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Updated: Dec 10, 2025

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
[Complex disorders in children with sensorineural hearing loss - influence on the diagnosis of hearing pathology and
G Sh Tufatulin1,2, I V Koroleva1,3, S A Artyushkin2
1City Center of Pediatric Audiology, St. Petersburg, Russia.
Insights
Children with sensorineural hearing loss (SNHL) often have additional disabilities (AD), delaying diagnosis and hearing aid amplification. Early screening is crucial for these complex cases.
Area of Science:
- Pediatrics
- Audiology
- Genetics
Background:
- Sensorineural hearing loss (SNHL) in children can be associated with additional disabilities (AD).
- The impact of these AD on the diagnosis and management of SNHL requires further investigation.
Purpose of the Study:
- To investigate the prevalence of AD in children with SNHL.
- To determine the influence of AD on the age of SNHL diagnosis and hearing aid amplification.
Main Methods:
- Retrospective analysis of medical records of children diagnosed with SNHL.
- Categorization and quantification of additional disabilities present in the study cohort.
- Comparison of diagnosis and amplification timelines between children with and without AD.
Main Results:
- 41% of children with SNHL presented with one or more AD, with 59% having 2-3 AD.
- Central neural and motor system pathologies were the most frequent AD combinations.
- Children with AD were diagnosed with hearing loss later and received amplification later compared to those with SNHL only.
- Genetic factors were less frequently identified in children with SNHL and AD.
Conclusions:
- Additional disabilities significantly impact the early diagnosis and timely amplification of sensorineural hearing loss in children.
- Children with AD may miss universal newborn hearing screening due to NICU stays, and SNHL may arise later.
- Audiologists' cautious approach and process difficulties may contribute to delayed amplification in children with AD.
Abstract:
The presence of additional disabilities (AD) in children with sensorineural hearing loss (SNHL) and influence of AD on age of hearing loss diagnosis and amplification were investigated. It was shown that 41% children with SNHL have different AD - pathology of the central neural system (including mental retardation, autism spectrum disorders, attention deficits), vision, motor and articulation impairments, cardiovascular, respiratory, urinary, digestive, endocrine diseases etc. 59% children among them have 2-3 AD. The most often combination of AD was pathology of central neural and motor systems. The genetic factor was revealed rarely in the group of children with AD than in children with SNHL only. The diagnosis of hearing loss before age 4 months was rarely in the group of children with AD. Possibly it is because of the most of such children got treatment in neonatal intensive care unit and didn't have access to universal newborn hearing screening. Moreover, SNHL might develop later as the outcome of their AD or their treatment. Suggestion about more late amplification in children with SNHL was confirmed. The cause might be wary relation of audiologists to amplification of children with AD and difficulties of this process.
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