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Hearing loss in multiple sclerosis.

W T Daugherty, R J Lederman, R H Nodar

    Archives of Neurology
    |January 1, 1983
    PubMed
    Summary
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    Hearing loss is an uncommon symptom in multiple sclerosis (MS). This study found central auditory dysfunction in MS patients, suggesting hearing impairment should be investigated.

    Area of Science:

    • Neurology
    • Audiology
    • Otolaryngology

    Background:

    • Hearing loss is an uncommon symptom in multiple sclerosis (MS).
    • Associated neurological symptoms can provide clues to auditory dysfunction in MS patients.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of hearing loss in patients with multiple sclerosis.
    • To explore the relationship between hearing impairment and other neurological symptoms in MS.

    Main Methods:

    • Audiometric evaluations were performed on nine patients with multiple sclerosis.
    • Brainstem auditory evoked potentials (BAEPs) were utilized to assess central auditory pathways.
    • Clinical and electrophysiological data were correlated with audiological findings.

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    Main Results:

    • Seven patients presented with unilateral hearing loss, and two with bilateral impairment.
    • Accompanying symptoms included facial numbness, hemifacial paresis/spasms, ataxia, nystagmus, vertigo, tinnitus, and gait disturbances.
    • Central auditory dysfunction was indicated by audiometric and/or BAEP findings in all nine patients.

    Conclusions:

    • Hearing impairment is a potential, though uncommon, symptom of multiple sclerosis.
    • Central auditory dysfunction should be considered in MS patients presenting with neurological symptoms.
    • Audiological and electrophysiological assessments are crucial for diagnosing hearing impairment in MS.