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Variability of Vestibular Function in Pediatric Patients with Auditory Neuropathy Spectrum Disorder.
Guangwei Zhou1,2, Kaitlyn Butler1
1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA 02115, USA.
Audiology Research
|June 25, 2026
Summary
Vestibular dysfunction is common in children with auditory neuropathy spectrum disorder (ANSD). Early vestibular evaluation is crucial for guiding management and rehabilitation strategies in these pediatric patients.
Area of Science:
- Pediatric audiology
- Neuro-otology
- Vestibular diagnostics
Background:
- Auditory neuropathy spectrum disorder (ANSD) affects pediatric hearing.
- Vestibular function in children with ANSD is not well-characterized.
- ANSD accounts for at least 10% of pediatric sensorineural hearing loss.
Purpose of the Study:
- To examine vestibular testing results in pediatric patients with ANSD.
- To characterize vestibular dysfunction in children diagnosed with ANSD.
Main Methods:
- Retrospective review of vestibular laboratory testing.
- Evaluations included VEMP, rotary chair, vHIT, and VNG.
- 30 pediatric patients with ANSD were analyzed.
Main Results:
- Vestibular dysfunction identified in 12 out of 30 pediatric ANSD cases.
- Abnormalities noted in VEMP, vHIT, or rotary chair tests.
- Underlying etiologies varied, including hyperbilirubinemia and genetic conditions.
Conclusions:
- Significant vestibular dysfunction exists in pediatric ANSD.
- Vestibular outcomes correlate with underlying etiologies.
- Formal vestibular assessment is essential for clinical management and rehabilitation planning.
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