title: An unusual case of deafness with speech impairment: lesson in diagnosis and management.
abstract: Hearing impairment can be the cause of significant disability and handicap. This medico-legal case demonstrates the need for accurate assessment of both the severity and type of hearing loss if the best clinical management is to be provided. In particular, the case identifies the critical role of additional, objective auditory testing when pure tone audiometry, which depends on the subjective response of the individual, is inconsistent or indicates severe hearing impairment.
authors.affiliation: Department of Neuro-otology, National Hospital for Neurology and Neurosurgery, London.
authors.forename: R
authors.initials: R
authors.lastname: Davies
authors.forename: D
authors.initials: D
authors.lastname: Prasher
authors.forename: A
authors.initials: A
authors.lastname: O'Sullivan
mesh_terms: D001300:Audiometry, Evoked Response; D003638:Deafness / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D006801:Humans; D008318:Malpractice; D008875:Middle Aged; D010036:Otolaryngology; D013001:Somatoform Disorders / Q000175:diagnosis*; D013064:Speech Disorders / Q000523:psychology*