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Dissociation between caloric test and the video head impulse test in individuals with auditory neuropathy spectrum disorders

Published online by Cambridge University Press:  21 October 2024

Sujeet Kumar Sinha Open the ORCID record for Sujeet Kumar Sinha [Opens in a new window] ,
Anuj Kumar Neupane Open the ORCID record for Anuj Kumar Neupane [Opens in a new window]  and
Krithika Gururaj
Sujeet Kumar Sinha*
Affiliation:
Department of Audiology, All India Institute of Speech and Hearing, Manasagangothri, Mysore, Karnataka, India
Anuj Kumar Neupane
Affiliation:
School of Audiology and Speech Language Pathology, Bharati Vidyapeeth, Pune, Maharashtra, India
Krithika Gururaj
Affiliation:
Hear Health Speech and Hearing Clinics, Pune, Maharashtra, India
*
Corresponding author: Sujeet Kumar Sinha; Email: [email protected]
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Abstract

Objectives

The present study aimed to measure an association between the caloric test and vestibulo-ocular reflex gain and refixation saccades in individuals with auditory neuropathy spectrum disorders.

Methods

Twenty individuals (9 males and 11 females), in the age range of 17 to 38 years, diagnosed with auditory neuropathy spectrum disorders, and 20 normal-hearing individuals (age and gender matched) participated in the study. All the individuals underwent case history, pure tone audiometry, immittance evaluation, otoacoustic emissions, auditory brainstem response, caloric tests and video head impulse tests.

Results

All the patients with auditory neuropathy spectrum disorders in the present study had hypoactive caloric responses, which suggested peripheral vestibular lesions. The mean vestibulo-ocular reflex gain was reduced in few patients with auditory neuropathy, whereas few patients had normal vestibulo-ocular reflex gain.

Conclusions

The present study revealed a discrepancy between the caloric and video head impulse test results in auditory neuropathy spectrum disorders. The vestibular evaluation should be done for all patients with auditory neuropathy spectrum disorders to understand the various types of vestibular nerve lesions.

Keywords

auditory neuropathyhead impulse testsaccadesvestibular nerve
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 1 , January 2025 , pp. 27 - 33
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Sujeet Kumar Sinha takes responsibility for the integrity of the content of the paper

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