Also known as: Nerve deafness, Hearing loss - sensorineural, Acquired hearing loss, SNHL, Noise-induced hearing loss, NIHL or Presbycusis
- Some sounds seem too loud.
- You have problems following conversations when two or more people are talking.
- You have problems hearing in noisy areas.
- It is easier to hear men's voices than women's voices.
- It is hard to tell high-pitched sounds (such as "s" or "th") from one another.
- Other people's voices sound mumbled or slurred.
- You have problems hearing when there is background noise.
- Feeling of being off-balance or dizzy (more common with Meniere's disease and acoustic neuromas)
- Ringing or buzzing sound in the ears (tinnitus)
- Genetic syndromes
- Infections that the mother passes to her baby in the womb (toxoplasmosis, rubella, herpes)
- Age-related hearing loss
- Disease of the blood vessels
- Immune disease
- Loud noises or sounds, or loud sounds that last for a long time
- Tumor, such as acoustic neuroma
- Use of certain medicines
- Working around loud noises every day
- Hearing aids
- Telephone amplifiers and other assistive devices
- Sign language (for those with severe hearing loss)
- Speech reading (such as lip reading and using visual cues to aid communication)
Sensorineural deafness is a type of hearing loss. It occurs from damage to the inner ear, the nerve that runs from the ear to the brain (auditory nerve), or the brain.
Symptoms may include:
Other symptoms include:
The inner part of the ear contains tiny hair cells (nerve endings), that change sounds into electric signals. The nerves then carry these signals to the brain.
Sensorineural hearing loss (SNHL) is caused by damage to these special cells, or to the nerve fibers in the inner ear. Sometimes, the hearing loss is caused by damage to the nerve that carries the signals to the brain.
Sensorineural deafness that is present at birth (congenital) is most often due to:
Sensorineural hearing loss may develop in children or adults later in life (acquired) as a result of:
In some cases, the cause is unknown.
What to Expect at Your Office Visit
The goal of treatment is to improve your hearing. The following may be helpful:
A cochlear implant may be recommended for certain people with very severe hearing loss. Surgery is done to place the implant. The implant makes sounds seem louder, but does not restore normal hearing.
You will also learn strategies for living with hearing loss and advice to share with those around you for talking to someone with hearing loss.
Hildebrand MS, Husein M, Smith RJH. Genetic sensorineural hearing loss. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, PA: Mosby Elsevier; 2010:chap 147.
Arts HA. Sensorineural hearing loss in adults. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, PA: Mosby Elsevier; 2010:chap 149.
Noise-Induced Hearing Loss. National Institute on Deafness and Other Communication Disorders. NIH Pub. No. 14-4233. Updated: March 2014.
- Review date:
- December 07, 2016
- Reviewed by:
- Ashutosh Kacker, MD, BS, Professor of Clinical Otolaryngology, Weill Cornell Medical College, and Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.