they currently do in pain treatment.
-
2.
Neurosurgeons should collaborate with other clinicians and basic neuroscientists to help elucidate the pathophysiology of tinnitus.
-
3.
Invasive neuromodulation can be helpful in selected forms of intractable tinnitus.
-
4.
Different intracranial pathologies exist that can cause tinnitus amenable to surgical treatment, both of the non-pulsatile and of the pulsatile type.
-
5.
Non-pulsatile tinnitus can be considered analogous to pain and results from changes in neural networks of the brain.
-
6.
Pulsatile tinnitus is mostly related to anomalies of blood vessels in and around the brain.
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Notes
- 1.
Marsupialization: Surgical alteration of a cyst or similar enclosed cavity by making an incision and suturing the flaps to the adjacent tissue, creating a pouch. (From: The American Heritage® Stedman’s Medical Dictionary.)
Abbreviations
- CPA:
-
Cerebellopontine angle
- CSF:
-
Cerebrospinal fluid
- ENT:
-
Ear nose and throat
- Gy:
-
Gray (unit of absorbed radiation)
- MRI:
-
Magnetic resonance imaging
- TMS:
-
Transcranial magnetic stimulation
References
Eggermont JJ and LE Roberts (2004) The neuroscience of tinnitus. Trends Neurosci 27:676–82.
Lockwood AH, RJ Salvi and RF Burkard (2002) Tinnitus. N Engl J Med 347:904–10.
Lockwood AH, RJ Salvi, RF Burkard et al (1999) Neuroanatomy of tinnitus. Scand Audiol Suppl 51:47–52.
Møller AR (2000) Similarities between severe tinnitus and chronic pain. J Am Acad Audiol 11:115–24.
Møller AR (1997) Similarities between chronic pain and tinnitus. Am J Otol 18:577–85.
Tonndorf J (1987) The analogy between tinnitus and pain: a suggestion for a physiological basis of chronic tinnitus. Hear Res 28:271–5.
Llinas RR, U Ribary, D Jeanmonod et al (1999) Thalamocortical dysrhythmia: a neurological and neuropsychiatric syndrome characterized by magnetoencephalography. Proc Natl Acad Sci USA 96:15222–7.
Jastreboff PJ (1990) Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res 8:221–54.
Giller CA (2003) The neurosurgical treatment of pain. Arch Neurol 60:1537–40.
Dan NG (1995) The personality of the neurosurgeon. Acta Neurochir (Wien) 132:217–21.
Burchiel KJ (ed) (2002) Surgical management of pain. Thieme: New York.
Abbott A (2009) Neuroscience: Opening up brain surgery. Nature 461:866–8.
Penfield W and E Boldrey (1937) Somatic motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation. Brain 60:389–443.
Anderson WS, SO O’Hara, HC Lawson et al (2006) Plasticity of pain-related neuronal activity in the human thalamus. In Reprogamming the brain, AR Møller (Ed). Elsevier: Amsterdam, 353–64.
Ojemann GA (2003) The neurobiology of language and verbal memory: observations from awake neurosurgery. Int J Psychophysiol 48:141–6.
Sismanis A (1997) Pulsatile tinnitus. Int Tinnitus J 3: 39–40.
Sismanis A (1998) Pulsatile tinnitus. A 15-year experience. Am J Otol 19:472–7.
Sismanis A (2003) Pulsatile tinnitus. Otolaryngol Clin North Am 36:389–402, viii.
Kentala E and I Pyykko (2001) Clinical picture of vestibular schwannoma. Auris Nasus Larynx 28:15–22.
Selch MT, A Pedroso, SP Lee et al (2004) Stereotactic radiotherapy for the treatment of acoustic neuromas. J Neurosurg 101 Suppl 3:362–72.
Hempel JM, E Hempel, B Wowra et al (2006) Functional outcome after gamma knife treatment in vestibular schwannoma. Eur Arch Otorhinolaryngol 263:714–8.
Fahy C, TP Nikolopoulos and GM O’Donoghue (2002) Acoustic neuroma surgery and tinnitus. Eur Arch Otorhinolaryngol 259:299–301.
Dandy W (1941) Surgical treatment of Ménière’s disease. Surg Gynaecol Obstet 72:421–5.
Kanzaki J, A Satoh and T Kunihiro (1999) Does hearing preservation surgery for acoustic neuromas affect tinnitus? Skull Base Surg 9:169–76.
Berliner KI, C Shelton, WE Hitselberger et al (1992) Acoustic tumors: effect of surgical removal on tinnitus. Am J Otol 13:13–7.
Catalano PJ and KD Post (1996) Elimination of tinnitus following hearing preservation surgery for acoustic neuromas. Am J Otol 17:443–5.
Karpinos M, BS Teh, O Zeck et al (2002) Treatment of acoustic neuroma: stereotactic radiosurgery vs. microsurgery. Int J Radiat Oncol Biol Phys 54:1410–21.
