A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation
This study reports the case of an acoustic shock injury (ASI), which did not result in a significant hearing loss, but was followed by manifold chronic symptoms both within (tinnitus, otalgia, tingling in the ear, tension in the ear, and red tympanum) and outside the ears (blocked nose, pain in the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-08-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fneur.2017.00420/full |
| _version_ | 1828417006053883904 |
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| author | Alain Londero Nicolas Charpentier Damien Ponsot Philippe Fournier Laurent Pezard Arnaud J. Noreña |
| author_facet | Alain Londero Nicolas Charpentier Damien Ponsot Philippe Fournier Laurent Pezard Arnaud J. Noreña |
| author_sort | Alain Londero |
| collection | DOAJ |
| description | This study reports the case of an acoustic shock injury (ASI), which did not result in a significant hearing loss, but was followed by manifold chronic symptoms both within (tinnitus, otalgia, tingling in the ear, tension in the ear, and red tympanum) and outside the ears (blocked nose, pain in the neck/temporal region). We suggest that these symptoms may result from a loop involving injury to middle ear muscles, peripheral inflammatory processes, activation and sensitization of the trigeminal nerve, the autonomic nervous system, and central feedbacks. The pathophysiology of this ASI is reminiscent of that observed in post-traumatic trigeminal-autonomic cephalalgia. This framework opens new and promising perspectives on the understanding and medical management of ASI. |
| first_indexed | 2024-12-10T14:12:40Z |
| format | Article |
| id | doaj.art-fd7c56e373e44bc89683e5a4615084ae |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-10T14:12:40Z |
| publishDate | 2017-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-fd7c56e373e44bc89683e5a4615084ae2022-12-22T01:45:28ZengFrontiers Media S.A.Frontiers in Neurology1664-22952017-08-01810.3389/fneur.2017.00420289756A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic ActivationAlain Londero0Nicolas Charpentier1Damien Ponsot2Philippe Fournier3Laurent Pezard4Arnaud J. Noreña5Service ORL et CCF, Hôpital Européen G. Pompidou, Paris, FranceFaculté de médecine de Nancy, Université de Lorraine, Nancy, FranceLycée Germaine Tillion, Académie de Lyon, Sain-Bel, FranceLaboratoire Neurosciences Intégratives et Adaptatives, UMR CNRS 7260, Fédération 3C, Aix-Marseille Université, Marseille, FranceLaboratoire Neurosciences Intégratives et Adaptatives, UMR CNRS 7260, Fédération 3C, Aix-Marseille Université, Marseille, FranceLaboratoire Neurosciences Intégratives et Adaptatives, UMR CNRS 7260, Fédération 3C, Aix-Marseille Université, Marseille, FranceThis study reports the case of an acoustic shock injury (ASI), which did not result in a significant hearing loss, but was followed by manifold chronic symptoms both within (tinnitus, otalgia, tingling in the ear, tension in the ear, and red tympanum) and outside the ears (blocked nose, pain in the neck/temporal region). We suggest that these symptoms may result from a loop involving injury to middle ear muscles, peripheral inflammatory processes, activation and sensitization of the trigeminal nerve, the autonomic nervous system, and central feedbacks. The pathophysiology of this ASI is reminiscent of that observed in post-traumatic trigeminal-autonomic cephalalgia. This framework opens new and promising perspectives on the understanding and medical management of ASI.http://journal.frontiersin.org/article/10.3389/fneur.2017.00420/fulltinnitus and hyperacousisotalgiapaintrigeminal nerveacoustic shockinflammation |
| spellingShingle | Alain Londero Nicolas Charpentier Damien Ponsot Philippe Fournier Laurent Pezard Arnaud J. Noreña A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation Frontiers in Neurology tinnitus and hyperacousis otalgia pain trigeminal nerve acoustic shock inflammation |
| title | A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation |
| title_full | A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation |
| title_fullStr | A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation |
| title_full_unstemmed | A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation |
| title_short | A Case of Acoustic Shock with Post-trauma Trigeminal-Autonomic Activation |
| title_sort | case of acoustic shock with post trauma trigeminal autonomic activation |
| topic | tinnitus and hyperacousis otalgia pain trigeminal nerve acoustic shock inflammation |
| url | http://journal.frontiersin.org/article/10.3389/fneur.2017.00420/full |
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