- more common in malingering than in conversion disorder (hysteria). truly deaf patients seek sensory input from their environment, watch examiner intently, and turn good ear toward speaking voice. patients with true long-standing hearing loss may speak loudly. Tests to distinguish true unilateral deafness from psychogenic deafness: patient wears headphones and listens to story being told, part in one ear and some in another → patient is tested on information. and measurement of auditory evoked responses stapedius reflex. if psychogenic hearing loss is bilateral, (e.g. clapping hands) may produce loud noise oculopalpebral reflex. Bibliography for ch. follow this “Otology” →
- more common in malingering than in conversion disorder (hysteria). truly deaf patients seek sensory input from their environment, watch examiner intently, and turn good ear toward speaking voice. patients with true long-standing hearing loss may speak loudly. Tests to distinguish true unilateral deafness from psychogenic deafness: patient wears headphones and listens to story being told, part in one ear and some in another → patient is tested on information. auditory evoked responses and measurement of stapedius reflex. if psychogenic hearing loss is bilateral, loud noise (e.g. clapping hands) may produce oculopalpebral reflex. Bibliography for ch. “Otology” → follow this
Ear32.%20Hearing%20Loss,%20Deafness.docx