Fluctuating SNHL in children
hears2u at aol.com
Sat Oct 18 00:38:41 EST 1997
I was asked today about possible causes of fluctuating SNHL in an 11 year old
female. 3 audiograms over a 1 year period range 20-25 dB shift from normal.
No conductive component on any test. Shifts are across the board not just in
low frequencies. Parents do not see any reason for functional loss. I also
know this child personally as she plays on my daughters soccer team. I have
witnessed signs of distress from her as she tries to hear the coach. Nobody
involved seems to feel malingering is the cause.
Possibilities that I'd like some input on:
1) Congenital fistula (trauma has been denied)
2) hydrops -no reported vestibular symptoms, migraines or tinnitus
Anyone have any any other suggestions on other possible etiology or what
furture diagnostic testing should be done? Only school ordered audiometrics
have been done so far. Bright child, central processing has never been
mentioned as possibility. Everyone is focused on periphery.
Thanks in advance
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