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Binaural interference in multiple sclerosis: case study

S Silman1

  • 1Department of Speech, Brooklyn College, CUNY 11210, USA.

Journal of the American Academy of Audiology
|May 1, 1995
PubMed
Summary
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This case report details binaural interference in a young adult with multiple sclerosis (MS). Monaural amplification improved speech recognition, suggesting reduced interference in the affected ear.

Area of Science:

  • Neurology
  • Audiology
  • Auditory Neuroscience

Background:

  • Multiple sclerosis (MS) can affect auditory processing.
  • Binaural interference, a phenomenon impacting sound localization and speech perception, has not been extensively studied in MS patients.

Purpose of the Study:

  • To present a case of binaural interference in a young adult with multiple sclerosis.
  • To investigate the presence and characteristics of binaural interference during active and remission stages of MS.
  • To explore the effect of monaural amplification on auditory performance in this patient.

Main Methods:

  • Case report of a young adult male diagnosed with multiple sclerosis.
  • Assessment of binaural interference using behavioral and physiological measures during active MS and remission stages.

Related Experiment Videos

  • Audiometric evaluation, including interaural asymmetry assessment and suprathreshold speech-recognition scores.
  • Introduction of a trial period of left ear monaural amplification.

    • Main Results:

    • Binaural interference was evident on both behavioral and physiological measures during the active stage of MS.
    • Binaural interference persisted, though reduced, during the remission stage.
    • Binaural interference was observed even without audiometric asymmetry or reduced speech recognition.
    • Left ear monaural amplification led to an improved soundfield suprathreshold speech-recognition score.

    Conclusions:

    • Binaural interference can occur in young adults with multiple sclerosis, even during remission.
    • Monaural amplification of the affected ear may mitigate binaural interference and enhance speech recognition in cases of bilateral normal hearing sensitivity.
    • This case highlights the complex auditory challenges associated with MS and suggests potential audiological management strategies.