Audiological evaluation in children affected by myelomeningocele

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Pasqualina Maria PicciottiC Rendeli

Abstract

The aim of the present study is to evaluate the auditory system in children affected by myelomeningocele and comparing the results with clinical neurological conditions. Forty-three children, aged between 7 and 26 years, affected by myelomeningocele were investigated by means of subjective tonal audiometry and objective impedance audiometry (tympanometry and acoustic stapedial reflex). Audiological evaluation showed an alteration in 32 patients (74%%). Nine patients presented a mild hearing loss: bilateral in six cases (three sensorineural, one mixed, and two conductive) and unilateral in three cases (two mixed and one conductive). One patient had moderate unilateral conductive deafness and, finally another one severe unilateral sensorineural. Almost all patients with deafness were affected by myelomeningocele and Chiari II. Stapedial-cochlear reflex investigation showed an alteration in 30 patients (70%): 9 of these also showed deafness while the remaining 21 was normal hearing. In these 30 patients, we demonstrated the presence of myelomeningocele, hydrocephalus, and Chiari II malformation in 21 subjects (70%). Otoneurological evaluation is important in myelomeningocele not only at the birth but also in the follow-up. It coul...Continue Reading

References

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Jan 1, 1995·Pediatric Neurosurgery·K Mori, T Nishimura
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Mar 1, 1997·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·M FujiiK Mori
Jan 19, 2005·Spinal Cord·C RendeliL Padua
Jun 7, 2005·Ear and Hearing·Xue Zhong LiuThomas Balkany
Feb 25, 2009·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Anja VinckBen A M Maassen
Apr 27, 2010·Developmental Disabilities Research Reviews·Maureen Dennis, Marcia A Barnes
May 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Pasqualina M PicciottiClaudia Rendeli
Sep 13, 2014·Journal of Neurosurgery. Pediatrics·David Satzer, Daniel J Guillaume

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