The Enigma of the Tinnitus-Free Dream State in a Bayesian World

There are pathophysiological, clinical, and treatment analogies between phantom limb pain and phantom sound (i.e., tinnitus). Phantom limb pain commonly is absent in dreams, and the question arises whether this is also the case for tinnitus. A questionnaire was given to 78 consecutive tinnitus patie...

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Main Authors: Dirk De Ridder, Kathleen Joos, Sven Vanneste
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2014/612147
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author Dirk De Ridder
Kathleen Joos
Sven Vanneste
author_facet Dirk De Ridder
Kathleen Joos
Sven Vanneste
author_sort Dirk De Ridder
collection DOAJ
description There are pathophysiological, clinical, and treatment analogies between phantom limb pain and phantom sound (i.e., tinnitus). Phantom limb pain commonly is absent in dreams, and the question arises whether this is also the case for tinnitus. A questionnaire was given to 78 consecutive tinnitus patients seen at a specialized tinnitus clinic. Seventy-six patients remembered their dreams and of these 74 claim not to perceive tinnitus during their dreams (97%). This can be most easily explained by a predictive Bayesian brain model. That is, during the awake state the brain constantly makes predictions about the environment. Tinnitus is hypothesized to be the result of a prediction error due to deafferentation, and missing input is filled in by the brain. The heuristic explanation then is that in the dream state there is no interaction with the environment and therefore no updating of the prediction error, resulting in the absence of tinnitus.
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publishDate 2014-01-01
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series Neural Plasticity
spelling doaj-art-c05029d25fc94cf6bedba8b97d31be0f2025-02-03T06:12:15ZengWileyNeural Plasticity2090-59041687-54432014-01-01201410.1155/2014/612147612147The Enigma of the Tinnitus-Free Dream State in a Bayesian WorldDirk De Ridder0Kathleen Joos1Sven Vanneste2Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, P.O. Box 56, Dunedin 9054, New ZealandDepartment of Translational Neuroscience, Faculty of Medicine, University of Antwerp, BelgiumDepartment of Translational Neuroscience, Faculty of Medicine, University of Antwerp, BelgiumThere are pathophysiological, clinical, and treatment analogies between phantom limb pain and phantom sound (i.e., tinnitus). Phantom limb pain commonly is absent in dreams, and the question arises whether this is also the case for tinnitus. A questionnaire was given to 78 consecutive tinnitus patients seen at a specialized tinnitus clinic. Seventy-six patients remembered their dreams and of these 74 claim not to perceive tinnitus during their dreams (97%). This can be most easily explained by a predictive Bayesian brain model. That is, during the awake state the brain constantly makes predictions about the environment. Tinnitus is hypothesized to be the result of a prediction error due to deafferentation, and missing input is filled in by the brain. The heuristic explanation then is that in the dream state there is no interaction with the environment and therefore no updating of the prediction error, resulting in the absence of tinnitus.http://dx.doi.org/10.1155/2014/612147
spellingShingle Dirk De Ridder
Kathleen Joos
Sven Vanneste
The Enigma of the Tinnitus-Free Dream State in a Bayesian World
Neural Plasticity
title The Enigma of the Tinnitus-Free Dream State in a Bayesian World
title_full The Enigma of the Tinnitus-Free Dream State in a Bayesian World
title_fullStr The Enigma of the Tinnitus-Free Dream State in a Bayesian World
title_full_unstemmed The Enigma of the Tinnitus-Free Dream State in a Bayesian World
title_short The Enigma of the Tinnitus-Free Dream State in a Bayesian World
title_sort enigma of the tinnitus free dream state in a bayesian world
url http://dx.doi.org/10.1155/2014/612147
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