MEANDROS MEDICAL AND DENTAL JOURNAL, cilt.25, sa.4, ss.412-423, 2024 (ESCI, TRDizin)
Objective: As a demyelinating disease of the central nervous system, multiple sclerosis (MS) can be marked by tiredness, ataxia, sensory complaints, attention, and motor speech, as well as weakness in the arms and legs. Cortical symptoms, cognitive decline, hearing loss and epileptic seizures are typical symptoms. The aim of this study is to determine the impact of MS on the auditory and vestibular pathways. Materials and Methods: MS patients mental abilities were assessed in this study, accounting for vestibular and auditory function. Fifteen MS patients and fifteen healthy controls were recruited. The experimental and patient groups underwent vestibular and audiological testing and the results from these two groups were compared. The patients underwent simultaneous impedance audiometry. Results: The data from our study showed significant results for the right and left ears of MS patients when we used pure tone audiometry. In the Auditory Brainstem Response (ABR) test, unilateral sensorineural hearing loss was observed in seven patients. On the Video Head Impulse Test (VHIT), the vestibulo-ocular reflex (VOR) gains of 9 MS patients were outside normal limits, while the VOR gains of one patient were low in the left lateral canal. On the Vestibular evoked myogenic potentials test, wave latencies were delayed in 12 of the patients and the left P1 and N1 waveforms were not observed in two patients. Conclusion: Based on the findings of our study, we can say that auditory and vestibular functions are significantly impaired in MS patients. We can recommend that studies with larger patient populations should be developed.