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Auditory neuropathy: A case report and review of literature


 
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1. Title Title of document Auditory neuropathy: A case report and review of literature
 
2. Creator Author's name, affiliation, country Ali Imam Ahsan; Junior consultant, Specialized ENT Hospital of SAHIC, Mohakhali, Dhaka 1212; Bangladesh
 
2. Creator Author's name, affiliation, country Rashedul Hasan; Audio-vestibular physician, Specialized ENT Hospital of SAHIC, Mohakhali, Dhaka 1212; Bangladesh
 
2. Creator Author's name, affiliation, country Nasimul Jamal; Junior consultant, Specialized ENT Hospital of SAHIC, Mohakhali, Dhaka 1212; Bangladesh
 
3. Subject Discipline(s) ENT
 
3. Subject Keyword(s) Auditory neuropathy; Auditory dyssynchroni; sensorineural; hearing loss
 
4. Description Abstract

Auditory Neuropathy (AN), also known as Auditory Dyssynchrony(AD) is a very often missed diagnosis in clinical practice. In AN, sound enters the inner ear normally but the transmission of signals from inner ear to brain is impaired. Due to the lack of advanced audiological test facilities in Bangladesh, mostly AN remains undiagnosed. Here we described a 25 years old male, presented with difficulty in understanding speech for last 10 years. On audiologic evaluation, bilateral moderate sensorineural hearing loss was found on Pure tone audiogram (PTA). Speech discrimination scores were poor and disproportionate to his hearing threshold. Presence of Otoacoustic emission (OAE) revealed the normal function of cochlea. Conversely, absence of Auditory brainstem response (ABR) confirmed the definite dysfunction at auditory neural pathway and hence, the diagnosis of AN was confirmed. Since AN is an underdiagnosed condition in Bangladesh, otolaryngologists should be aware of this clinical entity. All the suspected cases should be referred to specialized centers, where advanced audiological facilities are available.

DOI: http://dx.doi.org/10.3329/bjo.v19i2.17638

Bangladesh J Otorhinolaryngol 2013; 19(2): 135-139

 
5. Publisher Organizing agency, location Society of Otolaryngologists and Head Neck Surgeons of Bangladesh
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2014-01-13
 
8. Type Status & genre Peer-Reviewed Item
 
8. Type Type
 
9. Format File format PDF
 
10. Identifier Uniform Resource Identifier https://www.banglajol.info/index.php/BJO/article/view/17638
 
10. Identifier Digital Object Identifier http://dx.doi.org/10.3329/bjo.v19i2.17638
 
11. Source Title; vol., no. (year) Bangladesh Journal of Otorhinolaryngology; Vol 19, No 2 (2013)
 
12. Language English=en en
 
13. Relation Supp. Files
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.) Bangladesh
 
15. Rights Copyright and permissions Copyright (c)