title: Auditory neuropathy with preserved cochlear microphonics and secondary loss of otoacoustic emissions.
abstract: Auditory neuropathy is defined as absent or severely distorted auditory brainstem responses with preserved otoacoustic emissions and cochlear microphonics. This entity can be found in various circumstances including pre-lingual children. An almost universal characteristic reported from adult patients is the ineffectiveness of traditional hearing aids. Adequate management of pre-lingual cases therefore remains an open problem. This paper describes two pre-lingual children whose follow-up data demonstrated a selective loss of the otoacoustic emissions, whereas the cochlear microphonics remained preserved. In one of the patients, hearing aid fitting as soon as she lost her otoacoustic emissions proved successful. These findings have important implications for the operational definition of the condition, since one must be prepared to encounter cases with absent otoacoustic emissions. The present data also demonstrate that conventional amplification can benefit pre-lingual auditory neuropathy cases, at least once they have lost their otoacoustic emissions.
authors.affiliation: Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Deltenre
authors.forename: A L
authors.initials: AL
authors.lastname: Mansbach
authors.forename: C
authors.initials: C
authors.lastname: Bozet
authors.forename: F
authors.initials: F
authors.lastname: Christiaens
authors.forename: P
authors.initials: P
authors.lastname: Barthelemy
authors.forename: D
authors.initials: D
authors.lastname: Paulissen
authors.forename: T
authors.initials: T
authors.lastname: Renglet
mesh_terms: D000328:Adult; D001933:Brain Stem / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D003055:Cochlear Microphonic Potentials / Q000502:physiology*; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D018072:Hair Cells, Auditory, Outer / Q000503:physiopathology; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000503:physiopathology* / Q000534:rehabilitation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation; D007805:Language Development Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation; D008297:Male; D017084:Otoacoustic Emissions, Spontaneous / Q000502:physiology*; D013063:Speech Discrimination Tests; D000159:Vestibulocochlear Nerve / Q000503:physiopathology*