The frequency of aHSN was 47% and of pHSN was 46% when the presence of nystagmus was established as the criterion. Moreover, in patients who had experienced vestibular neuritis previously, the type of nystagmus was age-dependent. When the velocity of the nystagmus elicited was considered, the results coincided with the method of testing in 74% of the patients, while they differed in 26% of subjects; the aforementioned age dependency was no longer seen. Differences in the caloric and rotatory chair test results, as well as in disability, were observed in the groups generated on the basis of the types of nystagmus.

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Introduction. Despite the different epidemiological, neurophysiological and morphological studies published in the literature, it is still not known for sure whether there is a relation between Alzheimer's disease (AD) and peripheral hearing loss. In this work we conduct an auditory study in patients with AD and in volunteer controls in order to investigate this possible relationship. Subjects and methods. The sample studied consisted of 14 patients with a clinical diagnosis of probable AD (age: 79 ± 6 years) and 14 volunteers (age: 76 ± 5 years) who visited the Clínica Universidad de Navarra. After applying a set of thorough criteria to preclude any previous hearing problems, all the participants underwent a subjective hearing assessment by means of pure-tone threshold audiometry and vocal audiometry and an objective auditory assessment using a tympanometry study, stapedial reflex, otoacoustic emissions and brainstem auditory evoked potentials. For the analysis, patients with AD and controls were paired homogenously by sex and age. Results. The main obstacle hindering the study was to recruit the participants, due to the fact that they did not see any direct benefit from the study and it demanded an excessive amount of their time. Pure-tone threshold audiometry showed that patients with AD had a pattern of greater hearing loss for acute frequencies, with statistically significant differences. No significant differences were found in the analysis of the rest of the subjective and objective hearing tests. Conclusions. The findings of our study both agree and disagree with some earlier works from the literature, which suggests that patients with AD may have their own auditory pattern.

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