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The Journal of Headache and Pain

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Open Access 01-12-2020 | Coronary Heart Disease | Research article

Increased risk of tinnitus following a trigeminal neuralgia diagnosis: a one-year follow-up study

Authors: Yen-Fu Cheng, Sudha Xirasagar, Tzong-Han Yang, Chuan-Song Wu, Yi-Wei Kao, Ben-Chang Shia, Herng-Ching Lin

Published in: The Journal of Headache and Pain | Issue 1/2020

Abstract

Background

Tinnitus due to hyperactivity across neuronal ensembles along the auditory pathway is reported. We hypothesized that trigeminal neuralgia patients may subsequently suffer from tinnitus. Using nationwide, population-based data and a retrospective cohort study design, we investigated the risk of tinnitus within 1 year following trigeminal neuralgia.

Methods

We used the Taiwan National Health Insurance Research Dataset, a claims database, to identify all patients diagnosed with trigeminal neuralgia from January 2001 to December 2014, 12,587 patients. From the remaining patients, we identified 12,587 comparison patients without trigeminal neuralgia by propensity score matching, using sex, age, monthly income, geographic region, residential urbanization level, and tinnitus-relevant comorbidities (hyperlipidemia, diabetes, coronary heart disease, hypertension, cervical spondylosis, temporomandibular joint disorders and injury to head and neck and index year). All study patients (n = 25,174) were tracked for a one-year period to identify those with a subsequent diagnosis of tinnitus over 1-year follow-up.

Results

Among total 25,174 sample patients, the incidence of tinnitus was 18.21 per 100 person-years (95% CI = 17.66 ~ 18.77), the rate being 23.57 (95% CI = 22.68 ~ 24.49) among patients with trigeminal neuralgia and 13.17 (95% CI = 12.53 ~ 13.84) among comparison patients. Furthermore, the adjusted Cox proportional hazard ratio for tinnitus in the trigeminal neuralgia group was 1.68 (95% CI = 1.58 ~ 1.80) relative to the comparison cohort.

Conclusions

We found a significantly increased risk of tinnitus within 1 year of trigeminal neuralgia diagnosis compared to those without the diagnosis. Further studies in other countries and ethnicities are needed to explore the relationship between trigeminal neuralgia and subsequent tinnitus.

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Title: Increased risk of tinnitus following a trigeminal neuralgia diagnosis: a one-year follow-up study
Authors: Yen-Fu Cheng
Sudha Xirasagar
Tzong-Han Yang
Chuan-Song Wu
Yi-Wei Kao
Ben-Chang Shia
Herng-Ching Lin
Publication date: 01-12-2020
Publisher: Springer Milan
Keywords: Coronary Heart Disease
Tinnitus
Trigeminal Neuralgia
Published in: The Journal of Headache and Pain / Issue 1/2020
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI: https://doi.org/10.1186/s10194-020-01121-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Increased risk of tinnitus following a trigeminal neuralgia diagnosis: a one-year follow-up study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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