Thursday, 20 July 2017

Tinnitus experimental treatment with repetitive TMS in Iceland

20 of July 2017, Reykjavik

by Neurophysiology Plus

Experimental treatment with repetitive TMS (rTMS) for subjective tinnitus is a challenging option. Preliminary research data on rTMS has yielded mixed results, especially when rTMS patients are compared to patients in a placebo test group (American Tinnitus Association). 
Low frequency ( LF 1 Hz) rTMS unilaterally applied to temporal or temporoparietal cortical areas can interact with an abnormal hyperactivity of auditory cortices that may constitute the neural correlate of tinnitus perception. Literature data showed that this type of rTMS protocol has a possible therapeutic efficacy (Level C recommendation) in this clinical condition (J.-P. Lefaucheur et al.2014 / Clinical Neurophysiology 125, page 2177).
In Iceland, our first patient started the 10 sessions treatment with 1200 daily pulses 100%RMT applied in 60 series of 20 pulses (1Hz frequency) on 17th of July 2017. Location of coil was set to stimulate between T3 and C3/T5 using 10-20 international EEG system (Lee H.Y. et al 2013). 
We use the same protocol used in Department of Otorhinolaryngology - Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul (Lee H.Y. et al 2013Clinical and Experimental Otorhinolaryngology Vol. 6, No. 2: 63-67, June 2013). To assess the progression of a possible rTMS effect on tinnitus perception we used Tinnitus Handicap Inventory THI questionnaire and Visual Analogue Scale for both tinnitus annoyance and loudness (here). 

Primary Auditory Cortex: In humans, the primary auditory cortex is located in the transverse temporal gyri (of Heschl) of the medial aspect of the superior temporal gyrus. Brodmann’s area 42 is the auditory association area. Together, Brodmann’s areas 41 and 42 are called the A-1 region and receive projections from the medial geniculate nucleus (geniculotemporal fibers or auditory radiations). The tonotopic organization in the auditory relay nuclei is maintained in the auditory cortex as well. One of the secondary auditory areas includes Wernicke’s area, which is important for the interpretation of the spoken word.


20.07.2017 Clinical Neurophysiology Unit, Reykjavik
Photo: Aron Dalin Jónasson

9 comments:

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    ReplyDelete
  2. I am Shelley from Los Angeles,California, I want to testify on how i got cured from tinnitus, I have suffered from ringing ears since the year 2011 with so mush pain,that i have to spend so mush money getting pain relief in the hospital, and I have visited several doctor ,but all to no avail, my world was gradually coming to an end because of the buzzing sound in my right ears, until i saw a post in a health forum about a herbal Dr Williams who use herbal portion in curing people from different kind of diseases including tinnitus, at first i doubted if it we be able to cure me, but i decided to give it a try, when i contacted this herbal doctor via his email, he prepared a herbal portion and sent it to me via courier service, when i received this herbal medicine, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was completely free from tinnitus just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from tinnitus you can contact him through his email on drwilliams098675@gmail.com for help.

    ReplyDelete
  3. COMPLETE CURE TO TINNITUS: I had tinnitus in both ears for fifteen years with a high pitched two tone sound, the noises are constant and have learned to ignore the ringing. Later, another sound was added, a deep tone that has a sporadic rhythm, that mimics human speech. It varies from soft and muted, to painfully clear, and loud. Have try sound machines, ear plugs, my hearing aid, and medication all to no avail rather I have a difficult time sleeping. Lately I was directed to a Doctor called William on internet who provided solution to the problem. Do not be discourage, dr williams product is a permanent cure to Tinnitus. Contact him with this email (drwilliams098675@gmail.com)

    ReplyDelete
  4. I am sophie from Canada, I once suffered from a terrible and Chronic tinnitus ,in 2016, the doctor told me it has no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this noise was really terrible especially when am sleeping, i have this constant ringing in my ears for about 8 months, this was really a terrible noise ,on thin one day that i was going through the internet,and i came across a post of Mrs Kate on how she was been cured from tinnitus through dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine i used it for 3 weeks as prescribed and i was totally cured of tinnitus within those week of usage,on thin now i have not hear anything ringing in my ears.if you need his help you can Contact this herbal doctor via his email drwilliams098675@gmail.com for help

    ReplyDelete
  5. ALL THANKS TO DR WILLIAMS WITH HIS HERBAL PORTION I WAS COMPLETELY CURED FROM A TERRIBLE TINNITUS.
    How can I ever stop thanking Dr William for the great deed he have done for me, i got an accident when I was 27 years old, from that day on i started experience ringing ear (tinnitus) i have taken all the western drugs prescribe by various doctor but to no avail my tinnitus was very loud in the afternoon and I sleep less at night because of this problem i stop my work, few days later i was going through the Internet and I saw a post of so many people testifying about Dr William herbal remedies on how they was being cure for over many years suffering from tinnitus the story Really motivated me that I have to speak with my husband about it, and he said i should give him a try, i contacted Dr William and explain all i have be facing in my life. He assured me that everything is going to be fine if only I can get his herbal portion, i said yes and I requested for it, few days later the herb was sent to me in Kuwait,i started using it as instructed by Dr William for me to take it for 21 Days which I did, can you imagine after talking Dr William herbal medicine for just two weeks i started experience results, it was like a miracle,and now i am permanently cure from this terrible tinnitus, i promise that am going to publish his herb on thing my last breath for the great deed he have done for me. For those with similar ear problem should please contact him on his email address drwilliams098675@gmail.com his a good man and am proud of him.

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  7. COMPLETE CURE TO TINNITUS: I had tinnitus in both ears for fifteen years with a high pitched two tone sound, the noises are constant and have learned to ignore the ringing. Later, another sound was added, a deep tone that has a sporadic rhythm, that mimics human speech. It varies from soft and muted, to painfully clear, and loud. Have try sound machines, ear plugs, my hearing aid, and medication all to no avail rather I have a difficult time sleeping. Lately I was directed to a Doctor called William on internet who provided solution to the problem. Do not be discourage, dr williams product is a permanent cure to Tinnitus. Contact him with this email (drwilliams098675@gmail.com)

    ReplyDelete
  8. I am Shelley from Los Angeles,California, I want to testify on how i got cured from tinnitus, I have suffered from ringing ears since the year 2011 with so mush pain,that i have to spend so mush money getting pain relief in the hospital, and I have visited several doctor ,but all to no avail, my world was gradually coming to an end because of the buzzing sound in my right ears, until i saw a post in a health forum about a herbal Dr Williams who use herbal portion in curing people from different kind of diseases including tinnitus, at first i doubted if it we be able to cure me, but i decided to give it a try, when i contacted this herbal doctor via his email, he prepared a herbal portion and sent it to me via courier service, when i received this herbal medicine, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was completely free from tinnitus just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from tinnitus you can contact him through his email on drwilliams098675@gmail.com for help.

    ReplyDelete
  9. I am sophie from Canada, I once suffered from a terrible and Chronic tinnitus ,in 2016, the doctor told me it has no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this noise was really terrible especially when am sleeping, i have this constant ringing in my ears for about 8 months, this was really a terrible noise ,on thin one day that i was going through the internet,and i came across a post of Mrs Kate on how she was been cured from tinnitus through dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine i used it for 3 weeks as prescribed and i was totally cured of tinnitus within those week of usage,on thin now i have not hear anything ringing in my ears.if you need his help you can Contact this herbal doctor via his email drwilliams098675@gmail.com for help

    ReplyDelete