Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparing the Frequency of Sensorineural Hearing loss and Neurological Disorders, Speech Perception in Patients with Multiple Sclerosis and Healthy People

Document Type : Original Article(s)

Authors
1 Professor, Department of Otolarhngology, Head and Neck Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Medical Student, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Multipe sclerosis (MS) is a demyelinative disease of central nervous system which because of high prevalence and high morbidity is in the focus of scientists’ attention. Hearing loss in 6-10% of patients with MS is seen. Also, impaired speech reception threshold is 40-50% in MS patients. The aim of this study was comparing the prevalence of sensorinural hearing loss and impaired speech reception threshold in MS and control groups.Methods: In a case-control cross-sectional study, 112 patients with MS and 112 healthy people in control group were assessed in Isfahan. Demographic findings, presenting symptoms and number of lesion in MRI were obtained.Finding: From 112 patients with MS, 75% were women. The age was 28.02 ± 6.6 years in MS group and 25.22 ± 3.8 years in control group. In this study, sensorineural hearing loss in patients with MS was 40.2% compared to 6.3% in controls (P < 0.001). Also, sensorineural hearing loss prevalence in women (40.5%) was more than men (39.3%) in MS group. There prevalence of mild and profound impaired speech reception threshold was 33.9% and 1.8% respectively; while there was moderate impaired speech reception threshold only in 0.9% of our control group. Speech reception threshold of all women in control group was normal and only one man (3.5%) had impaired speech reception threshold in control group (P = 0.33).Discussion: In patients with MS, the prevalence of sensorineural hearing loss and impaired speech reception threshold were like recent studies. Higher age may be a potential source of sensorineural hearing loss in MS group. Women sexuality may be a potential source of impaired speech reception threshold.
Keywords

  1. Hauser SL, Goodkin DE. Multiple Sclerosis and other Demylinating Disease. In: Braunwald E, Faci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL. Harrison's principles of Internal Medicine. 16th ed. New York: McGrow-Hill; 2004. p. 2461-71.
  2. Victor M, Ropper AH. Adams and Victor's Principles of Neurology. 7th ed. New York: McGrow-Hi; 2000. p. 954-79.
  3. Cardini RG, Crippa AC, Cattaneo D. Update on multiple sclerosis rehabilitation. J Neurovirol 2000; 6(Suppl 2): S179-85.
  4. Miller JR. Multiple Sclerosis. In: Mcrritt HH, Rowland LP. Merritt's Textbook of Neurology. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 1994. p. 941-61.
  5. Lilly DJ, Hutter MM, Saunders JA, Bourdette DN, Fausti SA, Lewis MS. Speech intelligibility in patients with multiple sclerosis. Portland, Oregon: National Center for Rehabilitative Auditory Research; 2004. Available from: URL: http://www.ncrar.research.va.gov/Presentations/documents/MS_ARO_04.pdf
  6. de Seze J, Assouad R, Stojkovic T, Desaulty A, Dubus B, Vermersch P. Hearing loss in multiple sclerosis: clinical, electrophysiologic and radiological study. Rev Neurol (Paris) 2001; 157(11 Pt 1): 1403-9.
Volume 28, Issue 114 - Serial Number 114
September and October 2011
Pages 843-847

  • Receive Date 03 March 2011
  • Accept Date 06 April 2022