Regis J, M Tamura, C Delsanti et al (2008) Hearing preservation in patients with unilateral vestibular schwannoma after gamma knife surgery. Prog Neurol Surg 21:142–51.
Coelho DH, JT Roland, Jr., SA Rush et al (2008) Small vestibular schwannomas with no hearing: comparison of functional outcomes in stereotactic radiosurgery and microsurgery. Laryngoscope 118:1909–16.
Pollock BE (2008) Vestibular schwannoma management: an evidence-based comparison of stereotactic radiosurgery and microsurgical resection. Prog Neurol Surg 21:222–7.
Shuto T, S Inomori, S Matsunaga et al (2008) Microsurgery for vestibular schwannoma after gamma knife radiosurgery. Acta Neurochir (Wien) 150:229–34; discussion 34.
Lalwani AK (1992) Meningiomas, epidermoids, and other nonacoustic tumors of the cerebellopontine angle. Otolaryngol Clin North Am 25:707–28.
Yanaka K, T Enomoto, T Nose et al (1988) Post-inflammatory arachnoid cyst of the quadrigeminal cistern. Observation of development of the cyst. Childs Nerv Syst 4:302–5.
Lesoin F, P Dhellemmes, M Rousseaux et al (1983) Arachnoid cysts and head injury. Acta Neurochir (Wien) 69:43–51.
Hadley MN, TW Grahm, CP Daspit et al (1985) Otolar yngologic manifestations of posterior fossa arachnoid cysts. Laryngoscope 95:678–81.
O’Reilly RC and EK Hallinan (2003) Posterior fossa arachnoid cysts can mimic Meniere’s disease. Am J Otolaryngol 24:420–5.
Takano S, T Maruno, S Shirai et al (1998) Facial spasm and paroxysmal tinnitus associated with an arachnoid cyst of the cerebellopontine angle – case report. Neurol Med Chir (Tokyo) 38:100–3.
Zennaro O, F San-Gali, V Darrouzet et al (1992) Arachnoid cysts of the cerebellopontine angle. Rev Laryngol Otol Rhinol (Bord) 113:47–50.
Ottaviani F, CB Neglia, A Scotti et al (2002) Arachnoid cyst of the cranial posterior fossa causing sensorineural hearing loss and tinnitus: a case report. Eur Arch Otorhinolaryngol 259:306–8.
Haberkamp TJ, EM Monsell, WF House et al (1990) Diagnosis and treatment of arachnoid cysts of the posterior fossa. Otolaryngol Head Neck Surg 103:610–4.
Kovacs S, R Peeters, M Smits et al (2006) Activation of cortical and subcortical auditory structures at 3 T by means of a functional magnetic resonance imaging paradigm suitable for clinical use. Invest Radiol 41:87–96.
Buongiorno G and G Ricca (2003) Supratentorial arachnoid cyst mimicking a Meniere’s disease attack. J Laryngol Otol 117:728–30.
De Ridder D, G Alessi, M Lemmerling et al (2002) Hemilingual spasm: a new neurosurgical entity? Case report. J Neurosurg 97:205–7.
Borjab DI, SA Bhansali and RA Battista (1994) Peripheral vestibular disorders. In Neurotology, R Jackler, D Brackmann (eds). Mosby: St. Louis.
Herraiz C, MC Tapia and G Plaza (2006) Tinnitus and Meniere’s disease: characteristics and prognosis in a tinnitus clinic sample. Eur Arch Otorhinolaryngol 263:504–9.
Meyershoff W (1992) Tinnitus. In Otolaryngology head and neck surgery, W Meyershoff, D Ria (Eds). Saunders Company: Philadelphia, 435–46.
Kaasinen S, I Pyykko, H Ishizaki et al (1995) Effect of intratympanically administered gentamicin on hearing and tinnitus in Meniere’s disease. Acta Otolaryngol Suppl 520 Pt 1:184–5.
Vernon J, R Johnson and A Schleuning (1980) The characteristics and natural history of tinnitus in Meniere’s disease. Otolaryngol Clin North Am 13:611–9.
Quaranta N, G De Thomasis, A Gandolfi et al (2001) Long-term audition results in patients with chronic endolymphatic hydrops after selective vestibular neurotomy and endolymphatic sac surgery. Acta Otorhinolaryngol Ital 21:131–7.
Quaranta A, A Scaringi, A Aloidi et al (2001) Intratympanic therapy for Meniere’s disease: effect of administration of low concentration of gentamicin. Acta Otolaryngol 121:387–92.
Seidman M (2002) Continuous gentamicin therapy using an IntraEAR microcatheter for Meniere’s disease: a retrospective study. Otolaryngol Head Neck Surg 126:244–56.
De Valck CF, V Van Rompaey, EL Wuyts et al (2009) Tenotomy of the tensor tympani and stapedius tendons in Meniere’s disease. B-Ent 5:1–6.
Baguley DM, P Axon, IM Winter et al (2002) The effect of vestibular nerve section upon tinnitus. Clin Otolaryngol Allied Sci 27:219–26.
