Auditory and vestibular dysfunction associated with blast-related traumatic brain injury

Stephen A. Fausti, Debra J. Wilmington, Frederick J. Gallun, Paula J. Myers, James A. Henry

Research output: Contribution to journalArticle

120 Scopus citations

Abstract

The dramatic escalation of blast exposure in military deployments has created an unprecedented amount of traumatic brain injury (TBI) and associated auditory impairment. Auditory dysfunction has become the most prevalent individual service-connected disability, with compensation totaling more than 1 billion dollars annually. Impairment due to blast can include peripheral hearing loss, central auditory processing deficits, vestibular impairment, and tinnitus. These deficits are particularly challenging in the TBI population, as symptoms can be mistaken for posttraumatic stress disorder, mental-health issues, and cognitive deficits. In addition, comorbid factors such as attention, cognition, neuronal loss, noise toxicity, etc., can confound assessment, causing misdiagnosis. Furthermore, some auditory impairments, such as sensorineural hearing loss, will continue to progress with age, unlike many other injuries. In the TBI population, significant clinical challenges are the accurate differentiation of auditory and vestibular impairments from multiple, many times overlapping, symptoms and the development of multidisciplinary rehabilitation strategies to improve treatment outcomes and quality of life for these patients.

Original languageEnglish (US)
Pages (from-to)797-810
Number of pages14
JournalJournal of Rehabilitation Research and Development
Volume46
Issue number6
DOIs
StatePublished - Dec 1 2009

Keywords

  • Auditory dysfunction
  • Blast
  • Central auditory processing
  • Hearing loss
  • Polytrauma
  • Prevention
  • Rehabilitation
  • Tinnitus
  • Traumatic brain injury
  • Vestibular

ASJC Scopus subject areas

  • Rehabilitation

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