Hearing loss among patients with multiple sclerosis (PwMS): A systematic review and meta-analysis

Omid Mirmosayyeb1, Mohammadjavad Naderi1, Sina Raeisi2

  • 1Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran; Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Insights

Multiple sclerosis (MS) is linked to an increased risk of hearing loss (HL). This study found a 1.1% prevalence of HL in patients with MS, suggesting HL may be an early indicator for MS diagnosis.

Area of Science:

  • Neurology
  • Audiology
  • Autoimmune Disorders

Background:

  • Multiple sclerosis (MS) is a prevalent autoimmune disorder affecting over 2 million individuals globally, often leading to significant patient disabilities.
  • Hearing loss (HL) is a recognized disability experienced by a notable number of patients with multiple sclerosis (PwMS).

Purpose of the Study:

  • To systematically review and determine the prevalence of hearing loss (HL) in patients with multiple sclerosis (PwMS).
  • To explore the potential association between MS and the risk of developing HL.

Main Methods:

  • A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, and Embase databases from 1970 to July 2021.
  • Gray literature, including conference abstracts and review studies, was also examined to identify relevant research on PwMS with HL.

Main Results:

  • The initial search yielded 1875 articles, reduced to 89 after duplicate removal and screening based on inclusion/exclusion criteria.
  • Eight studies were ultimately selected, encompassing 5187 individuals with MS.
  • The pooled prevalence of hearing loss (HL) among patients with multiple sclerosis (PwMS) was calculated at 1.1% (95% CI: [0.2%, 2.4%]).

Conclusions:

  • The findings suggest a potential link between multiple sclerosis (MS) and an increased risk of hearing loss (HL).
  • Hearing loss (HL) may serve as a potential indicator for the diagnosis of MS.
  • Further research with larger sample sizes is recommended to validate these findings and elucidate the relationship between MS and HL.