How Traumatic Brain Injury Affects Hearing

Hearing problems are quite common after a traumatictrauma. The cochlea, which is the important
brain injury (TBI) because the inner ear is directlyspiral-shaped bone in the ear, can be damaged by a
connected to the central nervous system. Ringing instrong blow to the head causing hearing damage.
the ear (tinnitus) and hearing loss are two of theOther types of membrane damage may cause
most widely reported side effects of a traumatichearing loss as well as dizziness (vertigo) and nausea.
brain injury. Some other hearing problems that maySometimes, surgery can correct damage to the inner
occur following a brain injury include hyperacusisear.
(normal situations seem very loud); difficulty filteringBecause hearing loss limits or takes away one of the
one set of sounds from background noise; andprimary means we use to communicate, hearing loss
auditory agnosia (also called pure word deafness).has the potential to complicate many of the other
Auditory agnosia is a condition in which the person isside effects of brain damage, mainly cognitive and
unable to recognize the meanings of certain sounds.social problems. Many TBI victims already suffer
Following a TBI, hearing problems can occur for acognitive issues such as trouble finding words, and
number of reasons, both mechanical and neurological,these problems are only exacerbated if the patient
particularly when the inner ear and/or temporal lobescannot hear what is going on around him.
have been damaged. External bleeding in the earFortunately, for some TBI victims, hearing problems
canal, middle ear damage, cochlear injury and/ordisappear a few weeks after the accident that led to
temporal lobe lesions can all cause auditorythe patient's brain damage, but other hearing
dysfunction.problems will last indefinitely. Since many hearing
Children who suffer TBI typically face additionalproblems cannot even be detected by the patient
problems in the areas of communication, acquiringhimself after the TBI, it is recommended that anyone
new information, spatial orientation, task completion,suffering a traumatic brain injury be evaluated by an
impulse control, and social conversation.audiologist, even if nothing appears to be wrong with
The inner ear is made up of a series of delicatethe victim's hearing.
membranes, which can easily rupture during a head