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4190 MIDTERM
Lecture 5 Condition Affect Aud Nerve
34
Audiology
Undergraduate 4
03/02/2012

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Term
CONDITIONS AFFECTING AUDITORY NERVE & AUDITORY PATHWAYS
Definition
1. acoustic tumors
2. neurofibromatosis
3. auditory neuropathy/dysscnchrony
Term
ACOUSTIC TUMORS
Definition
tend to be benign
press against adjacent structures
Term
incidence of acoustic tumors
Definition
1/100,000
Term
Acoustic Tumor:
Diagnose
HL
Tx
Definition
via MRI diagnose
typically complain Tinnitus
HL: progressive, unilateral
Tx: remove tumore & patients lose hearing in that ear often
Term
NEUROFIBROMATOSIS
-how get it
-cuases...-
HL
TX
Definition
inherited/genetically transmitted
causes multiple neuromas or sensory nerves
usually bilateral acoustic neuromas
HL: depends on how large/location
Tx: fit HL with HA or attempts to remove neuromas if possible
Term
AUDITORY NEUROPATHY.DYSSNCHRONY
Definition
outer hair cell of inner ear function WNL
problem is with medial primary auditory neuron segments
characteristic of HL/sometimes children function as if deaf and really not
TX: cochlear implant, HA, sometimes no TX
Term
NURSERY LEVELS OF CARE
Definition
1: basic well baby
2: intermediate
3: Neo-Natal Intensive Care Unit
Term
Neonatologist
Definition
first pediatrician then continues on for specialty in critical care infants
Term
EGA: Estimating Gestational Age
Definition
-lanugo: fine soft hair
Cartilage development of ear (pinna)
Genitalia
Skin appearance
Categoriza: SGA, LGA, AGA
Term
SGA reasons
Definition
insufficiency of placenta
chromosomal anomalities
infection of mother in fetus
drugs, alcohol, smoking
malnutrition
Term
Premature Baby High Risk for HL and SL
Definition
22-25 weeks gestation
eyes fused shut
skin not yet lanugo
ears soft & folded
cartilage not thickened
beds in NICU:
warmer, isolette
Term
Prenatal HL Causes:
HL occurs in ____ births
___% Hereditary
____% Syndromic
___% nonsyndromic
Definition
Prenatal HL Causes:
HL occurs in 3/1,000 births
60% Hereditary
30% Syndromic
70% nonsyndromic
Term
Most Common Birth Defect:
Definition
Hearing Loss
3/1,000 Births
Term
Most Common Pattern Transmission of HL:
Definition
Autosomal Recessive
Term
__% Deaf children have hearing parents
Definition
95%
Term
PRENATAL CAUSES:
INNER EAR STRUCTURAL MALFORMATION
Definition
choclea fully formed by week 9
arrest in development may lead to HL
20% of children and congenital SNHL
deformities classified with CT scan
Term
PRENATAL CAUSES:
CRS: Congenital Rubella Syndrome
Definition
Measles
progressive & significant
IUGR (intrauterine Growth Retardation)
fetus not growing
Term
PRENATAL CAUSES:
CMV: Cytomegalovirus
Definition
modern day CRS
member of herpes family
contact with secretions
HL: babies often deaf or other delays
Test by Tyder Test
Term
Transmission of CMV
Definition
Prenatally - placenta
perinatally - cervix
postnatally - milk
Term
Most common viral infection of human fetus is:
Definition
CMV
Term
PRENATAL CAUSES:
TOXOPLASMOSIS
Definition
parasite in domestic/wild animals
infection asymptomatic
HL: severe-profound
Term
PRENATAL CAUSES:
SYPHILIS
Definition
STD from mother
Tx: penicillin during pregnancy
Term
PRENATAL CAUSES:
HIV
Definition
HL: typically secondary to ototoxic drugs - SNHL
growth retardation, premature birth
Term
HIV risk of transission of infected mother to fetus is ___%
Definition
10-40%
Term
PRENATAL CAUSES:
HSV-HERPES SIMPLEX VIRUS
Definition
direct contact with infected individual
during birth process with mother with an active infection
Csection recommended
SNHL
Term
PRENATAL CAUSES:
MATERNAL-FETAL BLOOD GROUP INCOMPATIBILITY
Definition
mother can develop antibodies against her fetus's blood
give RhoGAM after birth
HL: more problem of past
Term
PERINATAL CAUSES
typical
Definition
Anoxia - not enough oxygen, chord
Prematurity
Trauma to fetal head during birth
Term
Prematurity is defined by
Definition
weight (less than 1500 g 3.5 lbs @ risk for HL)
Term
PRENATAL CAUSES:
MAS: MECONIUM ASPIRATION SYNDROME
Definition
some babies pass meconium (first stool) in utero and aspirate
prevent: suction before first breath
HL: depends on how much aspirate - SNHL
Term
PRENATAL CAUSES:
INTRACRANIAL HEMORRHAGE
Definition
bleeding in brain/skull
IVH
Severity Grades 1-4

hydrocephalus
HL: SNHL
Term
Most Common Disorder of Prematurity is
Definition
Intracranial Hemorrhage
Term
POST NATAL CAUSES:
typical
Definition
-meningitis
measles/mumps
syphilis

HL: SNHL
Term
POST NATAL:
HYPERBILIRUBINEMIA
Definition
severe jaundice
significant in many premature infants
toxic to CNS
tx: phototherapy
Term
Kernicterus is
Definition
when jaundice is toxic to CNS
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