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Central auditory processing in Alzheimer's disease

A L Strouse1, J W Hall, M C Burger

  • 1Division of Hearing and Speech Sciences, School of Medicine, Vanderbilt University, Nashville, Tennessee, USA.

Ear and Hearing
|April 1, 1995
PubMed
Summary
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Individuals with early to moderate Alzheimer's disease (AD) exhibit impaired central auditory processing compared to healthy older adults. This suggests a need for auditory screening in AD patients.

Area of Science:

  • Neuroscience
  • Audiology
  • Gerontology

Background:

  • Alzheimer's disease (AD) is a progressive neurodegenerative disorder.
  • Central auditory processing (CAP) refers to the brain's interpretation of auditory information.
  • The impact of early to middle-stage AD on CAP is not fully understood.

Purpose of the Study:

  • To investigate whether individuals with early to middle-stage Alzheimer's disease (AD) demonstrate impaired central auditory processing.
  • To compare the central auditory function of AD patients with that of non-demented elderly individuals.

Main Methods:

  • A comprehensive auditory test battery, including peripheral and central assessments, was administered to 10 mild-to-moderate AD patients and 10 matched controls.
  • Peripheral tests included immittance audiometry, pure-tone and speech audiometry, and otoacoustic emissions.

Related Experiment Videos

  • Central auditory tests comprised synthetic sentence identification, dichotic digits, dichotic sentence identification, pitch patterns, and duration patterns.
  • Main Results:

    • Peripheral auditory status was comparable between groups, with no significant differences in high-frequency hearing or speech recognition.
    • A significant difference was observed in low-frequency hearing sensitivity in the left ear, with AD subjects showing poorer thresholds.
    • The AD group performed significantly worse than controls on four out of five central auditory processing measures.

    Conclusions:

    • The observed central auditory processing deficits in AD patients are unlikely to be solely artifacts of cognitive decline.
    • Findings support the screening for central auditory dysfunction in the Alzheimer's disease population.
    • Addressing auditory processing impairments may improve psychiatric assessments and audiological management in AD.