Auditory and speech development in a 3-year-old boy with auditory neuropathy spectrum disorder
Abstract
Background: Auditory neuropathy spectrum disorder (ANSD) in the auditory neural pathway can affect the auditory and speech development of children. Since the symptoms and complications of this disorder are similar in different children, hearing management and rehabilitation can help with better development of speech/language and hearing perception in children with ANSD.
The Case: In this study, the case was a one-year-old boy with ANSD and mild to moderate high-frequency sensorineural hearing loss. He first underwent various audiological examinations. Then, an aural rehabilitation program containing different auditory information and games was provided to him, his family, and caregiver at their home and in the rehabilitation center.
Conclusion: Although auditory neuropathy/dissynchrony in the auditory neural pathway has negative effect on the auditory and speech development, but the children with ANSD can use different inputs for language comprehension and acquisition if they receive effective education, especially auditory training at an earlier age.
2. Pham NS. The management of pediatric hearing loss caused by auditory neuropathy spectrum disorder. Curr Opin Otolaryngol Head Neck Surg. 2017;25(5):396-9. doi: 10.1097/MOO.0000000000000390
3. Narne VK, Vanaja CS. Perception of envelope-enhanced speech in the presence of noise by individuals with auditory neuropathy. Ear Hear. 2009;30(1):136-42. doi: 10.1097/AUD.0b013e3181926545
4. Rance G, Barker EJ. Speech perception in children with auditory neuropathy/dyssynchrony managed with either hearing aids or cochlear implants. Otol Neurotol. 2008;29(2):179-82. doi: 10.1097/mao.0b013e31815e92fd
5. Apoux F, Tribut N, Debruille X, Lorenzi C. Identification of envelope-expanded sentences in normal-hearing and hearing-impaired listeners. Hear Res. 2004;189(1-2):13-24. doi: 10.1016/S0378-5955(03)00397-6
6. Rance G, Cone-Wesson B, Wunderlich J, Dowell R. Speech perception and cortical event related potentials in children with auditory neuropathy. Ear Hear. 2002;23(3):239-53. doi: 10.1097/00003446-200206000-00008
7. Sarankumar T, Arumugam SV, Goyal S, Chauhan N, Kumari A, Kameswaran M. Outcomes of cochlear implantation in auditory neuropathy spectrum disorder and the role of cortical auditory evoked potentials in benefit evaluation. Turk Arch Otorhinolaryngol. 2018;56(1):15-20. doi: 10.5152/tao.2017.2537
8. Narne VK, Vanaja Cs. Speech identification and cortical potentials in individuals with auditory neuropathy. Behav Brain Funct. 2008;4:15. doi: 10.1186/1744-9081-4-15
9. Feeney MP, Sanford CA. Middle ear measurement in infants and children. In: Madell JR, Flexer C, editors. Pediatric audiology (diagnosis, technology, and management). 3rd ed. New York, NY: Thieme; 2019. p. 108-18.
10. Allen C, Nikolopoulos TP, Dyar D, O'Donoghue GM. Reliability of a rating scale for measuring speech intelligibility after pediatric cochlear implantation. Otol Neurotol. 2001;22(5):631-3. doi: 10.1097/00129492-200109000-00012
11. Archbold S, Lutman ME, Nikolopoulos T. Categories of auditory performance: inter-user reliability. Br J Audiol. 1998;32(1):7-12. doi: 10.3109/03005364000000045
12. Daneshi A, Mirsalehi M, Hashemi SB, Ajalloueyan M, Rajati M, Ghasemi MM, et al. Cochlear implantation in children with auditory neuropathy spectrum disorder: A multicenter study on auditory performance and speech production outcomes. Int J Pediatr Otorhinolaryngol. 2018;108:12-6. doi: 10.1016/j.ijporl.2018.02.004
13. Razavieh A, Shahim S. [Standardization of Wechsler intelligence scale revised for children in Iran]. Shiraz: Shiraz University Publication; 2008. Persian.
14. Wahlstrom D, Raiford SE, Breaux KC, Zhu J, Weiss LG. The Wechsler preschool and primary scale of intelligence—fourth edition, Wechsler intelligence scale for children—fifth edition, and Wechsler individual achievement test—third edition. In: Flangan DP, McDonough EM, editors. Contemporary intellectual assessment: theories, tests, and issues. 4th ed. New York: Guilford Press; 2018. p. 245-82.
