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Somatic Tinnitus
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Somatic tinnitus is a phenomenon caused by the convergence of auditory(hearing) nerve fibers and Sensory nerve fibers that is associated with an amplification of signals. In this patient with tinnitus from high frequency hearing loss, tinnitus is changed in tone and loudness when he touches the top of his head. The convergence of sensory fibers from his scalp with auditory fibers from the cochlea occurs at the dorsal cochlear nucleus and causes a change in ascending signals to the cortex. Somatic tinnitus can be associated with sensory input from any branch of the trigeminal nerve.
Patients with migraine have fluctuating levels of trigeminal nerve activity that can cause changes in tinnitus by various mechanisms. Changes in somatic tinnitus is one.
Patients with migraine have fluctuating levels of trigeminal nerve activity that can cause changes in tinnitus by various mechanisms. Changes in somatic tinnitus is one.
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