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Doctor insights on:
Asymmetric Sensorineural Hearing Loss
1
Is sensorineural hearing loss progressive?
Depends...: on underlying cause, of which there are a plethora. Don't sit on this. Get a definitive diagnosis and find out why you have it. If it is unilateral, ie one-sided, you need inner ear & brain imaging to look for asymmetric findings & evidence of possible demyelination. If it's symmetric, you may have just listened to too much loud music. Follow advice of audiologist, otolaryngologist & neurologist. ...Read more
Hearing Loss (Definition)
A partial or total loss of the ability to hear that can affect ...Read more
2
Is aminoglycoside-induced hearing loss permanent?
Yes: This is a neuro-toxic drug. The inner ear cells are neural cells that are highly sensitive to this drug... Once damaged they are like any other nerves and can't be repaired. ...Read more
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4
Is hearing loss genetic?
Sometimes: Some types of hearing loss are inherited but others are caused by infection, trauma or exposure to loud noises. An ear specialist or otolaryngologist can help sort out the cause of hearing difficulty. ...Read more
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5
Can tinnitus cause hearing loss?
Related: We usually think of it as the other way around. But, there can be tinnitus with normal hearing. Get a formal hearing test from an ent/audiology team and see what's really going on. There are ways to treat tinnitus without surgery. ...Read more
6
Could acoustic neuroma cause permanent hearing loss?
Yes: The majority cause unilateral or asymmetric hearing loss as the first and sometimes only symptom. This hearing loss is always permanent. ...Read more
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7
Do childhood earaches cause hearing loss later?
Depends: One problem in the pre-antibiotic era was a condition where the ear bones became immobile because of chronic infections.There is even a specialty of ear docs who would replace them. With today's availability of meds and monitoring this is seldom a problem. Any time they have a middle ear infection there is a transient decline in hearing, but it usually returns to baseline after it clears with rx. ...Read more
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8
Who gets the hearing loss presbycusis?
Presbycusis: Presbycusis is the normal hearing loss that comes along with age. Almost everyone if you live long enough will have some gradual deterioration of hearing. This is normal. ...Read more
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9
What causes the hearing loss presbycusis?
Presbyacusis: Presbyacusis (like presbyopia) is a form of sensorineural deafness where it becomes increasingly difficult to understand speech. In other words speech discrimination is lost/diminished. ...Read more
10
Sudden hearing loss in one ear?
Presuming no trauma: Don't sit on this. In most cases the cause is never figured out (called idiopathic) but the known causes are serious, ranging from nerve infection, multiple sclerosis, autoimmune disorders, a mass, migraines, or vascular events like a stroke. You need imaging and immediate treatment which would be provided at the discretion of the clinician. The rapidity & unilateral presentation are concerning. ...Read more
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11
Will vestibular neuritis leads to hearing loss?
No: Vestibular neuritis is, by definition, inflammation of the balance nerve.As such, hearing is unaffected. ...Read more
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12
Can Endolymphatic Hydrops cause 24/7 rocking/jerking dizziness instead of episodic spinning? Bilat Conductive hearing loss ECOG Left .36 Right .39
Sounds Good to me: I would guess that though you have 24/7 rocking/jerking dizziness that there are SPIKES of significant worsening of those symptoms....and that's where I would place your ACUTE EPISODES of Meniere's or whatever you'd like to call it. That's almost like my headache patients who have CONSTANT HEADACHES but there are episodes where it gets HORRIBLE....those can definitely be migraines! Make sense? ...Read more
13
Occasional hearing loss possible?
Yes: Occ hearing loss can occur when you have wax build up or a perforated ear drum and when you have a common cold. ...Read more
14
Could TMJ cause permanent hearing loss?
Probably not: Afaik there is no correlation between permanent hearing loss and TMJ disfunction. ...Read more
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15
What is otosclerosis-conductive hearing loss in child?
Otosclerosis: Otosclerosis is where the third ear bone or stapes becomes fixed, unable to vibrate and transmit sound energy to the inner ear. More common in adults though it can be found in children. ...Read more
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16
Can otitis media leads to hearing loss? Reversible?
