“…The consequences of presbycusis can be described as a function of central or peripheral aging, or as a function of peripheral hearing loss. Decline in the ability to discriminate speech, especially in complex acoustic environments, likely reflects impaired processing of acoustic information within the central auditory neuraxis (Dubno et al, 1984;Moore et al, 1992;Fitzgibbons and Gordon-Salant, 1994;Schneider et al, 1994;Snell, 1997;Strouse et al, 1998;Tremblay et al, 2002Tremblay et al, , 2003Ostroff et al, 2003). Functional and neurochemical studies in animal models suggest that sensory aging may begin as a slow peripheral deafferentation, which triggers a compensatory downregulation of central inhibitory amino acid neurotransmitter function (Caspary et al, 1990Schmolesky et al, 2000;Mendelson and Ricketts, 2001;Leventhal et al, 2003).…”