A traumatic brain injury (TBI) is any kind of injury that causes structural or physiological change to brain function. It is usually the result of an external force like a blast, a direct blow or a fall, and will present with the occurrence or worsening of any of the following signs:

  • Loss or decreased level of consciousness
  • Memory loss
  • Feeling dazed, confused or disoriented
  • Neurological changes including weakness, loss of balance or changes in vision

Hearing Loss A Major Obstacle with Traumatic Brain Injuries

One of the biggest problems with a traumatic brain injury is diagnosing exact injuries, because those who suffer from it will often have multiple injuries at once, making diagnosis and treatment a challenge. Hearing and balance issues are often secondary to physical trauma, but the symptoms of hearing loss can lead to confusion and misdiagnosis of other injuries.

Many Ways Hearing Can Be Compromised

Many people with a traumatic brain injury suffer damage to the inner ear or temporal lobe, but even if the ear itself isn’t damaged, the way the brain processes sound could be compromised. There are several challenges that health care providers face when dealing with a TBI combined with hearing loss:

  • Undiagnosed hearing loss can interfere with the success of medical care and rehabilitation
  • Auditory problems could be mistaken for other conditions, including post-traumatic stress disorder, cognitive disruptions or mental health issues
  • Hearing loss can aggravate the social and emotional effects of a traumatic brain injury

Hearing Loss With Mild Injuries

Even a person with a mild traumatic brain injury, who may never lose consciousness or who only blacks out for a minute or two, may suffer from some hearing changes. A mild traumatic brain injury can include the following symptoms:

  • Headache
  • Dizziness
  • Confusion
  • Blurred vision
  • Tinnitus (ringing in the ears)
  • Behavioral changes

Any of these symptoms, and the injury itself, can be amplified by any hearing loss, whether present from before or any new hearing loss as a result of the injury.

An Audiologist Can Help

trained Audiologist is an important part of the treatment team for any person suffering from a brain injury. Correct testing and diagnosis of any hearing loss, and correction for the hearing loss with the best tools available, makes it easier to understand, diagnose and treat other symptoms from a brain injury. Hearing loss can confuse the injury, and it is easily diagnosed and treated when you are aware that it may be present.

You’re Not Alone

If you or a loved one suspect that you may have hearing loss from an injury or for any other reason, contact one of our experienced audiologists today. You don’t have to deal with this alone. We’re here to help.

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Dr. Ana Anzola, CCC-A, FAAA, ABA Principal

Dr. Anzola received her Doctorate degree in Audiology (AuD) from the Arizona School of Health Sciences, and her Master’s Degree in Audiology and her Bachelor's Degree in Speech Language Pathology and Audiology from Towson University. She has been a fellow of the American Academy of Audiology (AAA) since 1995, board-certified by the American Board of Audiology (ABA), and certified by the American Speech-Language-Hearing Association (ASHA).
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