autosomal dominant nonsyndromic sensorineural deafness 14 (deafness autosomal dominant type 6)
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Pathology
Genetics
- autosomal dominant
- associated with mutations in defects in wolframin (WFS1)
Clinical manifestations
- low-frequency hearing loss
- many patients have tinnitus
- not associated with vertigo
- since high-frequency hearing is generally preserved, patients retain excellent understanding of speech, although presbycusis or noise exposure may cause high-frequency loss later in life
- worsens over time without progressing to profound deafness
Diagnostic procedures
- low-frequency hearing loss in which frequencies of 2000 Hz & below are predominantly affected
- high-frequency hearing is generally preserved