Psychogenic Disorder on Hearing in Children


Authors: D. Hošnová 1;  K. Janhuba 2;  L. Lavička 3;  I. Šlapák 1
Authors‘ workplace: Klinika dětské otorinolaryngologie LF MU a FN, Brno 1;  Ambulance dětské psychiatrie a klinické psychologie LF MU a PDM FN, Brno 2;  ENT med., s. r. o., Brno 3
Published in: Otorinolaryng. a Foniat. /Prague/, 64, 2015, No. 4, pp. 213-218.
Category: Case Reports

Overview

Psychogenic disorders of hearing are conditions of subjectively perceived hearing loss of various degrees, which are not demonstrable by objective methods of examination. The papr presents the case of a 16-year old boy who appeared at the Clinic of Child Otorhinolaryngology, Medical Faculty, Masaryk University Brno and Faculty Hospital Brno with bilateral hard hearing impairment. A psychogenic hearing impairment became suspected only in connection with virtually absent symptomatology after the administration of anxiolytic pretreatment before the intervention in general anesthesia (bilateral introduction of Microwick), when the patient started to react to an ordinary speech level. Objective methods of examination used in outpatient ward failed for lack of cooperation during examination (disturbance, hyperventilation). In condition s of general anesthesia a physiological hearing threshold was confirmed on the right ear as well as a light hearing impairment on the left ear. Circumstantial evidence during psychiatric examination referred to psychogenic etiology as well..

Keywords:
pseudo hypoacusis, psychogenic hearing impairment, dissociation


Sources

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Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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