Vestibulocochlear dysfunction progressive familial

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Vestibulocochlear Dysfunction Progressive Familial is a rare genetic disorder affecting the vestibulocochlear nerve, which is responsible for hearing and balance. This condition leads to progressive loss of hearing and balance over time. The vestibulocochlear nerve, also known as the eighth cranial nerve, plays a crucial role in transmitting sound and equilibrium information from the inner ear to the brain.

Causes[edit | edit source]

Vestibulocochlear Dysfunction Progressive Familial is caused by genetic mutations that affect the function of the vestibulocochlear nerve. These mutations are typically inherited in an autosomal dominant manner, meaning only one copy of the altered gene in each cell is sufficient to cause the disorder. However, cases of autosomal recessive inheritance, where two copies of the gene in each cell are altered, have also been reported.

Symptoms[edit | edit source]

The primary symptoms of Vestibulocochlear Dysfunction Progressive Familial include:

  • Progressive hearing loss, which may start in childhood or early adulthood and worsen over time.
  • Vertigo or dizziness, due to the affected balance functions.
  • Tinnitus, or ringing in the ears.
  • Difficulty in maintaining balance, especially in the dark or on uneven surfaces.

Diagnosis[edit | edit source]

Diagnosis of Vestibulocochlear Dysfunction Progressive Familial involves a comprehensive evaluation, including:

  • Medical history review, focusing on hearing and balance issues and family history of similar symptoms.
  • Audiometry tests to assess the extent of hearing loss.
  • Vestibular function tests to evaluate balance problems.
  • Genetic testing to identify mutations associated with the condition.

Treatment[edit | edit source]

There is no cure for Vestibulocochlear Dysfunction Progressive Familial, but treatments are available to manage symptoms and improve quality of life. Treatment options may include:

  • Hearing aids to amplify sound for individuals with hearing loss.
  • Cochlear implants for those with severe hearing loss.
  • Vestibular rehabilitation therapy to improve balance and reduce symptoms of vertigo.
  • Medications to alleviate symptoms of vertigo and tinnitus.

Prognosis[edit | edit source]

The prognosis for individuals with Vestibulocochlear Dysfunction Progressive Familial varies. While the condition is progressive, with symptoms worsening over time, early intervention and management can significantly improve the quality of life for affected individuals.


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Contributors: Prab R. Tumpati, MD