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THE CONDITION OF BRAINSTEM PART OF THE AUDITORY ANALYZER IN DIABETES MELLITUS TYPE 2 PATIENTS WITH HEARING IMPAIRMENT
T.A. Shydlovska, T.V. Shydlovska, N.Y. Navalkivska
Kolomiychenko Institute of Otolaryngology NAMS of Ukraine, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz67.06.068
Abstract
The purpose of our study is to examine the condition of
brainstem part of the auditory analyzer based on examination
of the short-latent auditory evoked potentials (SLAEP) in 43
patients with diabetes mellitus (DM) type 2 with disorders
of auditory function. We revealed sensorineural hearing
loss (SNHL) of the I-II degree according to the internation-
al classification. The registration of SLAEP was conducted
by the system «Eclipse» «Interacoustics» (Denmark). We
detected a lengthening of the latent periods of the peaks
(LPP) of the II, III, IV and V waves of SLAEP, as well as
the inter-peak intervals of I-III and I-V comparing to the
control values. So, LPP of III wave SLAEP was 3.85 ±
0.04 ms, and of V wave was 5.83 ± 0.05 ms. According to
the severity of DM type II, we divided the patients into two
groups: without (group I) and with (group II) complica-
tions. A comparative analysis revealed that the values of
LPP III wave and also I-III in group 2 not only significantly
exceeded the normal values, but also significantly differed
from the same indicators in group 1. Thus, the LPP of
the III wave of SLAEP was 3.81 ± 0.03 and 3.95 ± 0.05
ms, in group 1 and 2, respectively. In group 2 inter-peak
interval I-III was 2.29 ± 0.03 ms, inter-peak interval I-V
was 4.21 ± 0.04 ms. This indicates the possible influence
of the complicated course of diabetes mellitus II on the
development of disorders in the central departments of the
auditory analyzer, particular in its brainstem structures.
Therefore, among all studied groups of patients with SNHL
on the background of DM type II there are a pronounced
deviations from the norm in the state of the brainstem part
of the auditory analyzer. The obtained data indicate an
important role of the state of brainstem part of auditory
analyzer in the development of sensorineural hearing
disorders in diabetes mellitus type II.
Keywords:
auditory analyzer; diabetes mellitus; auditory evoked potentials; sensorineural hearing loss.
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© National Academy of Sciences of Ukraine, Bogomoletz Institute of Physiology, 2014-2024.
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