Sensorineural Hearing Loss in Non-depressed Essential Tremor Cases and Controls: A Clinical and Audiometric Study

Nesrin Helvaci Yilmaz, Muhittin Cenk Akbostanci, Nurhan Yılmaz, Nesrin Helvaci Yilmaz, Muhittin Cenk Akbostanci, Nurhan Yılmaz

Abstract

Background: Patients with essential tremor (ET) have an increased prevalence of hearing loss, and depression is a confounding issue for both conditions. We assessed hearing loss in non-depressed ET patients and controls using a questionnaire and audiometric tests.

Methods: The study included 34 patients with ET and 45 volunteers were included. Both groups were asked if they had hearing loss, and pure tone audiometry, speech recognition threshold, tympanogram, short increment sensitivity index (SISI), tone decay, and otoacoustic emission audiological tests were conducted.

Results: Seventeen subjects (50.0%) in the patient group answered "yes" to the question "Do you have hearing loss?" compared to one (2.2%) subject in the control group (p<0.001). The tone decay values of the right ear at 4,000 Hz were higher in the patient group. The number of subjects in which the otoacoustic emissions could not be obtained in the right ear was higher in the ET patients (p = 0.005).

Discussion: The results support the presence of a cochlear pathology in ET and may indicate that ET and sensorineural hearing loss may be components of a common disease process.

Keywords: Cochlea; essential tremor; sensorineural hearing loss.

Conflict of interest statement

Financial disclosures: N.H.Y.: None. M.C.A. has received honoraria and is on the national advisory boards of Abdi Ibrahim Ilac, Boehringer Ingelheim, Gen Ilac, Generica Ilac, GlaxoSmithKline, Lundbeck, Medtronic and Novartis. B.Y.: None.

Conflict of Interests: The authors report no conflict of interest.

