Auditory Neuropathy in Children We recently found a number of patients with a disorder we term auditory neuropathy (Starr et al., 1991; Sininger, Hood, Starr, Berlin, & Picton, 1995; Starr, Picton, Sininger, Hood, & Berlin, 1996) which can be considered a special form of central auditory processing disorder. This disorder is considered “central” ... Article
Article  |   April 01, 1997
Auditory Neuropathy in Children
Author Affiliations & Notes
  • Yvonne S. Sininger
    Children's Auditory Research & Evaluation, House Ear Institute, Los Angeles, CA
  • Arnold Starr
    University of California, Irvine
Article Information
Articles
Article   |   April 01, 1997
Auditory Neuropathy in Children
SIG 9 Perspectives on Hearing and Hearing Disorders in Childhood, April 1997, Vol. 7, 6-11. doi:10.1044/hhdc7.1.6
SIG 9 Perspectives on Hearing and Hearing Disorders in Childhood, April 1997, Vol. 7, 6-11. doi:10.1044/hhdc7.1.6
We recently found a number of patients with a disorder we term auditory neuropathy (Starr et al., 1991; Sininger, Hood, Starr, Berlin, & Picton, 1995; Starr, Picton, Sininger, Hood, & Berlin, 1996) which can be considered a special form of central auditory processing disorder. This disorder is considered “central” since end-organ (cochlear or sensory) function appears to be normal in these patients but auditory nerve, and, consequently, most auditory function arising from more central auditory structures, is impaired bilaterally.
However, unlike most patients with central auditory dysfunction, those with auditory neuropathy usually have elevated pure-tone thresholds. Many of the patients that we see with this disorder are infants or young children. Both adult and pediatric patients with auditory neuropathy currently are being thoroughly studied in our laboratories at the House Ear Institute and University of California, Irvine, with support from the National Institute of Deafness and Other Communicative Disorders (NIDCD). For reasons we do not yet understand completely, this disorder causes severe disruption of speech perception and elevation of pure-tone thresholds anywhere from the mild to severe range.
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