hearing of sound when no external sound is present Tinnitus
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adult, aged 18 years or older; - Undergoing microvascular decompression for hemifacial spasms or retrosigmoid removal of a CPA tumor. - Agrees to participate in the obligatory measurements of this study - Psychosocially, mentally, and physically able to fully comply with this protocol, including adhering to scheduled visits, treatment plan, filling out questionnaires and undergoing tests. - Patient has sufficient mastery of the Dutch language to fill out the questionnaires. - Signed and dated informed consent document prior to any study-related procedures
Exclusion criteria
Exclusion criteria: - Suffering from bilateral CPA tumors - Former surgery at the ipsi- or contralateral CPA region. - Radiotherapy at the ipsi- or contralateral CPA region prior to surgery. - Contralateral or bilateral complete deafness. - Presence of pulsatile tinnitus synced with the heartbeat. A potential subject who meets the following additional criterium will be excluded from participation in module 2 of this study: - Presence of a (chronic) inflammatory disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In module 1, we intend to objectify the relation between tinnitus, flocculus function and flocculus activity, quantified by direct response measurements on the flocculus. In module 2, we intend to examine the relation between tinnitus and inflammation, quantified by expression of anti-glial fibrillary acidic protein (GFAP) as a marker of astrocytes, anti-CD11b (OX-42) as a marker for microglia like cells and cytokine levels in a choroid plexus biopsy, cytokine levels in serum and liquor and serum inflammation levels. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Relation between flocculus function and tinnitus presence and severity. 2. Relation between tinnitus and hearing thresholds 3. Relation between tinnitus severity and quality of life (EQ-5D) | — |
Countries
Netherlands