Is there auditory impairment in Parkinson's disease?
Existe comprometimento do sistema auditivo na doença de Parkinson?
Marcia da Silva Lopes; Ailton de Souza Melo; Ana Paula Corona; Ana Caline Nóbrega
Abstract
Objective: to describe the audiological profile of a group of patients with Parkinson's disease and to investigate the association between hearing loss and the disease.
Methods: 50 individuals with and 46 without Parkinson's disease underwent Pure Tone Audiometry, Otoacoustic Emissions by Distortion Product, and auditory processing tests. The results of the patients were compared to those obtained in individuals without the disease, according to clinical and biological variables.
Results: in individuals with Parkinson's disease, 82% presented hearing loss, 53.5% alterations in Otoacoustic Emissions by Distortion Product, 78%, alterations in temporal processing, and 12%, changes in binaural integration. Individuals with the disease had a greater impairment in the recognition of duration patterns when compared to those without the disease, with a worse performance in men and in individuals aged between 42 and 65 years old and Hoehn and Yahr I and II stages.
Conclusions: the profile found corresponds to descending sensorineural hearing loss and alteration in otoacoustic emissions, temporal ordering and noise gaps detection. Only losses in temporal order are associated with the disease, especially in men, individuals under the age of 65 and in the initial stage.
Keywords
Resumo
Objetivo: descrever o perfil audiológico de um grupo de pacientes com doença de Parkinson e investigar a associação entre alterações auditivas e a doença.
Métodos: participaram 50 indivíduos com e 46 sem doença de Parkinson, submetidos a Audiometria Tonal Liminar, Emissões Otoacústicas por Produto de Distorção e testes de processamento auditivo. Os resultados dos pacientes foram comparados aos obtidos em indivíduos sem a doença, de acordo com variáveis clínicas e biológicas.
Resultados: nos indivíduos com doença de Parkinson a perda auditiva foi identificada em 82% dos indivíduos, havendo alteração das emissões otoacusticas por Produto de Distorção em 53,5%, do processamento temporal em 78% e integração binaural em 12%. Os indivíduos com a doença apresentaram maior comprometimento no reconhecimento de padrões de duração quando comparados aos sem a doença, havendo pior desempenho nos homens e nos indivíduos com idade entre 42 e 65 anos e estágio Hoehn & Yahr I e II.
Conclusões: o perfil encontrado corresponde à perda auditiva sensorioneural descendente e alteração nas emissões otoacústicas, na ordenação temporal e na detecção de gaps no ruído. Somente prejuízos na ordenação temporal estão associados com a doença, especialmente nos homens, indivíduos com idade menor que 65 anos e em estágio inicial.
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References
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Submitted date:
02/23/2018
Accepted date:
08/12/2018
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