DFNA17In 1993, a five-generation family with hereditary hearing impairment associated with cochleosaccular degeneration was identified [1]. The family was initially discovered through the temporal bone collection at the House Ear Institute. Drs Fred Linthicum and Jean Moore suspected hereditary deafness when upon inspection of the proband's medical record, there were additional family members with hearing impairment. Family information was gathered through the spouse of the proband, a pedigree was constructed, and 22 members of the family were enrolled for the subsequent genetic study ( fig. 1). Subsequently, we mapped this family to chromosome 22q12.2-q13.3, spanning a 17-to 23-cM region, defining a new locus for nonsyndromic hereditary hearing impairment DFNA17 [2].
Auditory PhenotypePure Tone and Speech Audiometry. Of the 22 members of the family, 8 had hearing impairment; 6 were males and 2 were females. In the affected members of the family, hearing loss began as a mild high-frequency deficit apparent by age 10-12 that progressed during adolescence ( fig. 2). By the third decade of life, the hearing loss was moderate to severe. Despite the similarity in the nature and progression of hearing loss, there was variation in the severity