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Erschienen in: Neurological Sciences 7/2020

24.02.2020 | Original Article

The impact of white matter hyperintensities on speech perception

verfasst von: Arianna Di Stadio, Daniela Messineo, Massimo Ralli, Dalila Roccamatisi, Angela Musacchio, Giampietro Ricci, Antonio Greco

Erschienen in: Neurological Sciences | Ausgabe 7/2020

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Abstract

Background

The presence of white matter hyperintensities (WMHs) can impact on normal brain function by altering normal signal transmission and determining different symptoms.

Aim

To evaluate the relationship between the presence of brain WMHs and the scores of speech perception test (SPT) in a sample of normal-hearing patients under 70 years of age.

Material and method

Prospective study. One hundred eleven patients underwent audiological screening with pure tone audiometry (PTA), tympanometry, speech perception testing (SPT), and brain magnetic resonance imaging (MRI). T2 sequences were analyzed to identify the presence of WMH that, if identified, were scored using the Fazekas score. Statistical multiple regression analysis was performed to understand the relationship between PTA and SPT score; the Pearson's and Spearman's tests were used to evaluate the correlation between Fazekas scores and SPT. Chi-square test was used to analyze the difference between gender.

Results

The results of PTA were not predictive of the SPT score. A negative statistically significant correlation (Spearman's, p = 0.0001; Pearson's, p < 0.001) was identified between the Fazekas score and the results of SPT. No statistically significant differences were identified in the correlation of WMH and SPT between males and females.

Conclusion

Multiple WMHs in the brain can worsen word recognition in patients with normal auditory threshold; this may be related to the impact that these lesions have on the memory ability. Spread of lesions into the brain might reduce the brain capacity to remember words, despite the sound is correctly perceived by the ear.
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Metadaten
Titel
The impact of white matter hyperintensities on speech perception
verfasst von
Arianna Di Stadio
Daniela Messineo
Massimo Ralli
Dalila Roccamatisi
Angela Musacchio
Giampietro Ricci
Antonio Greco
Publikationsdatum
24.02.2020
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 7/2020
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04295-8

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