Sobrinho PG, CA Oliveira and AR Venosa (2004) Long-term follow-up of tinnitus in patients with otosclerosis after stapes surgery. Int Tinnitus J 10:197–201.
Glasgold A and F Altmann (1966) The effect of stapes surgery on tinnitus in otosclerosis. Laryngoscope 76:1524–32.
Gersdorff M, J Nouwen, C Gilain et al (2000) Tinnitus and otosclerosis. Eur Arch Otorhinolaryngol 257:314–6.
Ayache D, F Earally and P Elbaz (2003) Characteristics and postoperative course of tinnitus in otosclerosis. Otol Neurotol 24:48–51.
Oliveira CA (2007) How does stapes surgery influence severe disabling tinnitus in otosclerosis patients? Adv Otorhinolaryngol 65:343–7.
Sparano A, JP Leonetti, S Marzo et al (2004) Effects of stapedectomy on tinnitus in patients with otosclerosis. Int Tinnitus J 10:73–7.
Szymanski M, W Golabek and R Mills (2003) Effect of stapedectomy on subjective tinnitus. J Laryngol Otol 117:261–4.
Soussi T and SR Otto (1994) Effects of electrical brainstem stimulation on tinnitus. Acta Otolaryngol 114:135–40.
De Ridder D, G De Mulder, V Walsh et al (2004) Magnetic and electrical stimulation of the auditory cortex for intractable tinnitus. Case report. J Neurosurg 100:560–4.
De Ridder D, G De Mulder, E Verstraeten et al (2006) Primary and secondary auditory cortex stimulation for intractable tinnitus. ORL J Otorhinolaryngol Relat Spec 68:48–54; discussion 55.
De Ridder D, G De Mulder, E Verstraeten et al (2007) Auditory cortex stimulation for tinnitus. Acta Neurochir Suppl 97:451–62.
Weisz N, S Moratti, M Meinzer et al (2005) Tinnitus perception and distress is related to abnormal spontaneous brain activity as measured by magnetoencephalography. PLoS Med 2:e153.
Llinas R, FJ Urbano, E Leznik et al (2005) Rhythmic and dysrhythmic thalamocortical dynamics: GABA systems and the edge effect. Trends Neurosci 28:325–33.
Weisz N, S Muller, W Schlee et al (2007) The neural code of auditory phantom perception. J Neurosci 27:1479–84.
Muhlnickel W, T Elbert, E Taub et al (1998) Reorganization of auditory cortex in tinnitus. Proc Natl Acad Sci USA 95:10340–3.
Norena AJ and JJ Eggermont (2006) Enriched acoustic environment after noise trauma abolishes neural signs of tinnitus. Neuroreport 17:559–63.
De Ridder D, S Vanneste, E van der Loo et al (2010) Burst stimulation of the auditory cortex: a new form of neurostimulation for noise-like tinnitus suppression. J Neurosurg 112:1289–94.
Brackmann DE (1981) Reduction of tinnitus in cochlear-implant patients. J Laryngol Otol Suppl 4:163–5.
House JW and DE Brackmann (1981) Tinnitus: surgical treatment. Ciba Found Symp 85:204–16.
Miyamoto RT, MK Wynne, C McKnight et al (1997) Electrical suppression of tinnitus via cochlear implants. Int Tinnitus J 3:35–8.
Aschendorff A, G Pabst, T Klenzner et al (1998) Tinnitus in cochlear implant users: the Freiburg experience. Int Tinnitus J 4:162–4.
Di Nardo W, I Cantore, F Cianfrone et al (2007) Tinnitus modifications after cochlear implantation. Eur Arch Otorhinolaryngol 264:1145–9.
Hazell JW, LJ Meerton and MJ Conway (1989) Electrical tinnitus suppression (ETS) with a single channel cochlear implant. J Laryngol Otol Suppl 18:39–44.
Ito J and J Sakakihara (1994) Tinnitus suppression by electrical stimulation of the cochlear wall and by cochlear implantation. Laryngoscope 104:752–4.
Yonehara E, R Mezzalira, PR Porto et al (2006) Can cochlear implants decrease tinnitus? Int Tinnitus J 12:172–4.
Van de Heyning P, K Vermeire, M Diebl et al (2008) Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol 117:645–52.
Gantz BJ, C Turner, KE Gfeller et al (2005) Preservation of hearing in cochlear implant surgery: advantages of combined electrical and acoustical speech processing. Laryngoscope 115:796–802.
Matsushima J, N Sakai, M Sakajiri et al (1996) An experience of the usage of electrical tinnitus suppressor. Artif Organs 20:955–8.
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De Ridder, D. (2011). The Neurosurgeon. In: Møller, A.R., Langguth, B., De Ridder, D., Kleinjung, T. (eds) Textbook of Tinnitus. Springer, New York, NY. https://doi.org/10.1007/978-1-60761-145-5_28
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