Detection of Pseudohypacusis: A Prospective, Randomized Study of the Use of Otoacoustic Emissions

Balatsouras, Dimitrios G.; Kaberos, Antonis; Korres, Stavros; Kandiloros, Dimitrios; Ferekidis, Eleftherios; Economou, Constantinos

doi:10.1097/01.aud.0000100206.96363.05

Cited by 20 publications

(17 citation statements)

References 21 publications

(25 reference statements)

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“…Click-evoked ABR thresholds result in reasonable predictions of the average behavioral thresholds at 2 and 4 kHz, thus limiting their utility in patients with NOHL who have underlying high-frequency hearing loss 9 . However, previous studies have reported that ABR thresholds appear to be related most closely to the audiometric thresholds at 2 to 4 kHz, when the best hearing is in this region, and may underestimate the higher frequencies and partially the lower frequencies 3 . In this study, the subjects were initially evaluated with PTA, Stenger test and ART.…”

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confidence: 93%

“…Less than 2% of the general population attempt to exaggerate a hearing loss, but the prevalence of NOHL can be much higher in subpopulations, when secondary gains are expected 2 . For example the prevalence of NOHL is estimated to be 10-50% in military personnel and 9-34% in medicolegal cases of industrial workers 3 . Usually, NOHL grouped into three distinct categories: malingering, aggravation and psychogenic 4 .…”

Section: Introductionmentioning

confidence: 99%

“…We routinely perform ABR testing to confirm hearing loss in patients with audiometric finding of profound to total unilateral hearing loss, or to confirm hearing loss in patients who are uncooperative in performing subjective tests or when a discrepancy exists between subjective tests. This test has been proven to be a reliable method for determining pure-tone thresholds 3 . Some investigators have reported that ABR thresholds are within 10 dB of real pure-tone thresholds 3 .…”

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confidence: 99%

“…This test has been proven to be a reliable method for determining pure-tone thresholds 3 . Some investigators have reported that ABR thresholds are within 10 dB of real pure-tone thresholds 3 . ABR results are not affected from the patient's state of consciousness.…”

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confidence: 99%

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Diagnostic utility of Stenger test: reappraisal of its value

Arslan¹,

Edızer²,

Cebeci³

et al. 2014

The International Tinnitus Journal

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Objective: Nonorganic hearing loss (NOHL) is a lack of consistency in audiological testing. Although NOHL is relatively rare, it is important to identify suspicious patients. This study was designed to evaluate the effectiveness of Stenger test and acoustic reflexes test (ART) in the evaluation of patients with suspicious of unilateral NOHL. Study Design: A prospective study Methods: In this study, 474 adult patients with suspicious unilateral profound or total hearing loss were included. Pure tone audiometry (PTA), speech audiometry, Stenger test, ART and click-evoked auditory brainstem response (ABR) measurements were performed. The sensitivity, specificity and predictive values of the Stenger test and ART for unilateral, profound to total NOHL were assessed by comparing these with the results of ABR. Results: The sensitivity and specificity of the Stenger test in verifying unilateral, profound hearing loss were 99% and 57%, respectively. The positive and negative predictive values of the test were 88% and 97%, respectively.The sensitivity and specificity of the ART in verifying unilateral, profound hearing loss were 96% and 60% at 1000 Hz and 98% and 60% at 2000 Hz, respectively. The positive and negative predictive values of the ART were 50% and 97% at 1000 Hz, and 75% and 97% at 2000 Hz, respectively. Conclusion: The Stenger test and ART are widely used for the evaluation of unilateral or asymmetrical NOHL. In our opinion, these tests are significantly powerful. More difficult cases require ABR to verify nonorganic hearing loss and to exclude specific diagnoses that may imitate NOHL.

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confidence: 93%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic utility of Stenger test: reappraisal of its value

Arslan¹,

Edızer²,

Cebeci³

et al. 2014

The International Tinnitus Journal

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“…In PHL, a discrepancy exists between the actual hearing threshold and the measured pure-tone threshold of a patient. Although experienced clinicians may easily detect PHL using conventional audiologic procedures [3] , more advanced audiologic tests have been used to diagnose PHL, including auditory brain responses (ABRs) [4] , transientevoked otoacoustic emissions (TEOAEs) [5,6] , and distortion-product otoacoustic emissions (DPOAEs) [7] . These tests have helped clinicians to diagnose PHL more accurately than before.…”

Section: Introductionmentioning

confidence: 99%

Acute-Onset Unilateral Psychogenic Hearing Loss in Adults: Report of Six Cases and Diagnostic Pitfalls

Oishi

Kanzaki

Kataoka

et al. 2009

ORL

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We encountered 6 rare cases of acute-onset unilateral psychogenic hearing loss in adults. All were women in their 20s and 30s. Three cases had severe hearing impairment characterized by hearing loss at every frequency; 2 cases had profound hearing impairment, and 1 case had low-frequency hearing impairment. Of the 6 cases, 3 had a history of hearing loss, and 1 had a history of psychogenic visual disturbance. All 6 cases were initially diagnosed as having idiopathic sudden sensorineural hearing loss; all subsequently received steroid therapy. Three cases were not diagnosed as being psychogenic in origin until otoacoustic emissions and auditory brain responses were performed. Although the presence of distinctive clinical features (age, gender, and past history) is important for suspecting psychogenic hearing loss, objective audiological tests such as otoacoustic emissions are essential for diagnosing some cases. Compared to the existing reports of similar cases, our cases had a poorer prognosis (only 2 cases were cured).

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Functional Ear, Nose, and Throat Disturbances in Children and Adolescents

Cherukupally

2023

Handbook of Mind/Body Integration in Child and Adolescent Development

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Detection of Pseudohypacusis: A Prospective, Randomized Study of the Use of Otoacoustic Emissions

Cited by 20 publications

References 21 publications

Diagnostic utility of Stenger test: reappraisal of its value

Diagnostic utility of Stenger test: reappraisal of its value

Acute-Onset Unilateral Psychogenic Hearing Loss in Adults: Report of Six Cases and Diagnostic Pitfalls

Functional Ear, Nose, and Throat Disturbances in Children and Adolescents

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