Hearing Loss: Nerve Loss

Neurosensory hearing loss is caused by nerve damage, dysfunction or loss. Sounds reach the inner ear but are not transmitted to the brain by the nerves as they should be.

 


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Common Causes
  • aging
  • genetic predisposition
  • exposure to loud noises
Rare Causes
  • acoustic neuroma - a tiny benign (NOT a cancer!) growth of the cells that insulate the acoustic nerves. 
  • side effect of certain medicines, such as the antibiotics called aminoglycosides and the chemotherapy drug cis-platinum
  • injury (head concussion or skull fracture)
  • endocrine disorders
  • infections such as measles and mumps
  • autoimmune disorders such as polyarteritis and lupus
  • blockage of a blood vessel in the ear
  • a hereditary syndrome
  • exposure to radiation

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Diagnosis

  • A review of your history
  • Examination of the ear
  • Hearing test (audiogram)
  • Auditory Brainstem Response (ABR), sometimes
  • MRI (sometimes)

Treatment


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Although receptor cells can regenerate after injury in birds, reptiles and amphibians, for humans we have only those cochlear receptor cells that we are born with.
  • The best treatment is prevention.
  • Hearing aids and other devices
  • Cochlear implants, reserved for profound losses when hearing aids are inadequate.
  • Acoustic neuroma - It can strangulate the nerves that service hearing and balance and therefore may need to be treated.  Acoustic neuromas are slow growing and sometimes can simply be watched, but can be controlled with surgery or specialized radiation therapy (gamma knife).

 



Alliance ENT     Main Office: 845 North Main St., Providence, RI 02904     Phone: (401)331-9690 Fax: (401) 331-9609
Email: Office@alliance-ENT.com ~ Please Note, this is for general information only, not medical emergencies