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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La neuropat&#237;a auditiva constituye un tipo de hipoacusia neurosensorial en la que se produce una alteraci&#243;n importante de la comprensi&#243;n del lenguaje&#46; Desde el punto de vista etiol&#243;gico se ha relacionado con la hipoxia&#44; la hiperbilirrubinemia&#44; trastornos metab&#243;licos o enfermedades degenerativas que afectan la v&#237;a auditiva&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presentan 5 ni&#241;os afectados de esta enfermedad que fueron remitidos para estudio otorrinolaringol&#243;gico&#44; 2 casos por no superar el cribado auditivo neonatal&#44; 1 ni&#241;o por antecedentes de hipoxia perinatal y en los 2 ni&#241;os de mayor edad &#40;7 y 9 a&#241;os&#41; por retraso escolar y alteraciones en el lenguaje&#46; Se realiz&#243; exploraci&#243;n audiol&#243;gica en todos los ni&#241;os con potenciales auditivos de tronco cerebral&#44; otoemisiones ac&#250;sticas evocadas por click&#44; estudio del reflejo estapedial&#44; timpanometr&#237;a&#44; audiometr&#237;a tonal liminal o reflejo de orientaci&#243;n condicionado&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Tras el diagn&#243;stico se realiz&#243; el seguimiento audiol&#243;gico durante 3 a&#241;os consecutivos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En todos los ni&#241;os&#44; el timpanograma fue normal&#44; el reflejo estapedial estaba ausente&#44; las otoemisiones eran normales y los potenciales auditivos de tronco cerebral estaban ausentes con est&#237;mulos de intensidad de 80-90 dB&#46; Los potenciales de latencia media&#44; corticales y cognitivos fueron normales en el &#250;nico ni&#241;o &#40;el de 9 a&#241;os&#41; en el que se pudieron realizar&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La discriminaci&#243;n verbal &#40;en los pacientes de 7 y 9 a&#241;os&#41; se encontraba por debajo de los valores normales para su edad&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Todos presentaban por audiometr&#237;a una hipoacusia bilateral de grado leve-moderado que no se modific&#243; durante el seguimiento&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La neuropat&#237;a auditiva es un proceso detectable con el uso combinado de las t&#233;cnicas empleadas en el cribado auditivo neonatal&#44; potenciales auditivos de tronco cerebral y otoemisiones ac&#250;sticas&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El inter&#233;s de la detecci&#243;n y diagn&#243;stico precoces radica en el claro beneficio que supone para el desarrollo del lenguaje la instauraci&#243;n temprana del tratamiento y rehabilitaci&#243;n en estos ni&#241;os&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Auditory neuropathy is a type of neurosensorial hypoacusis that produces significant impairment in language comprehension&#46; Etiologically&#44; this neuropathy has been related to perinatal hypoxia&#44; hyperbilirubinemia&#44; metabolic disorders and degenerative entities that affect the auditory pathway&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">We report five children with this disorder&#46; Two of the children were referred for otorhinolaryngeal assessment after failing the neonatal hearing screening and one was referred because of a history of perinatal hypoxia&#46; The two eldest children were referred because of schooling problems and language impairment&#46; In all the children&#44; auditory brainstem response&#44; otoacoustic emissions&#44; tympanometry stapedius reflex were examined and liminal and condition-orientation reflex audiometry were performed&#46; After diagnosis&#44; the children were followed-up for 3 consecutive years&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">In all five children&#44; tympanogram and otoacoustic emissions were normal&#46; The stapedius reflex and auditory brainstem responses with 80-90 dB stimuli were absent&#46; Medium latency and cortical and cognitive potentials were normal in the only child &#40;aged 9 years&#41; in whom they could be performed&#46; In two children &#40;aged 7 and 9 years&#41;&#44; verbal discrimination was within the normal range for their age&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">In all the children&#44; audiometry revealed bilateral mildto- moderate hypacusia&#44; which did not change during follow up&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Auditory neuropathy can be detected by the combined use of neonatal hearing screening techniques&#44; auditory brainstem responses and otoacoustic emissions&#46; Interest in the early identification and diagnosis of this disorder is due to the clear benefit to language development secondary to the early treatment and rehabilitation of these children&#46;</p>"
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Neuropatía auditiva
Auditory neuropathy
M.C. Tapiaa, A. Almenar Latorreb,
Autor para correspondencia
almenarlatorre@eresmas.com

Correspondencia: C/ Serrano Anguita, 7, 1.° CD. 28004 Madrid.
