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Association of Hearing Loss in Children with Cerebral Palsy
Vinay Prakash Agarwal1, Ambrish Kumar Mishra2, Abhishek Bahadur Singh3
1Department of Physiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Insights
Hearing loss is common in children with cerebral palsy (CP), especially in those born prematurely or with low birth weight. Neonatal seizures and maternal infections are also linked to hearing impairment in CP patients.
Area of Science:
- Pediatrics
- Audiology
- Neurology
Background:
- Cerebral palsy (CP) affects muscle control and movement, leading to various childhood disorders.
- Hearing loss is a significant complication associated with cerebral palsy.
Purpose of the Study:
- To evaluate hearing impairment in children with CP using brainstem evoked response audiometry (BERA).
Main Methods:
- BERA was employed to assess hearing in 110 children aged 6 months to 10 years diagnosed with CP.
- Data collected included demographic, otologic, and audiologic information, alongside other medical conditions.
Main Results:
- Hearing loss was more prevalent in children with CP aged 4 years and younger, with males more frequently affected.
- Significant risk factors for hearing loss in CP included prematurity (62%), maternal infections (58.33%), low birth weight (<2500 g) (79.17%), and neonatal seizures (54.17%).
Conclusions:
- Preterm birth and maternal infections are strongly associated with hearing loss in children with CP.
- Low birth weight and neonatal seizures are significant risk factors contributing to hearing impairment in this population.
Background:
The disease cerebral palsy (CP) primarily impacts muscle control and movement, potentially resulting in numerous associated disorders in early childhood. One notable complication that may arise in individuals with CP is hearing loss, which can develop due to various underlying factors related to the condition.
Objectives:
To assess hearing impairment in CP children by using brainstem evoked response audiometry (BERA).
Materials And Methods:
There were 110 confirmed cases of CP between the ages of 6 months and 10 years. Audiologic Assessment: BERA was used to evaluate the hearing of the children. Demographic, otologic, and audiologic information were collected systematically, accompanied by records detailing other otologic and medical conditions.
Results:
The prevalence of hearing loss in children aged ≤4 years (CP). In addition, males were more commonly affected in CP. Prematurity was significantly higher (62%) in the group with hearing loss. The number of maternal infections was also significantly higher in the group with hearing loss (58.33%). Malnutrition, mode of delivery, maternal tobacco use, and maternal alcohol use were not significantly associated with hearing loss. The frequency of low birth weight patients (<2500 g) was higher in hearing loss (79.17%). Neonatal seizure was also significantly associated with hearing loss (54.17%) than in patients without hearing loss (24.42%). Meconium aspiration, delayed crying, neonatal jaundice, neonatal sepsis, exclusive breastfeeding, and immunizations were not significantly associated with hearing loss.
Conclusion:
Preterm birth and maternal infections were significantly more common in the group with hearing loss. Low birth weight (<2500 g) and neonatal seizures were also significantly associated with hearing loss.
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