The incidence of auditory and vestibular concussion following minor head injury

Griffiths, M. V.

doi:10.1017/s0022215100086990

Cited by 88 publications

(52 citation statements)

References 12 publications

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“…The incidence of RTA's in young adults, in our study, was similar to the study done by Ludwig Podoshin [14] and M. R. Abd AL-Hady [15]. Whereas in the study done by Griffith [16] the majority were seen in late teens.…”

Section: Discussionsupporting

confidence: 89%

Peripheral Auditory Assessment in Minor Head Injury: A Prospective Study in Tertiary Hospital

Emerson

Mathew

Balraj

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Hearing loss is a common problem encountered in ENT practice. Hearing loss following head injury is a major medical problem in both adults and children, which may go unnoticed when it does not affect speech frequencies. Sensorineural hearing loss at high frequencies is a common finding in minor head injury. Patients with history suggestive of mild head injury (MHI) according to Glasgow coma scale score were evaluated. The most common cause of MHI was road traffic accidents involving two wheeler riders without helmets. Higher the frequencies affected, and severe the hearing loss, poorer was the prognosis. Distortion product oto-acoustic emissions assessment at 3000 and 4000 Hz were found to be significant and has a higher predictive value in assessing outer hair cell damage.

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Section: Discussionsupporting

confidence: 89%

Peripheral Auditory Assessment in Minor Head Injury: A Prospective Study in Tertiary Hospital

Emerson

Mathew

Balraj

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…4) is the key radiological investigation for assessing and managing these patients [9]. Transverse #s are less common than longitudinal #s but are associated with higher morbidity in the form of facial nerve palsy, hearing loss, vertigo [2,3,6]. Otohaematorrhoea and hearing loss are the common presentations of these patients.…”

Section: Discussionmentioning

confidence: 99%

A study of temporal bone fractures

Gupta

Varshney

Bist

et al. 2008

Indian J Otolaryngol Head Neck S

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Many young adults are now killed and injured in accidents than from another causes. More than 75% of these injuries are to the head, and the ear being the most frequently injured sensory organ of the body. Temporal bone or basilar skull fractures are extremely common in any head injury. Injuries to the temporal bone may be considered in three groups: Those affecting the external auditory meatus (extralabyranthine fractures), those largely affecting middle ear cleft (tympanolabyranthine) and those affecting the internal ear (labyrinthine fractures). Many injuries, however, involve all these structures .The sudden onset of facial paralysis, vertigo and hearing impairment after a head injury is a matter of great concern for the patients and clinicians. Presence of cerebrospinal fl uid leak (CSF Otorrhoea) can be a challenge for both the neurosurgeons and otologists. We hereby present 86 patients of temporal bone fractures who presented in the departments of emergency, Neurosurgery or ENT of Himalayan Institute of Medical Sciences, Dehradun during last 10 years (1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006).

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“…Following severe trauma [Griffith, 1979], 17-56% of patients present variable degrees of sensorineural hearing loss (SNHL) with 8% suffering from severe or profound bilateral impairment [Kockhar, 1990], thus becoming candidates for cochlear implantation [Camilleri et al, 1999]. Cochlear implants (CIs), however, have shown conflicting results in these patients and in some cases have proved to be of little or no use [Coligado et al, 1993;Camilleri et al, 1999;Moore and Cheshire, 1999].…”

Section: Introductionmentioning

confidence: 99%

Auditory Brainstem Implant in Posttraumatic Cochlear Nerve Avulsion

Colletti

Carner²,

Miorelli³

et al. 2004

Audiol Neurotol

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Patients aged over 12 years with neurofibromatosis type 2 are considered candidates for an auditory brainstem implant (ABI). This study extends the indication criteria of ABI to subjects with profound hearing loss due to damaged cochleas and/or cochlear nerves (CNs) following head injuries. In our department, over the period from April 1997 to November 2002, 32 patients, 23 adults and 9 children, were fitted with ABIs. Their ages ranged from 14 months to 70 years. These patients were suffering from a variety of tumor (13 subjects) and nontumor CN or cochlear diseases (19 subjects). Six patients, 5 adults and 1 child, had profound hearing loss following head injury. Their mean age was 25 years (range: 16–48 years). Five were male and 1 female. The retrosigmoid approach was used in all 6 patients. The electrode array was inserted into the lateral recess of the fourth ventricle and correct electrode positioning was monitored with the aid of electrically evoked auditory brainstem responses and neural response telemetry. Correct implantation was achieved in all patients. No complications were observed due to implantation surgery or related to ABI activation and stimulation of the cochlear nuclei. At activation, an average of 9.8 electrodes (range 5–13) were switched on without side effects. One to 6 electrodes were activated in the following sessions after time periods ranging from 2 to 16 months. All patients achieved auditory-alone-mode closed-set word recognition scores ranging from 40 to 100%; 3 had auditory-alone-mode open-set sentence recognition scores of 60–100%; 2 of these even had speech-tracking performance scores of 38 and 43 words, respectively, showing an ability to engage in normal conversation and converse over the phone. The present study demonstrates that the ABI is a useful rehabilitation instrument in subjects with damaged cochleas and/or CN avulsion following head injury who are unamenable or poorly responsive to auditory rehabilitation using cochlear implants.

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The incidence of auditory and vestibular concussion following minor head injury

Cited by 88 publications

References 12 publications

Peripheral Auditory Assessment in Minor Head Injury: A Prospective Study in Tertiary Hospital

Peripheral Auditory Assessment in Minor Head Injury: A Prospective Study in Tertiary Hospital

A study of temporal bone fractures

Auditory Brainstem Implant in Posttraumatic Cochlear Nerve Avulsion

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