Table I.
Comparison of Current and Existing Tinnitus Models in Terms of Ability to Address Paradoxes in Tinnitus Researcha
| Improvement by auditory nerve section | Exacerbation by auditory nerve section | Occurrence of hearing loss without tinnitus | Onset of tinnitus later than hearing loss | Lack of spontaneous neural correlates in patients versus matched controls | Bidirectional correlation of tinnitus intensity with gamma power | |
|---|---|---|---|---|---|---|
| Peripheral | Yes | No | Potentially | Potentially | No | No |
| Central gain | No | Yes | Potentially | Potentially | No | No |
| Neural synchrony | No | Yes | Yes | Yes | No | No |
| Thalamocortical dysrhythmia | No | Yes | Potentially | Potentially | No | No |
| Frontostriatal gating | No | Yes | Yes | Potentially | No | No |
| Filling in | No | Yes | No | Potentially | Potentially | No |
| Global workspace | N/A | N/A | Yes | Yes | Potentially | No |
| Precision/predictive coding model | Yes: (i) If precursor origin is peripheral (ii) Deafferentation reduces sensory precision |
Yes: (i) If precursor origin is central (increased central gain) (ii) Deafferentation removes constraints on sensory precision |
Yes: Adaptive attenuation of sensory precision |
Yes: Failure to attenuate sensory precision, which is influenced by many factors, including stress |
Yes: Neural correlates of PWPE reflect predisposition to tinnitus rather than to the percept itself |
Yes: Hierarchical dissociation of perceptual inference (tinnitus) and concomitant PWPE (gamma) |
Yes, addresses paradox; No, cannot address paradox; Potentially, does not presently address paradox but could do so with amendment; N/A, not applicable.