ABSTRACT
UNLABELLED: PURPOSES AND METHODS: The aims of this study were: to detect moderate to profound hearing loss in high risk infants for deafness, to follow up their auditory development (localization of the sound source- Hear Kit - Downs, 1984); and their neuropsychomotor development during the two first years of life. All subjects were submitted to cerebral ultra sound assessment. RESULTS: An infant with a suspected hearing loss was identified and nine infants presented neuropsychomotor development delay. In a transversal analysis of the hearing assessment data it was verified that infants in this study presented different response than the referred in the American literature. CONCLUSIONS: It was concluded that 5% of the infants were delayed in localizing the sound source. Medical peech and hearing follow up during the two first years of life of high risk infants for deafness is important and advisable.
Subject(s)
Auditory Perceptual Disorders/diagnosis , Hearing Disorders/diagnosis , Infant, Low Birth Weight/physiology , Infant, Premature , Psychomotor Disorders/diagnosis , Auditory Perceptual Disorders/etiology , Female , Follow-Up Studies , Hearing Disorders/etiology , Humans , Infant, Newborn , Male , Prospective Studies , Psychomotor Disorders/etiology , Risk Factors , Skull/diagnostic imaging , UltrasonographyABSTRACT
OBJETIVOS E MéTODOS: Este estudo teve como objetivos detectar a presença de deficiência auditiva (DA) de moderada a profunda em 60 lactentes de baixo peso ao nascimento, e na ausência desta, acompanhar o desenvolvimento da funçäo auditiva (localizaçäo da fonte sonora), e acompanhar o desenvolvimento neuropsicomotor destas crianças durante os dois primeiros anos de vida, através da avaliaçäo comportamental da audiçäo (Hear Kit, Downs - 1984), avaliaçäo clínica do desenvolvimento neuropsicomotor e ultra-sonografia de crânio. RESULTADOS: Os resultados obtidos mostraram que dos 60 lactentes, em um caso foi levantada a hipótese de DA e em nove crianças foi verificado atraso no desenvolvimento neuropsicomotor. Na análise transversal dos dados obtidos da avaliaçäo auditiva, verificou-se que o comportamento auditivo dos lactentes apresentou respostas diferentes do que aquelas citadas na literatura americana. CONCLUSAO: Concluiu-se que 5 por cento dos lactentes apresentaram atraso na localizaçäo auditiva da fonte sonora e que os atendimentos médico e fonoaudiológico precoces, no berçário e ambulatório, nos dois primeiros anos de vida destas crianças de alto - risco säo necessários
Subject(s)
Humans , Male , Female , Infant, Newborn , Psychomotor Disorders/diagnosis , Auditory Perceptual Disorders/diagnosis , Infant, Low Birth Weight , Infant, Premature , Hearing Disorders/diagnosis , Psychomotor Disorders/etiology , Auditory Perceptual Disorders/etiology , Skull , Prospective Studies , Risk Factors , Follow-Up Studies , Hearing Disorders/etiologyABSTRACT
Hearing loss is the more frequent sequel of bacterial meningitis in children. This study describes the audiological profile (peripheric and central) of 89 children admitted to the hospital wards with the diagnosis of bacterial meningitis. Those children attended audiological follow up, after their hospital discharge, and were submitted to audiological tests. The results showed that 85.4% among them presented normal hearing in both ears 10.1% presented bilateral neurosensorial hearing loss and 4.5% presented unilateral neurosensorial hearing loss. The results from the auditory processing skills assessment showed that 10% of those children presented auditory localization and recognition of sentences with competitive messages (Paediatric Sentences Identification-ipsilateral) disorders.
Subject(s)
Hearing Loss, Bilateral/microbiology , Hearing Loss, Sensorineural/microbiology , Meningitis, Bacterial/complications , Child , Child, Preschool , Female , Follow-Up Studies , Hearing Loss, Bilateral/diagnosis , Hearing Loss, Sensorineural/diagnosis , Hearing Tests , Humans , Infant , Infant, Newborn , MaleABSTRACT
Bacterial meningitis is the main cause for acquired hearing loss. Nevertheless very little has been written about the development of the auditory behaviour either for improvement or for deterioration, after hospital release. The present study describes the case of a five month old boy with Haemophilus influenzae meningitis. Amongst various complications, a decrement in the auditory acuity was detected in the immediate evolution, with significant improvement later on by qualitative and quantitative tests.