rTMS - Enhanced synchronization
Cause of tinnitus and plasticity model: Enhanced synchronization of the auditory cortex neurons
One of the tinnitus models a patient is exposed to experience after 2-3 years of living with tinnitus is enhanced synchronization of neurons in the auditory cortex. If the nervous system within 2-3 years after sudden hearing loss doesn’t receive a proper stimulation from the auditory cells, it starts to look for another way to sustain the stimulation. In such a case, the structure of fibers between an auditory cell and neurons weakens. However, neurons from this range of the auditory cortex aren’t deprived and, despite lack of stimulation from the range with hearing loss, they’re trying to find an access to stimulation in frequencies free of hearing loss. A great population of neurons lacking proper stimulation, connects with a range of properly working cells. A big population of neurons is created and disposed to the same frequencies. Despite being connected to an audible range, neurons which lack a proper stimulation, can increase their due to activity disproportions in a stimulation level. When a stimulation is insufficiently high and unable to handle its role, all of the neurons additionally connected to a healthy auditory range start to increase their activity. As a consequence, a patient begins to hear either hiss or shriek.
Typical symptoms: Auditory Hypersensitivity
Type of tinnitus: Tinnitus has changed its tone from hiss to high-pitched shriek, or the other way around
Patients with reduce tinnitus in TQ score with 8.5-8.3 point's equal or higher
Patients with reduce tinnitus in TQ score with 8.5-8.3 point's below
Effectiveness of rTMS stimulation in reduction of tinnitus enhanced synchronization model in clinical research :
Effectiveness of Theta-Burst Repetitive Transcranial Magnetic Stimulation for Treating Chronic Tinnitus (Chung H.-K.· Tsai C.-H. Lin Y.-C. Chen J.-M.· Tsou Y.-A. Wang C.-Y.· Lin C.-D. · Jeng F.-C.· Chung J.-G. Tsai M.-H.)
Tinnitus Reduction TQ score
10 points - Tinnitus reduction in 100 %
9 points - TInnitus reduction in 90 %
8 points - Tinnitus reduction in 80 %
7 points - Tinnitus reduction in 70 %
6 points - TInnitus reduction in 60 %
Transcranial stimulation was known back in the 1980’s as a device used for brain activity measurements. The device remains widely used in treating a variety of disorders, such as depression, schizophrenia, ADHD, dyslexia and tinnitus. First examinations using this technology weren’t sufficiently effective due to a lack of proper selection of this technologyin relation to the enhanced synchronization of neurons in the auditory cortex we are familiar with now. Preliminary results of first research studies by (Efectiveness of Theta-Burst Repetitive Transcranial Magnetic Stimulation for Treating Chronic Tinnitus Chung H.K, Tsai C.H, Lin Y.C, Chen J.M) showed, if diagnostics is appropriate and we use rTMS transcranial stimulation, we can achieve highly satisfying results in tinnitus reduction.
Reduction technology of tinnitus caused by enhanced synchronization
After you were diagnosed with enhanced synchronization tinnitus model (either clinically or online), you need to contact our audiologist and dietician in order to receive useful clues about your diet and physical activity. Having completed a preparatory period of the nervous system, we are ready to start a therapy with rTMS transcranial stimulation. It’s a well-known and appreciated technology of reducing depression in the whole world, especially in the Great Britain and France, where it was supported by the British Government.
Research studies show that a choice of this technology to a tinnitus model caused by enhanced synchronization, we are able to reduce every patient’s tinnitus in 60 – 90%. A patient visits our clinic three times a week and is required to have magnetic response imaging test before a therapy begins. MRI test enables creating special three-dimensional models of brain and therapeutic program, in this case, we’re talking about depolarizing brain regions by rTMS stimulation. During depression treatment we use stimulation above 10 Hz; in contrast, this technology requires stimulation of 1 Hz. It’s a safe stimulation of the lowest range which causes activity decline of neurons. In comparison with higher stimulation frequencies (above 10 Hz used in depression treatment), it causes no negative symptoms. A therapy program and the number of sessions depends upon years and neurons which have to be depolarized.
An average therapy time in sessions: 8 sessions, each lasting from 20 to 30 minutes
The cost of a single session: 200 Euro
Necessary medical tests: fMRI / MRI