Sensorineural hearing loss in patients with cerebral palsy after asphyxia and hyperbilirubinemia

被引:34
|
作者
Sano, M
Kaga, K
Kitazumi, E
Kodama, K
机构
[1] Univ Tokyo, Dept Otolaryngol Head & Neck Surg, Grad Sch Med, Bunkyo Ku, Tokyo 1138655, Japan
[2] Univ Tokyo, Fac Med, Bunkyo Ku, Tokyo 1138655, Japan
[3] Natl Rehabil Ctr Disabled Children, Itabashi Ku, Tokyo 1730037, Japan
关键词
hearing toss; cerebral palsy; lesions; asphyxia; hyperbilirubinemia;
D O I
10.1016/j.ijporl.2005.03.014
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The Location of lesions causing hearing toss in patients with cerebral palsy due to asphyxia or neonatal hyperbilirubinemia has remained unclear. We performed behavioral audiometry, distortion product otoacoustic emission (DPOAE) and auditory brainstem evoked response (ABR) in six patients with cerebral palsy due to asphyxia or neonatal hyperbilirubinemia in order to determine the Lesion location causing their hearing impairment. In all cases, behavioral audiometry revealed a threshold elevation of 50-75 dB and ABR were no response. DPOAE were totally absent in five patients and normal in one patient. Our study suggests that lesions causing hearing loss potentially include the organ of Corti especially at the outer hair cells and the cochlear nerve. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:1211 / 1217
页数:7
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