, M. Lirolaa, M. Moro Serranob
a Servicios de Otorrinolaringología
b Neonatología. Hospital Clínico San Carlos. Madrid
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La neuropat&#237;a auditiva constituye un tipo de hipoacusia neurosensorial en la que se produce una alteraci&#243;n importante de la comprensi&#243;n del lenguaje&#46; Desde el punto de vista etiol&#243;gico se ha relacionado con la hipoxia&#44; la hiperbilirrubinemia&#44; trastornos metab&#243;licos o enfermedades degenerativas que afectan la v&#237;a auditiva&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presentan 5 ni&#241;os afectados de esta enfermedad que fueron remitidos para estudio otorrinolaringol&#243;gico&#44; 2 casos por no superar el cribado auditivo neonatal&#44; 1 ni&#241;o por antecedentes de hipoxia perinatal y en los 2 ni&#241;os de mayor edad &#40;7 y 9 a&#241;os&#41; por retraso escolar y alteraciones en el lenguaje&#46; Se realiz&#243; exploraci&#243;n audiol&#243;gica en todos los ni&#241;os con potenciales auditivos de tronco cerebral&#44; otoemisiones ac&#250;sticas evocadas por click&#44; estudio del reflejo estapedial&#44; timpanometr&#237;a&#44; audiometr&#237;a tonal liminal o reflejo de orientaci&#243;n condicionado&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Tras el diagn&#243;stico se realiz&#243; el seguimiento audiol&#243;gico durante 3 a&#241;os consecutivos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En todos los ni&#241;os&#44; el timpanograma fue normal&#44; el reflejo estapedial estaba ausente&#44; las otoemisiones eran normales y los potenciales auditivos de tronco cerebral estaban ausentes con est&#237;mulos de intensidad de 80-90 dB&#46; Los potenciales de latencia media&#44; corticales y cognitivos fueron normales en el &#250;nico ni&#241;o &#40;el de 9 a&#241;os&#41; en el que se pudieron realizar&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La discriminaci&#243;n verbal &#40;en los pacientes de 7 y 9 a&#241;os&#41; se encontraba por debajo de los valores normales para su edad&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Todos presentaban por audiometr&#237;a una hipoacusia bilateral de grado leve-moderado que no se modific&#243; durante el seguimiento&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La neuropat&#237;a auditiva es un proceso detectable con el uso combinado de las t&#233;cnicas empleadas en el cribado auditivo neonatal&#44; potenciales auditivos de tronco cerebral y otoemisiones ac&#250;sticas&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El inter&#233;s de la detecci&#243;n y diagn&#243;stico precoces radica en el claro beneficio que supone para el desarrollo del lenguaje la instauraci&#243;n temprana del tratamiento y rehabilitaci&#243;n en estos ni&#241;os&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Auditory neuropathy is a type of neurosensorial hypoacusis that produces significant impairment in language comprehension&#46; Etiologically&#44; this neuropathy has been related to perinatal hypoxia&#44; hyperbilirubinemia&#44; metabolic disorders and degenerative entities that affect the auditory pathway&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">We report five children with this disorder&#46; Two of the children were referred for otorhinolaryngeal assessment after failing the neonatal hearing screening and one was referred because of a history of perinatal hypoxia&#46; The two eldest children were referred because of schooling problems and language impairment&#46; In all the children&#44; auditory brainstem response&#44; otoacoustic emissions&#44; tympanometry stapedius reflex were examined and liminal and condition-orientation reflex audiometry were performed&#46; After diagnosis&#44; the children were followed-up for 3 consecutive years&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">In all five children&#44; tympanogram and otoacoustic emissions were normal&#46; The stapedius reflex and auditory brainstem responses with 80-90 dB stimuli were absent&#46; Medium latency and cortical and cognitive potentials were normal in the only child &#40;aged 9 years&#41; in whom they could be performed&#46; In two children &#40;aged 7 and 9 years&#41;&#44; verbal discrimination was within the normal range for their age&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">In all the children&#44; audiometry revealed bilateral mildto- moderate hypacusia&#44; which did not change during follow up&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Auditory neuropathy can be detected by the combined use of neonatal hearing screening techniques&#44; auditory brainstem responses and otoacoustic emissions&#46; Interest in the early identification and diagnosis of this disorder is due to the clear benefit to language development secondary to the early treatment and rehabilitation of these children&#46;</p>"
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ISSN: 16954033
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