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24.12.2014

Hyperacusis treatment in bangalore, tinnitus relief drugs - For Begninners

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In inner ear disease, loss of hearing at one frequency may be accompanied by increased sensitivity around the area of the hearing loss, resulting in hyperacusis.
Loudness hyperacusis may occur in Bell's palsy -- here one of the small protective muscles in the ear, the stapedius, is paralyzed when the 7th nerve is damaged. Matsuzaki et al (2014) reported hyperacusis in 9 boys with autism spectrum disorder was correlated with abnormlities in M50 dipole responses on magenetoencephalography.
In the audiology community, the hypothesis is sometimes advanced that persons with hyperacusis have caused this problem themselves, by avoiding exposure to ordinary sounds.
Medications may occasionally help lessen the hyperacusis even though no cause can be found. TRT (Tinnitus Retraining Therapy) is a mixture of psychotherapy and masking (for tinnitus) or sound generators (for hyperacusis).
Psychological help: Often, anxiety or depression which accompanies hyperacusis may be as big a problem as the hyperacusis itself.
Thus a focal hearing loss may be more likely to cause hyperacusis due to an overly broad increase in central sensitivity (this is just a conjecture). One would think that there would also be hyperacusis when the 5th nerve is damaged, paralyzing the tensor tympani muscle. Examples here might be hyperacusis after a sudden hearing loss (attributed to viral damage to the hearing nerve), or microvascular compression syndrome.
Brainstem hearing disorders are rare, and it is also thought that brainstem hyperacusis is exceedingly rare.


Benzodiazepines and and antidepressants probably reduce anxiety, depression, or obsessive thinking about hyperacusis. This approach is generally frowned upon, because there is a feeling that wearing ear plugs over the long term will increase hyperacusis.
This method of treatment would necessarily sacrifice some hearing, but is potentially reversible. Patient-reported speech in noise difficulties and hyperacusis symptoms and correlation with test results. In our clinical practice, Chicago Dizziness and Hearing, looking at a representative subset of our patient database, out of 33 patients with hyperacusis, 14 were men, and the average age was 48.
In our clinical experience, in hyperacusis, inner ear disease is much less common than other disorders that cause hyperacusis (e.g.
According to Spyridakou et al (2012), difficulty with hearing speech in noise does not correlate with hyperacusis, but increased suppression of OAE's by noise does. In addition to hyperacusis, persons with migraine often have photophobia (sensitivity to bright light), motion intolerance, sensitivity to strong smells, and sometimes even unusual cutaneous sensitivity (allodynia). Finding these things usually does not mean that the person's hyperacusis is caused by psychiatric problems, but rather may indicate a comorbidity.
For example, hyperacusis in migraine is generally called phonophobia by neurologists, but in reality they really mean hyperacusis. Thus hyperacusis seems to be a disorder split roughly equally among genders and being first noticed, roughly at the age of 50.


This would support the conjecture that hyperacusis does not correlate with significant hearing loss. Hyperacusis also sometimes appears after 7th nerve (Bells palsy) injuries, which paralyze one of the two small ear muscles that protect the ear from loud noise. The treatment approach for migraine is completely different than that for other types of hyperacusis.
Obviously, deaf people can't have hyperacusis (just as people without inner ear function don't experience motion sickness).
There is also evidence that serotonin pathways are implicated in hyperacusis as well as migraine. Anti-seizure drugs may be effective in persons with hyperacusis due to irritable neural pathways. Baclofen has been suggested to be useful in reducing responses in brainstem hyperacusis (Szczepaniak, W.



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