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Children with chronic non-progressive encephalopathy: hearing evaluation and hearing aids
Cilmara Cristina Alves da Costa Levy1, Sergio Rosemberg
1Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo. cilmaralevy@uol.com.br
Pro-Fono : Revista De Atualizacao Cientifica
|October 20, 2009
Summary
Over half of children with non-progressive chronic encephalopathy (NPCE) have hearing loss, and it cannot be predicted by parental complaints. Hearing aids significantly benefit these children.
Area of Science:
- Pediatric Neurology
- Audiology
- Neurodevelopmental Disorders
Background:
- Non-progressive chronic encephalopathy (NPCE) can impact various child developmental aspects.
- Auditory function assessment is crucial for children with NPCE, regardless of suspected hearing loss or encephalopathy cause.
Purpose of the Study:
- To evaluate auditory abilities in children with NPCE.
- To determine the effectiveness of hearing aids for children with NPCE and hearing loss.
Main Methods:
- Comprehensive neurologic, otorhinolaryngologic, and auditory assessments were performed.
- The Parent's Evaluation of Aural/Oral Performance of Children (PEACH) protocol was utilized.
Main Results:
- 48% of 46 children had no hearing loss; 52% had sensorineural hearing loss.
- Parental suspicion of hearing loss was confirmed in 56% of cases; 50% of children with no parental complaints also had hearing loss.
- The PEACH protocol effectively assessed hearing aid benefits.
Conclusions:
- More than half of children with NPCE exhibit hearing loss.
- Encephalopathy etiology does not correlate with hearing loss complaints, making prediction unreliable.
- All children with hearing loss in the study benefited from hearing aid use.
