TY  - JOUR
A1  - Schecklmann, Martin
A1  - Giani, Anette
A1  - Tupak, Sara
A1  - Langguth, Berthold
A1  - Raab, Vincent
A1  - Polak, Thomas
A1  - Varallyay, Csanad
A1  - Harnisch, Wilma
A1  - Herrmann, Martin J.
A1  - Fallgatter, Andreas J.
T1  - Functional Near-Infrared Spectroscopy to Probe State- and Trait-Like Conditions in Chronic Tinnitus: A Proof-of-Principle Study
JF  - Neural Plasticity
N2  - Objective. Several neuroscience tools showed the involvement of auditory cortex in chronic tinnitus. In this proof-of-principle study we probed the capability of functional near-infrared spectroscopy (fNIRS) for the measurement of brain oxygenation in auditory cortex in dependence from chronic tinnitus and from intervention with transcranial magnetic stimulation. Methods. Twenty-three patients received continuous theta burst stimulation over the left primary auditory cortex in a randomized sham-controlled neuronavigated trial (verum = 12; placebo = 11). Before and after treatment, sound-evoked brain oxygenation in temporal areas was measured with fNIRS. Brain oxygenation was measured once in healthy controls (n = 12). Results. Sound-evoked activity in right temporal areas was increased in the patients in contrast to healthy controls. Left-sided temporal activity under the stimulated area changed over the course of the trial; high baseline oxygenation was reduced and vice versa. Conclusions. By demonstrating that rTMS interacts with auditory evoked brain activity, our results confirm earlier electrophysiological findings and indicate the sensitivity of fNIRS for detecting rTMS induced changes in brain activity. Moreover, our findings of trait-and state-related oxygenation changes indicate the potential of fNIRS for the investigation of tinnitus pathophysiology and treatment response.
KW  - transcranial magnetic stimulation
KW  - positron-emission-tomography
KW  - auditory cortex
KW  - FNIRS
KW  - RTMS
KW  - neural activity
KW  - FMRI
KW  - brain
KW  - activation
KW  - humans
Y1  - 2014
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-117801
SN  - 1687-5443
IS  - 894203
ER  - 
TY  - JOUR
A1  - Buff, Christine
A1  - Brinkmann, Leonie
A1  - Bruchmann, Maximilian
A1  - Becker, Michael P.I.
A1  - Tupak, Sara
A1  - Herrmann, Martin J.
A1  - Straube, Thomas
T1  - Activity alterations in the bed nucleus of the stria terminalis and amygdala during threat anticipation in generalized anxiety disorder
JF  - Social Cognitive and Affective Neuroscience
N2  - Sustained anticipatory anxiety is central to Generalized Anxiety Disorder (GAD). During anticipatory anxiety, phasic threat responding appears to be mediated by the amygdala, while sustained threat responding seems related to the bed nucleus of the stria terminalis (BNST). Although sustained anticipatory anxiety in GAD patients was proposed to be associated with BNST activity alterations, firm evidence is lacking. We aimed to explore temporal characteristics of BNST and amygdala activity during threat anticipation in GAD patients. Nineteen GAD patients and nineteen healthy controls (HC) underwent functional magnetic resonance imaging (fMRI) during a temporally unpredictable threat anticipation paradigm. We defined phasic and a systematic variation of sustained response models for blood oxygen level-dependent responses during threat anticipation, to disentangle temporally dissociable involvement of the BNST and the amygdala. GAD patients relative to HC responded with increased phasic amygdala activity to onset of threat anticipation and with elevated sustained BNST activity that was delayed relative to the onset of threat anticipation. Both the amygdala and the BNST displayed altered responses during threat anticipation in GAD patients, albeit with different time courses. The results for the BNST activation hint towards its role in sustained threat responding, and contribute to a deeper understanding of pathological sustained anticipatory anxiety in GAD.
KW  - medicine
KW  - anticipatory anxiety
KW  - anxiety
KW  - fMRI
KW  - sustained threat responding
KW  - phasic threat responding
Y1  - 2017
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-173298
VL  - 12
IS  - 11
ER  -