When Silence
Scientific Knowledge
AJ

Arnaud J. Noreña

Neurosciences Intégratives et Adaptatives (LNIA)

Central mechanisms of tinnitus and hyperacusis; the tensor tympani-trigeminal model of acoustic shock.

Papers (3)

An Integrative Model Accounting for the Symptom Cluster Triggered After an Acoustic Shock.

Trends in hearing · 2018

A testable integrative model proposing that overuse and injury of the tensor tympani muscle, and the resulting trigeminal inflammation, drive the tinnitus/hyperacusis/ear-pain cluster after acoustic shock.

ModelN/A

A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation.

Frontiers in neurology · 2017

A documented human case: an acoustic shock caused chronic ear and head-neck symptoms without hearing loss, consistent with middle-ear-muscle injury driving trigeminal and autonomic activation.

Human study (non-randomized / first-in-human)
Human

An integrative model of tinnitus based on a central gain controlling neural sensitivity.

Neuroscience and biobehavioral reviews · 2011

The seminal model: hearing loss triggers a compensatory rise in central gain that stabilises neural activity but amplifies 'neural noise', producing tinnitus.

ModelN/A