Abstract

Auditory Neuropathy and Spectrum of Disorder !$£ from a Audiological Perspective- A Rare Case Series

Highlights

  • Auditory neuropathy is a condition in which the transmission of the auditory signals from the inner ear to the auditory nerve and auditory brainstem is distorted

  • Though the degree of hearing loss is difficult to establish due to their inconsistent responses it can vary from normal to profound hearing loss

  • The clinical manifestation of auditory neuropathy varies greatly between patients depends on the aetiology

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Summary

Introduction

Auditory neuropathy is a condition in which the transmission of the auditory signals from the inner ear to the auditory nerve and auditory brainstem is distorted. A typical person with auditory neuropathy has elevated pure tone thresholds, poor speech discrimination scores, absent acoustic reflexes, absent or abnormal auditory brainstem response and present otoacoustic emissions or cochlear microphonics [1]. Pure tone audiometry results usually show bilateral deficits but unilateral hearing loss can be present [2]. There is a high variability in the configuration of the audiogram. Configuration can be flat, reverse sloping, irregular saw tooth pattern etc [3]. Speech perception ability is disproportionate with their PTA results especially in the presence of background competing noise [4]

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