15. Anderson S, White-Schwoch T, Parbery-Clark A, Kraus N. Reversal of age-related neural timing delays with trai¬ning. Proc Natl Acad Sci U S A. 2013;110(11):4357-62. doi: 10.1073/pnas.1213555110
16. Roush P, Frymark T, Venediktov R, Wang B. Audiologic management of auditory neuropathy spectrum disorder in children: a systematic review of the literature. Am J Audiol. 2011;20(2):159-70. doi: 10.1044/1059-0889(2011/10-0032)
17. Gardner-Berry K, Hou S, Ching T. Managing infants and children with auditory neuropathy spectrum disorder (ANSD). In: Madell JR, Flexer C, Wolfe J, Schafer E, editors. Pediatric audiology: diagnosis, technology, and management. 3rd ed. New York: Thieme Publishers; 2017. p. 346-55.
18. Rance G, McKay C, Grayden D. Perceptual characterization of children with auditory neuropathy. Ear Hear. 2004;25(1):34-46. doi: 10.1097/01.AUD.0000111259.59690.B8
19. Russo NM, Hornickel J, Nicol T, Zecker S, Kraus N. Biological changes in auditory function following trai¬ning in children with autism spectrum disorders. Behav Brain Funct. 2010;6:60. doi: 10.1186/1744-9081-6-60
20. Guo F, Zhang J, Zhu X, Cai R, Zhou X, Sun X. Auditory discrimination training rescues developmentally degraded directional selectivity and restores mature expression of GABA(A) and AMPA receptor subunits in rat auditory cortex. Behav Brain Res. 2012;229(2):301-7. doi: 10.1016/j.bbr.2011.12.041
21. Thompson EC, Carr KW, White-Schwoch T, Otto-Meyer S, Kraus N. Individual differences in speech-in-noise perception parallel neural speech processing and attention in preschoolers. Hear Res. 2017;344:148-57. doi: 10.1016/j.heares.2016.11.007
22. Kraus N, White-Schwoch T. How children learn to hear in noise. Hear J. 2019;72(6):46-8. doi: 10.1097/01.HJ.0000558488.13270.72
23. Bonacina S, Otto-Meyer S, Krizman J, White-Schwoch T, Nicol T, Kraus N. Stable auditory processing underlies phonological awareness in typically developing preschoolers. Brain Lang. 2019;197:104664. doi: 10.1016/j.bandl.2019.104664
24. Thompson EC, Krizman J, White-Schwoch T, Nicol T, Estabrook R, Kraus N. Neurophysiological, linguistic, and cognitive predictors of children’s ability to perceive speech in noise. Dev Cogn Neurosci. 2019;39:100672. doi: 10.1016/j.dcn.2019.100672
25. Babel M, Bulatov D. The role of fundamental frequency in phonetic accommodation. Lang Speech. 2012;55(Pt 2):231-48. doi: 10.1177/0023830911417695
26. Niedzielski A, Humeniuk E, Błaziak P, Gwizda G. Intellectual efficiency of children with unilateral hearing loss. Int J Pediatr Otorhinolaryngol. 2006;70(9):1529-32. doi: 10.1016/j.ijporl.2006.02.011
27. Kraus N, Bradlow AR, Cheatham MA, Cunningham J, King CD, Koch DB, et al. Consequences of neural asynchrony: a case of auditory neuropathy. J Assoc Res Otolaryngol. 2000;1(1):33-45. doi: 10.1007/s101620010004
28. Ponton CW, Eggermont JJ, Kwong B, Don M. Maturation of human central auditory system activity: evidence from multi-channel evoked potentials. Clin Neurophysiol. 2000;111(2):220-36. doi: 10.1016/s1388-2457(99)00236-9
29. Dorman MF, Sharma A, Gilley P, Martin K, Roland P. Central auditory development: evidence from CAEP measurements in children fit with cochlear implants. J Commun Disord.2007;40(4):284-94. doi: 10.1016/j.jcomdis.2007.03.007
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Issue | Vol 30 No 2 (2021) | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/avr.v30i2.6099 | |
Keywords | ||
Auditory neuropathy spectrum disorder speech perception auditory training |
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