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Auditory efferent function is affected in multiple sclerosis.

Albert Coelho1, Borka Ceranić, Deepak Prasher

  • 1Department of Neuro-Otology, The National Hospital for Neurology and Neurosurgery, United Kingdom.

Ear and Hearing
|September 7, 2007
PubMed
Summary
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Multiple sclerosis (MS) patients often show reduced efferent auditory function, impacting the medial olivocochlear (MOC) pathway. The MOC suppression test may help detect subtle brain stem lesions in early MS diagnosis.

Area of Science:

  • Neuroscience
  • Otolaryngology
  • Auditory Neuroscience

Background:

  • Multiple sclerosis (MS) is characterized by various auditory abnormalities, yet efferent auditory pathway function remains understudied.
  • The medial olivocochlear (MOC) pathway, crucial for auditory processing, may be affected by MS due to predilection for brain stem lesions.

Purpose of the Study:

  • To evaluate efferent medial olivocochlear (MOC) function in patients with multiple sclerosis (MS).
  • To investigate the correlation between MOC function deficits and the presence/location of MS-related brain lesions.
  • To explore the diagnostic potential of the MOC suppression test in MS.

Main Methods:

  • Assessed MOC function using the olivocochlear suppression test with transient evoked otoacoustic emissions.

Related Experiment Videos

  • Included 30 MS patients (10 with brain stem lesions, 20 without) and 22 healthy controls.
  • Utilized standard auditory tests including pure-tone audiometry and auditory brain stem evoked responses.
  • Main Results:

    • Reduced MOC function was observed in 66.6% of MS patients.
    • 90% of patients with brain stem lesions exhibited abnormal MOC function.
    • Abnormal MOC function was also found in 55% of patients without evident brain stem lesions on MRI.

    Conclusions:

    • A significant deficit in efferent auditory function exists in the majority of MS patients.
    • Abnormal MOC suppression may explain overlooked auditory symptoms in MS.
    • The MOC suppression test shows promise as a sensitive diagnostic tool for detecting subtle brain stem lesions and aiding early MS diagnosis.