Auditory system dysfunction in Alzheimer disease and its prodromal states: A review

Ageing Res Rev. 2018 Jul:44:49-59. doi: 10.1016/j.arr.2018.04.001. Epub 2018 Apr 6.

Abstract

Recent findings suggest that both peripheral and central auditory system dysfunction occur in the prodromal stages of Alzheimer Disease (AD), and therefore may represent early indicators of the disease. In addition, loss of auditory function itself leads to communication difficulties, social isolation and poor quality of life for both patients with AD and their caregivers. Developing a greater understanding of auditory dysfunction in early AD may shed light on the mechanisms of disease progression and carry diagnostic and therapeutic importance. Herein, we review the literature on hearing abilities in AD and its prodromal stages investigated through methods such as pure-tone audiometry, dichotic listening tasks, and evoked response potentials. We propose that screening for peripheral and central auditory dysfunction in at-risk populations is a low-cost and effective means to identify early AD pathology and provides an entry point for therapeutic interventions that enhance the quality of life of AD patients.

Keywords: Audiometry; Auditory cortex; Dichotic; Evoked potential; Mild cognitive impairment.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease / diagnosis
  • Alzheimer Disease / epidemiology
  • Alzheimer Disease / physiopathology*
  • Animals
  • Audiometry, Pure-Tone / methods
  • Auditory Diseases, Central / diagnosis
  • Auditory Diseases, Central / epidemiology
  • Auditory Diseases, Central / physiopathology*
  • Auditory Perception / physiology*
  • Evoked Potentials, Auditory, Brain Stem / physiology
  • Humans
  • Prodromal Symptoms*
  • Quality of Life