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Vestibular function in children with auditory neuropathy spectrum disorder

Robert Nash1, John Veness2, Michelle Wyatt1

  • 1Department of ENT, Great Ormond Street Hospital, WC1N 3JH London, UK.

International Journal of Pediatric Otorhinolaryngology
|June 2, 2014
PubMed

Insights

Vestibulopathy, a balance disorder, affects 42% of children with auditory neuropathy spectrum disorder (ANSD). This highlights the need for vestibular testing in managing these pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Neuroscience
  • Audiology

Background:

  • Auditory neuropathy spectrum disorder (ANSD) affects approximately 10% of pediatric cochlear implant referrals.
  • Vestibulopathy, a disorder of the balance system, may coexist with ANSD.
  • The presence of vestibulopathy can impact management strategies for children with ANSD.

Purpose of the Study:

  • To determine the incidence of vestibulopathy in pediatric patients with ANSD.
  • To identify predictive factors for vestibulopathy in this cohort.
  • To guide vestibular testing protocols and inform the etiology of ANSD.

Main Methods:

  • Retrospective review of vestibular function testing outcomes.
  • Analysis of a cohort of pediatric patients diagnosed with ANSD.

Main Results:

  • Probable or definite vestibulopathy was identified in 42% of tested patients.
  • Vestibulopathy showed an association with medical comorbidities.
  • No significant association was found between vestibulopathy and imaging findings.

Conclusions:

  • Vestibulopathy is a common finding in children with ANSD.
  • Consideration of vestibulopathy is crucial for effective investigation and management planning.
  • Further research may elucidate the relationship between ANSD and vestibulopathy.
Abstract

Keywords:
Auditory neuropathyPediatricsVestibular function testsVestibulocochlear nerve diseases

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