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Neuropathies of the Auditory and Vestibular Eighth Cranial Nerves

Breast cancer in women under 40 isn't common, but it's the most common type of cancer to affect women in this age group. Learn more facts and…. Metastatic breast cancer treatments can bring about many changes to your body, which can affect your view of yourself. Here are some tips to help you…. Pure tone air conduction AC and bone conduction BC thresholds were estimated using the modified Hughson and Westlake procedure.

A two-channel diagnostic audiometer Inventis Audiology Equipment, Padova, Italy was used to obtain pure tone air conduction and bone conduction thresholds and speech identification scores. Speech identification scores using headphones were obtained for phonemically balanced words developed for adults in Kannada by Yathiraj and Vijayalakshmi. The better ear of the participant was tested to obtain tympanogram and acoustic reflexes for a probe tone frequency of Hz.

Acoustic reflexes were measured using , , and Hz pure tones, presented to both ipsilateral and contralateral ears. The ILO v.

Cranial nerve VIII

The recording was obtained for a total of 1, sweeps and a filter setting of to 3, Hz was used. Auditory brain response was considered as absent if the peaks were not clearly identified in both recordings and lacked replication.

Acta Otorrinolaringológica Española

A detailed clinical case history was taken from all the participants of the study. The dizziness handicap inventory was administered to all participants of the study according to the procedure described by Jacobson and Newman. The total DHI score, as well as the scores for all the three subscales emotional, physical and functional were analyzed. An independent t -test was performed to determine if there was any gender effect on the DHI scores.

A correlation analysis was performed to determine the relationship between the onset of the hearing loss and the DHI scores in individuals with ANSD. In the present study, all the testing procedures were performed using non-invasive techniques, and adhering to the conditions of the ethical approval committee of the institute.

Thieme E-Journals - International Archives of Otorhinolaryngology / Abstract

All the test procedures were explained to the patients and their family members before testing, and informed consent was taken from all the patients or their family members for the participation in the study. The results of the study showed that the total score of the DHI ranged from 20 to 64, indicating a mild to moderate perception of the handicap. The mean DHI was The means and standard deviations of the scores on the subscales are shown in Fig.

This suggests that all subscales were affected, but relatively higher scores were obtained for the functional and emotional subscales. The result of the correlation analysis is depicted in Fig. Previous studies have reported substantial vestibular nerve damage in individuals with ANSD. The result of the present study shows that adolescents and adults with ANSD experience a moderate dizziness-related handicap. It also shows that dizziness affects their quality of life by limiting their functional abilities and causing emotional difficulties.

The results also showed that the dizziness handicap score did not vary across gender in individuals with ANSD.

In addition, the dizziness handicap was greater in the cases in which the onset of the hearing loss was reported soon after the diagnosis of ANSD. Thereby, we can hypothesize that there could be some form of vestibular compensation that could have resulted in a reduction in symptoms in individuals who reported the hearing loss as happening later on.

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The previous studies have reported vestibular nerve involvement in individuals with ANSD. Thus, the present study recommends the assessment of the real life handicap experienced because of vestibular problems in individuals with ANSD. It is also warrants the appropriate management of vestibular problems to improve the quality of life in these individuals. The study also highlights the need for the assessment of the vestibular handicap in these individuals during the routine audiological evaluation. This study was performed using an English version of the DHI that is not standardized for the Indian population.

There is a need for replicating the study using standardized dizziness handicap questionnaires in the local language of individuals with ANSD. The changes in dizziness handicap scores with vestibular rehabilitation should also be addressed. It is also essential to carry out qualitative studies using interviews or focus group discussions to better understand their dizziness-related handicap. The results of the study showed that a moderate degree of dizziness-related handicap was observed in adolescents and adults with this disease.

There was no gender effect, and the handicap was greater in cases in which the onset of the hearing loss was reported soon after the diagnosis of ANSD. On renaming auditory neuropathy as auditory dys-synchrony. Audiol Today. Managing and renaming auditory neuropathy as part of a continuum of auditorydys-synchrony [abstract]. Auditory neuropathy. A slow brain stem response for low-frequency audiometry. Absent auditory brain stem response: peripheral hearing loss or brain stem dysfunction?

Vestibulocochlear nerve

Clinical findings for a group of infants and young children with auditory neuropathy. Auditory neuropathy: a brief review. The search for auditory neuropathy patients and connexin 26 patients in schools for the deaf [abstract].

Cervical vestibular evoked myogenic potentials and caloric test results in individuals with auditory neuropathy spectrum disorders. Vestibular evoked myogenic potential VEMP in patients with auditory neuropathy: Auditory neuropathy or audiovestibular neuropathy?


  1. Plutarchs Lives, Volume VIII: Sertorius and Eumenes. Phocion and Cato the Younger (Loeb Classical Library No. 100).
  2. Cranial nerve palsies – Knowledge for medical students and physicians?
  3. Vestibular Neuropathy Accompanying Auditory and Peripheral Neuropathies.
  4. Hearing loss - auditory neuropathy?

The development of the Dizziness Handicap Inventory.