The importance of central auditory evaluation in Friedreich's ataxia

Bianca Simone Zeigelboim; Hélio A. G. Teive; Michèlli Rodrigues da Rosa; Jéssica Spricigo Malisky; Vinicius Ribas Fonseca; Jair Mendes Marques; Paulo Breno Liberalesso

doi:10.1590/0004-282X20180008

Arquivos de Neuro-Psiquiatria, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(03): 170-176
DOI: 10.1590/0004-282X20180008

Article

The importance of central auditory evaluation in Friedreich's ataxia

A importância da avaliação auditiva central na ataxia de Friedreich

Autoren

Bianca Simone Zeigelboim

¹Univesidade Tuiuti do Paraná, Departament of Otoneurology, Curitiba – Paraná State, Brazil
Hélio A. G. Teive

²Universidade Federal do Paraná, Hospital de Clínicas, Neurology Service, Curitiba – Paraná State, Brazil
Michèlli Rodrigues da Rosa

¹Univesidade Tuiuti do Paraná, Departament of Otoneurology, Curitiba – Paraná State, Brazil
Jéssica Spricigo Malisky

¹Univesidade Tuiuti do Paraná, Departament of Otoneurology, Curitiba – Paraná State, Brazil
Vinicius Ribas Fonseca

¹Univesidade Tuiuti do Paraná, Departament of Otoneurology, Curitiba – Paraná State, Brazil
Jair Mendes Marques

¹Univesidade Tuiuti do Paraná, Departament of Otoneurology, Curitiba – Paraná State, Brazil
Paulo Breno Liberalesso

³Hospital Pequeno Príncipe, Departament of Neurology, Curitiba – Paraná State, Brasil

Abstract

ABSTRACT

Objective To assess central auditory function in Friedreich's ataxia.

Methods A cross-sectional, retrospective study was carried out. Thirty patients underwent the anamnesis, otorhinolaryngology examination, pure tone audiometry, acoustic immittance measures and brainstem auditory evoked potential (BAEP) assessments.

Results The observed alterations were: 43.3% in the pure tone audiometry, bilateral in 36.7%; 56.6% in the BAEP test, bilateral in 50%; and 46.6% in the acoustic immittance test. There was a significant difference (p < 0.05) in the comparison between the tests performed.

Conclusion In the audiological screening, there was a prevalence of the descending audiometric configuration at the frequency of 4kHz, and absence of the acoustic reflex at the same frequency. In the BAEP test, there was a prevalence of an increase of the latencies in waves I, III and V, and in the intervals of interpeaks I-III, I-V and III-V. In 13.3% of the patients, wave V was absent, and all waves were absent in 3.3% of patients.

RESUMO

Objetivo Avaliar a função auditiva central na ataxia de Friedreich (AFRD).

Métodos Foi realizado um estudo retrospectivo de corte transversal. 30 pacientes realizaram anamnese, avaliações otorrinolaringológica, audiológica, imitanciométrica e do potencial evocado auditivo de tronco encefálico (PEATE).

Resultados As alterações observadas foram: 43,3% no exame audiométrico sendo 36,7% dos casos, bilateralmente; 56,6% na avaliação do PEATE com 50% dos casos, bilateralmente e 46,6% no exame imitanciométrico. Houve diferença significativa (p < 0,05) na comparação entre os exames realizados.

Conclusão No exame audiológico, ocorreu uma preponderância maior da configuração audiométrica descendente a partir da freqüência de 4kHz e ausência do reflexo acústico na mesma frequência. No exame do PEATE, houve prevalência do aumento das latências nas ondas I, III e V, e nos intervalos dos interpicos I-III, I-V e III-V. Em 13,3% dos casos, a onda V estava ausente, e em 3,3% dos casos, todas as ondas estavam ausentes.

Keywords

spinocerebellar degenerations - hearing disorders - Friedreich ataxia - evoked potentials, auditory - ataxic gait

Palavras-chave

degenerações espinocerebelares - transtornos da audição - ataxia de Friedreich - potenciais evocados auditivos - marcha atáxica

Volltext

Referenzen

References
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