Abstract
Peripheral neuropathy is a major consequence of diabetes mellitus with up to 50 % of patients showing clinically significant neural injury during the disease course. Hearing loss (as defined by impaired sound detection thresholds) is a recognized symptom of DM, but the possibility of auditory neuropathy (AN) has not been explored in this population. This pilot study investigated peripheral auditory function, auditory processing and speech perception in individuals with Type 1 diabetes mellitus (T1DM) and compared the findings with measures of vestibular function, ocular pathology/visual acuity and overall neurologic profile. Ten adults with T1DM and ten matched controls underwent a battery of tests which included: audiometry, otoacoustic emissions, auditory brainstem responses, temporal processing measures and speech perception. Six of the ten T1DM participants showed electrophysiologic evidence of AN and impaired functional hearing. Furthermore, auditory capacity was correlated with both visual acuity and degree of somatic peripheral neuropathy. This pilot investigation revealed functional-hearing deficits severe enough to impact upon everyday communication. Should the findings be confirmed by larger studies, auditory evaluation may form an important part of the management regimen for individuals with T1DM. This may be especially important for those with DM-related eye conditions, as deficits across multiple sensory modalities can have multiplicative detrimental effects on quality-of-life.
| Original language | English |
|---|---|
| Pages (from-to) | 1531-1536 |
| Number of pages | 6 |
| Journal | Journal of Neurology |
| Volume | 261 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2014 |
| Externally published | Yes |
Keywords
- Audition
- Diabetes
- Diabetic polyneuropathy
- Evoked potentials/auditory
- Speech perception
Cite this
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Auditory neuropathy in individuals with Type 1 diabetes. / Rance, Gary; Chisari, Donella; O'Hare, Fleur; Roberts, Leslie; Shaw, Jonathan; Jandeleit-Dahm, Karin; Szmulewicz, David.
In: Journal of Neurology, Vol. 261, No. 8, 2014, p. 1531-1536.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Auditory neuropathy in individuals with Type 1 diabetes
AU - Rance, Gary
AU - Chisari, Donella
AU - O'Hare, Fleur
AU - Roberts, Leslie
AU - Shaw, Jonathan
AU - Jandeleit-Dahm, Karin
AU - Szmulewicz, David
PY - 2014
Y1 - 2014
N2 - Peripheral neuropathy is a major consequence of diabetes mellitus with up to 50 % of patients showing clinically significant neural injury during the disease course. Hearing loss (as defined by impaired sound detection thresholds) is a recognized symptom of DM, but the possibility of auditory neuropathy (AN) has not been explored in this population. This pilot study investigated peripheral auditory function, auditory processing and speech perception in individuals with Type 1 diabetes mellitus (T1DM) and compared the findings with measures of vestibular function, ocular pathology/visual acuity and overall neurologic profile. Ten adults with T1DM and ten matched controls underwent a battery of tests which included: audiometry, otoacoustic emissions, auditory brainstem responses, temporal processing measures and speech perception. Six of the ten T1DM participants showed electrophysiologic evidence of AN and impaired functional hearing. Furthermore, auditory capacity was correlated with both visual acuity and degree of somatic peripheral neuropathy. This pilot investigation revealed functional-hearing deficits severe enough to impact upon everyday communication. Should the findings be confirmed by larger studies, auditory evaluation may form an important part of the management regimen for individuals with T1DM. This may be especially important for those with DM-related eye conditions, as deficits across multiple sensory modalities can have multiplicative detrimental effects on quality-of-life.
AB - Peripheral neuropathy is a major consequence of diabetes mellitus with up to 50 % of patients showing clinically significant neural injury during the disease course. Hearing loss (as defined by impaired sound detection thresholds) is a recognized symptom of DM, but the possibility of auditory neuropathy (AN) has not been explored in this population. This pilot study investigated peripheral auditory function, auditory processing and speech perception in individuals with Type 1 diabetes mellitus (T1DM) and compared the findings with measures of vestibular function, ocular pathology/visual acuity and overall neurologic profile. Ten adults with T1DM and ten matched controls underwent a battery of tests which included: audiometry, otoacoustic emissions, auditory brainstem responses, temporal processing measures and speech perception. Six of the ten T1DM participants showed electrophysiologic evidence of AN and impaired functional hearing. Furthermore, auditory capacity was correlated with both visual acuity and degree of somatic peripheral neuropathy. This pilot investigation revealed functional-hearing deficits severe enough to impact upon everyday communication. Should the findings be confirmed by larger studies, auditory evaluation may form an important part of the management regimen for individuals with T1DM. This may be especially important for those with DM-related eye conditions, as deficits across multiple sensory modalities can have multiplicative detrimental effects on quality-of-life.
KW - Audition
KW - Diabetes
KW - Diabetic polyneuropathy
KW - Evoked potentials/auditory
KW - Speech perception
UR - http://www.scopus.com/inward/record.url?scp=84906090977&partnerID=8YFLogxK
U2 - 10.1007/s00415-014-7371-2
DO - 10.1007/s00415-014-7371-2
M3 - Article
VL - 261
SP - 1531
EP - 1536
JO - Journal of Neurology
JF - Journal of Neurology
SN - 0340-5354
IS - 8
ER -