Deafness/Hearing Impairment/results of bera


my nephew is been diagnosed as having mild to moderate sensory neural hearing loss by BERA at his age of 1 and half year when found to have lack of vocabulary and less responsiveness at home to his parents. he was found to have accumulation of fluid in his middle ears for which doctors have treated him with decongestant.
do you think that the result of BERA (i mean to say about its severity)will change after this as far as sensory neural hearing loss is concerned? is there any point in repeating BERA? is there any need for him to undergo MRI brain to rule out acaustic schwanoma ?

They should have ruled out middle ear fluid prior to any BERA testing.  I would assume that was done.  Fluid comes and goes very rapidly, especially in children, so it is very possible that there was no fluid during the BERA testing but there is fluid now.
I would question the doctor to verify that there was no fluid present during the BERA test.

If they can not verify that...then there is a possibility that the hearing will be better on the BERA testing once the fluid is gone.  Fluid will cause the BERA results to be elevated and will not reflect the true sensorineural hearing levels.  We certainly repeat BERA testing even as a child gets older...there are chances that a hearing loss can be progressive so routine hearing testing is necessary.  

I have not seen any incidence where an MRI has been ordered on a child to rule out Acoustic Schwanoma.  These typically develop during middle age.  They will do an MRI on a child they are considering implanting to determine any cochlear malformations.  If your nephew is in the mild to moderate range, he is not a candidate for an implant.

Please let me know if you have any further questions.  Kelley Linton, AuD  

Deafness/Hearing Impairment

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Dr. Kelley Linton


I'm an audiologist in private practice in Arkansas. I graduated from the University of Florida medical school. I specialize in hearing loss; hearing rehabilitation; hearing aids; noise induced hearing loss; occupational noise exposure; OSHA guidelines and regulations; hearing protection; tinnitis; newborn hearing testing; children and hearing loss and diagnosis and etiology of hearing loss.


I've been a practicing audiologist for 20 years and have owned a private practice for 14 years. I am also an audiologist in the United States Army where I teach DOD hearing conservation regulations and manage 3000 DOD employees at an army industrial facility.

Arkansas Academy of Audiology American Academy of Audiology Academy of Doctors of Audiology American Speech and Hearing Association National Hearing Conservation Association

Journal of the Academy of Audiology Southwest Times Record, Fort Smith, Arkansas Press Argus Courier, Van Buren, Arkansas

Au.D. - Doctor of Audiology, University of Florida American Academy of Audiology fellow member Audiology Board Certification American Speech and Hearing Association certification Arkansas State Audiology license-current CPT United States Army Medical Corps

Awards and Honors
American Speech and Hearing Association "ACE" award x 7 years United States Army Accommodation Award Arkansas Academy of Audiology elected board of director x 3 years Better community award, Fort Smith, AR for volunteer audiology service to free community health clinic

Past/Present Clients
Serving newborn to geriatric ages.....unable to provide specific names.

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