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听觉神经病/失同步作为新生儿听力筛查未通过的一个原因。

Auditory neuropathy/dyssynchrony as a cause of failed neonatal hearing screening.

作者信息

Maris M, Venstermans C, Boudewyns A N

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.

出版信息

Int J Pediatr Otorhinolaryngol. 2011 Jul;75(7):973-5. doi: 10.1016/j.ijporl.2011.04.012. Epub 2011 May 19.

DOI:10.1016/j.ijporl.2011.04.012
PMID:21596446
Abstract

The prevalence of auditory neuropathy/dyssynchrony (AN/AD) is not exactly known. We retrospectively analysed the prevalence of this condition among 135 infants who failed a neonatal screening. Hearing screening was performed by automated auditory brainstem responses (AABR). Unilateral presence of click-evoked oto-acoustic emissions with absent auditory brainstem responses was found in 4 infants. Magnetic resonance imaging of the posterior fossa showed an aplasia/hypoplasia of the ipsilateral cochlear nerve in these 4 cases. The prevalence of AN/AD was 19% in infants with confirmed hearing loss. Our findings underscore the role of AABR in neonatal hearing screening.

摘要

听觉神经病/失同步(AN/AD)的患病率尚不完全清楚。我们回顾性分析了135例新生儿听力筛查未通过的婴儿中这种疾病的患病率。听力筛查采用自动听性脑干反应(AABR)进行。4例婴儿出现单侧咔嗒声诱发耳声发射而听性脑干反应缺失。这4例患者的后颅窝磁共振成像显示同侧耳蜗神经发育不全/发育不良。确诊听力损失的婴儿中AN/AD的患病率为19%。我们的研究结果强调了AABR在新生儿听力筛查中的作用。

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