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Low-frequency sensorineural hearing loss. Brainstem response, speech and high-frequency audiometry.

Four cases of acquired, unilateral sensorineural hearing loss are presented. The low-frequency octave threshold changes are considered compatible with the low-frequency tails of neurons with characteristic frequencies of 2, 4 and 9 kHz. Zero speech discrimination was found in two patients with high-frequency threshold preservation at and above 4 kHz. Normal auditory brainstem responses were obtained in the two patients with low-frequency hearing loss confined to the frequency bands below 2 and 4 kHz respectively. Only wave I could be reliably identified in the two patients with single frequency threshold preservation at 2 and 9 kHz, while both presented a second, low amplitude wave with latency corresponding to our normative values for wave V. The latter may represent a delayed and pathological wave III.