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speculative role of medial superior olive (MSO)

in a 2026 study, Roy et al found normal ILD thresholds alongside elevated ITD thresholds in Misophonics vs controls. the authors suggest that this suggests functional deficits in brainstem circuits responsible for binaural temporal integration. they further point to the medial superior olive (MSO) due to its role in processing fine timing cues needed for spatial hearing, but they note that this interpretation is speculative and requires direct confirmation. (Roy et al., 2026)