PMID- 10653192 OWN - NLM STAT- MEDLINE DCOM- 20000215 LR - 20130520 IS - 0031-6768 (Print) IS - 0031-6768 (Linking) VI - 439 IP - 3 Suppl DP - 2000 TI - Brainstem auditory evoked potentials and cochlear microphonics in the HMSN family with auditory neuropathy. PG - R204-5 AB - The aim of this work was to assess the hearing impairment in patients with hereditary motor and sensory neuropathy (HMSN). Elevation of pure tone thresholds in the presence of preserved inner ear function as suggested by cochlear microphonics (CM), absent or markedly abnormal brainstem auditory evoked potentials (BAEP), and elevation of speech perception out of proportion to the pure tone loss were found in the patients. From 28 members of a Gypsy family, we examined two siblings aged 31 and 30 years and their nephew aged 20 years, all suffering from HMSN that was associated with auditory neuropathy. All three affected members with difficulty of understanding speech had following investigations: pure tone and speech audiograms, BAEP, cochlear microphonics, and nerve conduction studies (NCV). RESULTS: the older two siblings had a flat 80 dB audiogram, whereas the younger one has flat 20 dB audiogram on the Lt. ear and 30 dB audiogram on the Rt. ear. All had no speech comprehension and no BAEP. Two patients had preserved cochlear microphonics on one ear. Peripheral nerves were electrically not elicitable, however, at the beginning of the disease nerve conduction was slow. CONCLUSION: in all three affected members with distinct clinical picture of HMSN their hearing impairment was proved to be due to severe auditory neuropathy in the presence of preserved inner ear function. FAU - Butinar, D AU - Butinar D AD - Institute of Clinical Neurophysiology, University Medical Centre, Ljubljana, Slovenia. FAU - Starr, A AU - Starr A FAU - Vatovec, J AU - Vatovec J LA - eng GR - DC02618-O1A2/DC/NIDCD NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - Germany TA - Pflugers Arch JT - Pflugers Archiv : European journal of physiology JID - 0154720 SB - IM MH - Adult MH - Audiometry, Pure-Tone MH - Child, Preschool MH - *Cochlear Microphonic Potentials MH - *Cochlear Nerve/physiopathology MH - Cranial Nerve Diseases/*etiology/*physiopathology MH - *Evoked Potentials, Auditory, Brain Stem MH - Hereditary Sensory and Motor Neuropathy/*complications MH - Humans MH - Male EDAT- 2000/02/01 09:00 MHDA- 2000/02/19 09:00 CRDT- 2000/02/01 09:00 PHST- 2000/02/01 09:00 [pubmed] PHST- 2000/02/19 09:00 [medline] PHST- 2000/02/01 09:00 [entrez] PST - ppublish SO - Pflugers Arch. 2000;439(3 Suppl):R204-5.