It can : Yes it can. Conductive hearing loss is a form of hearing impairment due to a lesion in the external auditory canal or middle ear.Untreated chronic ear infections can lead to conductive hearing loss; draining the infected middle ear drum will usually return hearing to normal. Development of cholesteatoma-related to chronic otitis media- can also lead to hearing loss. ...Read more
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17
Is hearing loss preventable?
Absolutley!: Some hearing loss is genetic and is not preventable. However hearing loss can and does occur with repeated and prolonged noise trauma. When in doubt... Wear hearing protection: mowing, firing weapons, avoiding loud music (headphones or not)... ...Read more
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18
Are earaches symptoms of hearing loss and deafness?
Not usually: Otalgia, or ear pain, can be caused by infections of the middle ear, infection of the outer ear, referred pain from the jaw, or eustachian tube dysfunction. The last item is the feeling you may get of "popping" when on an airplane as it is ascending or descending due to changes in pressure. Hearing loss and deafness can be the result of repeated severe ear infections, but this is not common. ...Read more
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19
Could people with fluctuating hearing lost need hearing aid?
Get hearing tested!: See your ENT physician for evaluation.
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20
Will hearing aid use prevent further damage and hearing loss for someone with sensory neuronal hearing loss?
Perhaps.: I would maintain that the answer is "maybe". There is at least the suggestion that if you restore stimulus to the auditory cortex via the current hearing aid technology, that part of the brain that has been deprived of input can actually improve it's function. The brain has "plasticity" and might well slow or even arrest additional hearing loss if incoming signals are restored. ...Read more
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21
Is sensorineural hearing loss progressive?
Depends...: on underlying cause, of which there are a plethora. Don't sit on this. Get a definitive diagnosis and find out why you have it. If it is unilateral, ie one-sided, you need inner ear & brain imaging to look for asymmetric findings & evidence of possible demyelination. If it's symmetric, you may have just listened to too much loud music. Follow advice of audiologist, otolaryngologist & neurologist. ...Read more
22
How can I improve my sensorineural hearing loss naturally?
Unfortunately cannot: You may not be able to improve hearing without a hearing aid. But you can do somethings. Try listening in a quiter background. Ask people to talk to you slowly but not loudly. These help you to hear better. ...Read more
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23
How do I improve my severe/profound sensorineural hearing loss naturally without the use of a hearing device?
No options: As the nerves in the inner ear are damaged and don't regenerate in mammals I am not aware of any herbal or nutritional treatment options. I assume that potentially treatable causes such as cochlear hydrops or autoimmune inner ear disease don't exist. Need to manage the loss and amplification is only option. Cochlear implants usually reserved for those who aren't benefitted with aids. ...Read more
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24
Bilateral sensorineural hearing loss since 2002. Has been non progressive however my comprehension has been effected badly over the years . Plz help?
Can't do much: If you are having problems with discrimination of words, that means you are developing neural degeneration of the cochlear nerve. You may have auto-immune sensori-neural hearing loss. Sometimes, oral or intra-tympanic steroids may halt the process and sometimes improve it. See an otologist. ...Read more
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25
I heard that aldosterone might restore hearing. Does it work for people born with sensorineural hearing loss?
Nop: In those cases the hearing loss is irreversible due to damaged neuronal and nerves pathways. ...Read more
26
My 4 yr old was just diagnosed of unilateral sensorineural hearing loss. What's the chance that this is progressive? Will it get worse? How to stop
Depends:: The prognosis is better in patients who present early and young and who have mild hearing loss and to be worse in those with vertigo. After onset of disease, the patient should consult a physician as soon as possible for diagnosis and treatment. Then, predicting good prognosis in younger patients with mild hearing loss and no vestibular symptoms is possible. Etiology dictates treatment options! ...Read more
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27
Is Cinnarizine effective for vertigo related to sensorineural hearing loss? If not, then is there anything that is?
Maybe.: Cinnarizine is not used in the United States or Canada and so many of us are not familiar with it, or what it can do. However, since it helps vertigo from many causes, it may help with this one. Try it and see. You will know if it works or doesn't. If your doc suggested it, then it is worth trying. See http://en.wikipedia.org/wiki/Cinnarizine ...Read more
28
Can TMJD cause permanent sensorineural hearing loss especially when combined with sudden movements or conducting solid noise in contact with the body?