References

    1. Louis ED, Ottman R, Hauser WA. How common is the most common adult movement disorder? Estimates of the prevalence of essential tremor throughout the world. Mov Disord. 1998;13:5–10. doi: 10.1002/mds.870130105.
    1. Benito-León J, Louis ED. Essential tremor: emerging views of a common disorder. Nat Clin Pract Neurol. 2006;2:666–677. doi: 10.1038/ncpneuro0347.
    1. Cruickshanks KJ, Wiley TL, Tweed TS, et al. Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin. The epidemiology of hearing loss study. Am J Epidemiol. 1998;148:879–886. doi: 10.1093/oxfordjournals.aje.a009713.
    1. Ondo WG, Sutton L, Dat Vuong K, Lai D, Jankovic J. Hearing impairment in essential tremor. Neurology. 2003;61:1093–1097. doi: 10.1212/.
    1. Benito-León J, Louis ED, Bermejo-Pareja F, Neurological Disorders in Central Spain (NEDICES) Study Group Reported hearing impairment in essential tremor: a population-based case-control study. Neuroepidemiology. 2007;29:213–217. doi: 10.1159/000112463.
    1. Balaban H, Altuntas EE, Uysal IO, Senturk IA, Topaktas S. Audio-vestibular evaluation in patients with essential tremor. Eur Arch Otorhinolaryngol. 2012;269:1577–1581. doi: 10.1007/s00405-011-1801-x.
    1. Mulrow CD, Aguilair C, Endicott JE, et al. Quality-of-life changes and hearing impairment. A randomized trial. Ann Intern Med. 1990;113:188–194. doi: 10.7326/0003-4819-113-3-188.
    1. Louis ED. Essential tremor as a neuropsychiatric disorder. J Neurol Sci. 2010;289:144–148. doi: 10.1016/j.jns.2009.08.029.
    1. Louis ED, Huey ED, Gerbin M, Viner AS. Depressive traits in essential tremor: impact on disability, quality of life, and medication adherence. Eur J Neurol. 2012;19:1349–1354. doi: 10.1111/j.1468-1331.2012.03774.x.
    1. Chouinard S, Louis ED, Fahn S. Agreement among movement disorder specialists on the clinical diagnosis of essential tremor. Mov Disord. 1997;12:973–976. doi: 10.1002/mds.870120621.
    1. Fahn S, Tolosa E, Marin C. Clinical rating scale for tremor. In: Jankovic J, Tolosa E, editors. 1988. pp. 225–234. In. (eds) Parkinson's disease and movement disorders. Baltimore, Urban & Schwarzenberg.
    1. Bain PG, Findley LJ, Atchison P, et al. Assessing tremor severity. J Neurol Neurosurg Psychiatry. 1993;56:868–873. doi: 10.1136/jnnp.56.8.868.
    1. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56–62. doi: 10.1136/jnnp.23.1.56.
    1. Deuschl G, Elble R. Essential tremor-neurodegenerative or nondegenerative disease towards a working definition of ET. Mov Disord. 2009;24:2033–2041. doi: 10.1002/mds.22755.
    1. Benbir G, Ozekmekci S, Oguz S, Kenangil G, Ertan S, Akalan E. Quantitative analysis of reduced arm swing frequency in essential tremor. Eur Neurol. 2010;63:302–306. doi: 10.1159/000304194.
    1. Sindhusake D, Mitchell P, Smith W, et al. Validation of self-reported hearing loss. The Blue Mountains Hearing Study. Int J Epidemiol. 2001;30:1371–1378. doi: 10.1093/ije/30.6.1371.
    1. Saunders AZ, Stein AV, Shuster NL. Audiometry. In: Walker HK, Hall WD, Hurst JW, editors. Boston: Butterworths; 1990. (eds) Clinical methods: The history, physical and laboratory examinations. 3rd ed.
    1. Buus S, Florentine M, Redden RB. The SISI test: a review. Part I. Audiology. 1982;21:273–293. doi: 10.3109/00206098209072744.
    1. Bhatia PL, Sinha A, Abrol BM. The tone decay test-a simple and reliable audiological test. Laryngoscope. 1969;79:1879–1890. doi: 10.1288/00005537-196911000-00002.
    1. Gelfand SA. Behavioral tests for audiological diagnosis. In: Hiscock T, Ip I, Caputo GR, editors. New York: Thieme Medical Publishers; 2009. pp. 302–231. (eds) Essentials of audiology. 3rd ed.
    1. Huss M, Moore BCJ. Tone decay for hearing-impaired listeners with and without dead regions in the cochlea. J Acoust Soc Am. 2003;114:3283–3294. doi: 10.1121/1.1624063.
    1. Zimatore G, Hatzopaulos S, Giuliani A, Martini A, Colosimo A. Comparison of transient otoacoustic emission responses from neonatal and adult ears. J Appl Physiol. 2002;92:2521–2528.
    1. Sliwinska-Kowalska M, Kotylo P. Otoacoustic emissions in industrial hearing loss assessment. Noise Health. 2001;3:75–84.
    1. Jenkins IH, Bain PG, Colebatch JG, et al. A positron emission tomography study of essential tremor: evidence for overactivity of cerebellar connections. Ann Neurol. 1993;34:82–90. doi: 10.1002/ana.410340115.
    1. Axelrad JE, Louis ED, Honig LS, et al. Reduced Purkinje cell number in essential tremor: a postmortem study. Arch Neurol. 2008;65:101–107. doi: 10.1001/archneurol.2007.8.
    1. Tröster AI, Woods SP, Fields JA, et al. Neuropsychological deficits in essential tremor: an expression of cerebello-thalamo-cortical pathophysiology? Eur J Neurol. 2002;9:143–151. doi: 10.1046/j.1468-1331.2002.00341.x.
    1. Steel KP. A new era in the genetics of deafness. N Engl J Med. 1998;339:1545–1547. doi: 10.1056/NEJM199811193392110.
    1. Yiu EM, Geevasinga N, Nicholson GA, Fagan ER, Ryan MM, Ouvrier RA. A retrospective review of X-linked Charcot-Marie-Tooth disease in childhood. Neurology. 2011;76:461–466. doi: 10.1212/WNL.0b013e31820a0ceb.
    1. Louis ED. Essential tremor: evolving clinicopathological concepts in an era of intensive post-mortem enquiry. Lancet Neurol. 2010;9:613–622. doi: 10.1016/S1474-4422(10)70090-9.
    1. Ikeda Y, Ohta Y, Kurata T, Shiro Y, Takao Y, Abe K. Acoustic impairment is a distinguishable clinical feature of Asidan/SCA36. J Neurol Sci. 2013;32:109–112. doi: 10.1016/j.jns.2012.10.013.

Source: PubMed

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