Sensorineural hearing loss: Difference between revisions
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{{SI}} | |||
{{Infobox medical condition | |||
| name = Sensorineural hearing loss | |||
| image = [[File:Cochlea-crosssection.svg|250px]] | |||
| caption = Cross-section of the [[cochlea]], a part of the [[inner ear]] | |||
| field = [[Otolaryngology]] | |||
| synonyms = [[Nerve deafness]], [[inner ear hearing loss]] | |||
| symptoms = [[Hearing loss]], difficulty understanding speech, especially in noisy environments | |||
| complications = [[Tinnitus]], [[balance disorders]] | |||
| onset = Can be [[congenital]] or [[acquired]] | |||
| duration = [[Chronic (medicine)|Chronic]] | |||
| causes = [[Genetic disorders]], [[noise exposure]], [[ototoxic drugs]], [[aging]] | |||
| risks = [[Loud noise exposure]], [[family history]] of hearing loss | |||
| diagnosis = [[Audiometry]], [[otoacoustic emissions]], [[auditory brainstem response]] | |||
| differential = [[Conductive hearing loss]], [[mixed hearing loss]] | |||
| prevention = [[Hearing protection]], avoiding ototoxic medications | |||
| treatment = [[Hearing aids]], [[cochlear implants]], [[assistive listening devices]] | |||
| prognosis = Varies depending on cause and treatment | |||
| frequency = Common, especially in older adults | |||
}} | |||
[[File:Audiologist, 2015.jpg|600px|right]] | [[File:Audiologist, 2015.jpg|600px|right]] | ||
Sensorineural hearing loss is [[deafness]] caused by damage to the [[inner ear]] or the [[nerve]] that conducts signals from the [[ear]] to the [[brain]] | Sensorineural hearing loss is [[deafness]] caused by damage to the [[inner ear]] or the [[nerve]] that conducts signals from the [[ear]] to the [[brain]] | ||
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| ICD10 = {{ICD10|H|90|3|h|90}}-{{ICD10|H|90|5|h|90}}| | | ICD10 = {{ICD10|H|90|3|h|90}}-{{ICD10|H|90|5|h|90}}| | ||
ICD9 = {{ICD9|389.1}} | ICD9 = {{ICD9|389.1}} | ||
| ICDO = | | ICDO = | ||
| OMIM = | | OMIM = | ||
| MedlinePlus = 003291 | | MedlinePlus = 003291 | ||
| eMedicineSubj = | | eMedicineSubj = | ||
| eMedicineTopic = | | eMedicineTopic = | ||
| MeshID = D006319 | | MeshID = D006319 | ||
}} | }} | ||
Latest revision as of 20:11, 7 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Sensorineural hearing loss | |
|---|---|
| Synonyms | Nerve deafness, inner ear hearing loss |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Hearing loss, difficulty understanding speech, especially in noisy environments |
| Complications | Tinnitus, balance disorders |
| Onset | Can be congenital or acquired |
| Duration | Chronic |
| Types | N/A |
| Causes | Genetic disorders, noise exposure, ototoxic drugs, aging |
| Risks | Loud noise exposure, family history of hearing loss |
| Diagnosis | Audiometry, otoacoustic emissions, auditory brainstem response |
| Differential diagnosis | Conductive hearing loss, mixed hearing loss |
| Prevention | Hearing protection, avoiding ototoxic medications |
| Treatment | Hearing aids, cochlear implants, assistive listening devices |
| Medication | N/A |
| Prognosis | Varies depending on cause and treatment |
| Frequency | Common, especially in older adults |
| Deaths | N/A |

Sensorineural hearing loss is deafness caused by damage to the inner ear or the nerve that conducts signals from the ear to the brain
Causes[edit]
- Disease of the blood vessels
- Immune disease
- Infections, such as meningitis, mumps, scarlet fever, and measles
- Injury to the inner ear or nerve
- Meniere disease
- Tumor, such as acoustic neuroma
- Use of certain medications
- Exposure to loud noises frequently
Risk factors[edit]
Common risk factors include Occupational or recreational noises, especially if loud. Other risk factors include:
- Aging
- Heredity
- Certain medication
- Infections
Signs and symptoms[edit]
- Reduced or loss of hearing
- Difficulty understanding speech
- Sudden or steady loss of hearing
- Stuffy sensation in the ear
- Ringing in the ear
- Dizziness
Diagnosis[edit]
- The diagnosis of a sensorineural pattern hearing loss is usually made through audiometry.
- The audiometry shows a significant hearing loss without the air-bone gap seen in conductive hearing loss.
- Imaging studies such as CT scan and or MRI scan to rule out tumors etc.
Treatment[edit]
Treatment depends on the cause and severity and may involve some of the following:
- Hearing aids - limited value in true sensorineural hearing loss
- Cochlear or brainstem implants
- Other assistive devices
Supportive treatments include:
- vitamins and antioxidants
- vasodilators
- betahistine (Betaserc) (anti-vertigo drug)
- hyperbaric oxygen
- rheologic agents such as hydroxyethyl starch, dextran and pentoxifylline
- anti-inflammatory agents
- corticosteroids
- intratympanic administration of certain medicine
Prevention[edit]
Reducing exposure to loud sounds etc.
Prognosis[edit]
Prognosis is guarded
External links[edit]


