Тугоухость и деменция – сопряженность развития: неизбежность и возможная обратимость, желаемое и действительное

Abstract

In people over 65 years of age, hearing disorders occur in 30% of cases. Hearing impairment affects the psychoemotional status of patients, exacerbating the progression of cognitive deficits. One of the variants of frontotemporal dementia (FTD) is pathogenetically caused by intracranial hypotension syndrome (IHS). The incidence of IHS is estimated to be approximately 2–5 cases per 100,000 inhabitants. One of the complications of SVH is dementia with sagging brain syndrome (BSD), clinically similar to FTD. IHS is regularly accompanied by cochleovestibular disorders, among which audiological deviations prevail. To confirm IHS, positional audiometry is of great importance. Unlike typical FTD, for which effective therapy is unknown, BSD treatment results are positive in 81% of cases. The authors of the publication note an improvement in concentration of attention, analytical ability, and daytime activity in their patients after the course of treatment of IHS. For earlier detection, or confirmation, of the mentioned pathology at the diagnostic stage, the authors propose an increase in the number of studies due to audiometric tests.