Sensorineural hearing loss (SNHL) happens when there is damage to tiny hair cells in the cochlear and/or the auditory nerve. In children, the most common causes of SNHL include inner ear abnormalities, genetic variations, jaundice (or a yellowing of the skin or whites of the eyes), and viral infection from the mother during pregnancy. In adults, SNHL is most commonly caused by aging, exposure to loud noises, head trauma, or other conditions (see below for more detail).
What Are the Symptoms of SNHL?
Symptoms of SNHL may include:
- Muffled hearing
- Difficulty understanding speech
- Sudden or steady loss of hearing
- Full or “stuffy” sensation in the ear
- Ringing in the ear
- Dizziness
What Causes SNHL?
SNHL happens when there is damage to tiny hair cells in the cochlear and/or the auditory nerve. Sound energy reaches the cochlea, but damaged hair cells are unable to convert sound waves into neural signals that pass through the auditory nerve to the brain. Auditory nerve abnormalities will also cause SNHL. Other causes may include:
- Sudden hearing loss—caused by a virus; you should see an ENT (ear, nose, and throat) specialist, or otolaryngologist, for urgent treatment that could help recover some hearing
- Aging—gradual SNHL that cannot be reversed (most common)
- Acoustic trauma—exposure to loud noises (e.g., industrial/machinery or explosion/gunfire close to the ear; can be prevented with proper protection)
- Head trauma or abrupt changes in air pressure—this can cause the space that contains inner ear fluid to rupture
- Autoimmune inner ear disease—the body’s immune system attacks the inner ear and causes progressive hearing loss in both ears
- Ménière’s disease—a condition characterized by fluctuating hearing loss, dizziness, ear fullness, or ringing in the ears (called tinnitus)
- Central nervous disease—damage caused by a condition such as multiple sclerosis
- Cochlear otosclerosis—abnormal bone growth in the inner ear
- Congenital inner ear malformation—genetic or environmental abnormalities (very common cause in children)
- Benign tumor—called “vestibular schwannoma,” this is a noncancerous tumor on the adjacent balance nerve that compresses the hearing nerve that connects the inner ear to the brain, causing SNHL
