Presbycusis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2],Farman Khan, MD, MRCP [3]
Overview
Hearing loss usually begins gradually after the age of sixty, and is usually found more often in men than women. This can be miscontributed to men having a greater exposure to environmental noise. However, exposure to environmental noise can lead to Noise-induced hearing loss (NIHL), a hearing issue that is separate from presbycusis. Over time, the detection of high-pitched sounds becomes more difficult and both ears tend to be affected.
History and Common symptoms
Many patients wait for long time before seeking medical attention for presbycusis.This could be due to negative stigma associated with hearing aid use as well as the insidious onset of the disorder. Other causes of hearing loss should be ecxluded before making diagnosis of presbycusis .A careful history of associated factors can help elucidate potential etiologies.If the hearing loss is asymmetric, the diagnosis of presbycusis should be questioned.
Presbycusis causes progressive, symmetric loss of high-frequency hearing over many years [1]
Other symptoms associated are tinnitus, vertigo, and disequilibrium leading to falls. Presbycusis affects the quality of life, leading to low self-esteem, isolation, and even depression [2][3]
The progression of presbycusis is usually slow, persistent decline in hearing with age .The hearing loss is typically symmetrical, beginning in the high-frequency range. Hearing impairment is exacerbated in the presence of background noise. Patients with presbycusis often do quite well in one-on-one communication in a quiet room.Patients with presbycusis have more difficulty hearing women, due to higher pitch of women’s voices. Tinnitus could be an important problem with progression of hearing loss.
References
- ↑ Gates GA, Mills JH (2005). "Presbycusis". Lancet. 366 (9491): 1111–20. doi:10.1016/S0140-6736(05)67423-5. PMID 16182900.
- ↑ Lin FR, Metter EJ, O'Brien RJ, Resnick SM, Zonderman AB, Ferrucci L (2011). "Hearing loss and incident dementia". Archives of Neurology. 68 (2): 214–20. doi:10.1001/archneurol.2010.362. PMC 3277836. PMID 21320988. Unknown parameter
|month=ignored (help) - ↑ Arlinger S (2003). "Negative consequences of uncorrected hearing loss--a review". International Journal of Audiology. 42 Suppl 2: 2S17–20. PMID 12918624. Unknown parameter
|month=ignored (help)