Unlikely: Although the tmj and ear are close in proximity it is unlikely that tmj dysfunction would cause hearing loss. ...Read more
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30
How can I self-learn how to articulate properly? Suffers from severe sensorineural hearing loss, and cannot afford hearing aids and speech therapy.
Yes , You Can : First lots of social device agencies are available to help you, you may be eligible to medicaid which will cover all your needs , you practice practice & practice, who helped remarkable lady helen keller , think about it, you need more than hearing aid.If you have motivation and want it , you can do , good luck. ...Read more
31
My friend 18yr is havin type a bilaterally (bilateral sensorineural hearing loss) right ear is 20db-100db.Left ear is 20db-80db.Any suggestion to cure?
Consider hearing aid: Your numbers and description aren't quite right. I'm guessing there was a type a tympanogram, meaning no fluid and no conductive hearing loss. I'm guessing the there was an srt of 20 db in each ear, and an understanding score of 100% in the right ear and 80% on the left. The left ear needs further evaluation, recheck in 6 months. If having trouble hearing aids would be the best treatment. ...Read more
32
Is moderately severe sensorineural hearing loss and tinitis usually treated with the steroid prednisone? If there is no improvement then what else?
Not usually: The only situation when steroids would be considered is if the hearing loss was sudden. Evaluation by and ear, nose & throat specialist with audiologic (hearing testing) should be pursued. ...Read more
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33
What is the statistical info on sudden sensorineural hearing loss in 1 ear resolving and when. On oral steroids at 60mg day at 36hrs after it started.
Hearing loss: http://emedicine.medscape.com/article/856313-treatment There is limited information but it appears that ~50% recovered some degree of hearing when high dose steroids was used with intra-tympanic steroids and ~29% with high dose steroids alone. It was > 50% improvement if combo therapy was instituted with in 7 days of loss F/u/ w/ ENT ...Read more
34
Does alcohol consumption aggravate tinitis and/or sensorineural hearing loss? Iv heard that alcohol kills brain cells (so that means neural cells) ..
Yes: Alcohol consumption can damage auditory pathways in brain. ...Read more
35
My BF's doctor has prescribed him Dfza30 for 10 days for mild sensorineural hearing loss in left ear. What does this mean? any side-effects?
Dfza?: Not sure what you are referring to. What is full name of the drug? ...Read more
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36
My BF's doctor has prescribed him Defza30 for 10 days for mild sensorineural hearing loss in left ear. What does this mean? any side-effects?
Source
Steroid: this medicine is a glucocorticoid which can help reduce inflammation. If there is information as a possible contributing factor to his condition, it may help. As with any medicine the side effect list is rather long. You can Google this. If he has a history of diabetes or stomach ulcers or kidney problems he should not take this medicine. Hope this was helpful. Best of luck ...Read more
37
I was recently diagnosed with Systemic Lupus. 3 weeks ago I had sudden sensorineural hearing loss in my right ear and was put on a 15 day regimen of Prednisone @ 60mg per day. Noticed an increase in urination and thirst so went to urgent care to get check
SLE is serious disea: You should have a good doc who is following you and monitoring your care, not getting your care at a City MD. Lupus is a multi system disease which can effect your heart, kidneys, brain, skin, etc. you have got to sign up with a competent physician right away. ...Read more
38
What is asymmetrical hearing loss, how do you test for it?
One hear is worse: Audiometric testing can identify an asymmetric hearing loss. That is one ear is worse then the other. We see this often in hunters who use a shot gun. If it is not related to noise exposure, you need to see an ENT doctor for diagnosis. ...Read more
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39
What kinds of things cause unilateral tinnitus (had this for years) and asymmetrical hearing loss? Causes other than acoustic neuroma?
Hearing loss: Genetics, infection, acoustic trauma, idiopathic. Acoustic neuroma is fairly uncommon though needs to be considered in the differential diagnosis. ...Read more
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40
23yrs old. diagnosed with asymmetric sensor neural hearing loss in right ear. ear pain and discomfort that comes and go. had an MRI. outcomes?
Assuming: that you were not exposed to a loud noise or noises on one side of your body (eg shooting a gun without proper PPI (Personal Protect Equipment) the MRI is INDEED INDICATED to r/o acoustic neuroma (a BENIGN tumor of the acoustic nerve) Hope this is helpful! BE WELL Dr Z ...Read more
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