Whatever the trigger for tinnitus, it causes a change to the transmission of the signal going from the ear to the part of the brain where sound is processed, known as the auditory cortex. This means that some parts of the auditory cortex do not receive signals as they used to. In some people, this area reacts by developing spontaneous ‘chatter’, which becomes synchronised to create the illusion of sound. Over time, this firing pattern is strengthened and the tinnitus can become a constant sound.

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