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These structures are usually considered in the context of a \u201climbic system,\u201d a concept typically invoked to explain the emotional response to tinnitus. Despite this common framing, it is not apparent from current literature that this is necessarily the main functional role of these structures in persistent tinnitus. Here, we highlight a different role that encompasses their most commonly implicated functional position within the brain\u2014that is, as a memory system. We consider tinnitus as an auditory object that is held in memory, which may be made persistent by associated activity from the hippocampus and parahippocampal gyrus. Evidence from animal and human studies implicating these structures in tinnitus is reviewed and used as an anchor for this hypothesis. We highlight the potential for the hippocampus\/parahippocampal gyrus to facilitate maintenance of the memory of the tinnitus percept via communication with auditory cortex, rather than (or in addition to) mediating emotional responses to this percept.<\/jats:p>","DOI":"10.1002\/hbm.26627","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T13:59:23Z","timestamp":1708437563000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["What is the role of the hippocampus and parahippocampal gyrus in the persistence of tinnitus?"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1960-9487","authenticated-orcid":false,"given":"Joel I.","family":"Berger","sequence":"first","affiliation":[{"name":"Department of Neurosurgery University of Iowa  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Billig","sequence":"additional","affiliation":[{"name":"Ear Institute University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Sedley","sequence":"additional","affiliation":[{"name":"Biosciences Institute Newcastle University  Newcastle UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhbinder","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery University of Iowa  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy D.","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Biosciences Institute Newcastle University  Newcastle UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip E.","family":"Gander","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery University of Iowa  Iowa City Iowa USA"},{"name":"Department of Radiology University of Iowa  Iowa 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