Spatial hearing loss refers to a form of deafness that is an inability to use spatial cues about where a sound originates from in space. This in turn affects the ability to understand speech in the presence of background noise.
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| - فقد السمع المكاني (ar)
- Spatial hearing loss (en)
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| - يشير مصطلح فقد السمع المكاني إلى شكل من أشكال الصمم يتمثل بالعجز على استخدام الأدلة المكانية التي تشير إلى مكان صدور الصوت في الفراغ المحيط. يؤثر هذا الاضطراب بدوره على قدرة الشخص على فهم الكلام بوجود ضجيج محيط. (ar)
- Spatial hearing loss refers to a form of deafness that is an inability to use spatial cues about where a sound originates from in space. This in turn affects the ability to understand speech in the presence of background noise. (en)
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| - Spatial hearing loss (en)
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| - Spatial hearing loss (en)
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| - Spatial Hearing Advantage slowly increases through childhood and into adulthood. (en)
- CC density increases during childhood, and into early adulthood, peaking and then decreasing during the fourth decade. (en)
- By early adulthood the left ear disadvantage is negligible. The right ear advantage re-establishes itself from middle to old age, primarily due to the faster falling of the left ear performance. (en)
- The left ear disadvantage slowly decreases through childhood and into adulthood. The right ear advantage still exists as children move into early adulthood. (en)
- Noisy Environment: The MOC efferents automatic response is to inhibit the left ear cochlea thus favouring the sounds arriving at the right ear. This is the right ear advantage . (en)
- Noisy Environment: An attention driven optional response with the MOC efferents inhibiting the right ear cochlea. The sounds arriving at the left ear are favoured. (en)
- The amplitude of contralateral DPOAE suppression decreases with ageing. (en)
- Spatial Hearing Advantage continues to increase through childhood and into adulthood. It then begins to decrease again during the fourth decade. (en)
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| - Ascendin_lisn_scores.png (en)
- Cc atrophy.jpg (en)
- Contralateral DPOAE suppression.png (en)
- LEA rightinhib.png (en)
- REA leftinhib.png (en)
- Right ear advantage - children.png (en)
- Temp_title.png (en)
- total advantage dB.jpg (en)
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| - يشير مصطلح فقد السمع المكاني إلى شكل من أشكال الصمم يتمثل بالعجز على استخدام الأدلة المكانية التي تشير إلى مكان صدور الصوت في الفراغ المحيط. يؤثر هذا الاضطراب بدوره على قدرة الشخص على فهم الكلام بوجود ضجيج محيط. يواجه المصابون بفقد السمع المكاني صعوبات عند معالجة الكلام الذي يصل إليهم من اتجاه ما مع فلترة ’الضجيج’ المحيطي القادم من الاتجاهات الأخرى في الوقت ذاته. أظهرت الدراسات أن فقد السمع المكاني يقع في مقدمة أسباب اضطراب المعالجة السمعية المركزي (سي إيه بي دي) لدى الأطفال. يعاني الأطفال المصابون بفقد السمع المكاني عادة من صعوبات في فهم الكلام عند الوجود في مكان مزدحم مثل الفصول الدراسية. يُلاحظ فقد السمع المكاني لدى معظم الأشخاص الذين تجاوزوا السبعين من العمر، كما قد يكون في بعض الأحيان مستقلًا عن الأنماط الأخرى من فقد السمع الناتج عن الشيخوخة. كما هو الحال في صمم الشيخوخة، يتغير فقد السمع المكاني مع العمر. عبر الطفولة وصولًا إلى سن البلوغ، يُمكن النظر إليه باعتباره اكتساب السمع المكاني (إذ يصبح سماع الكلام وسط الضجيج أسهل)، أما لاحقًا ومع الوصول إلى منتصف العمر وما بعده يبدأ فقد السمع المكاني (إذ يصبح التقاط صوت الحديث وسط الضجيج أصعب مع العمر). يتمكن الشخص من تحديد مكان الموجات الصوتية القادمة من اليمين أو اليسار (المستوى الأفقي) بشكل أساسي من خلال الفوارق الزمنية البسيطة لوصول التنبيه الصوتي ذاته إلى الأذنين. يُسمع الصوت القادم من أمام الرأس مباشرة في الأذنين خلال الوقت ذاته. يُسمع الصوت القادم من جانب الرأس في الأذن القريبة قبل نحو 0.0005 ثانية من الأذن البعيدة. يُسمع الصوت الواقع في منتصف المسافة إلى الجانب في الأذن القريبة قبل نحو 0.0003 ثانية من الأذن البعيدة. يُعرف هذا التأثير باسم دليل الفارق الزمني بين الأذنين (آي تي دي)، ويُقاس من خلال معالجة الإشارات في كل من السبيلين السمعيين المركزيين اللذين يبدأ كل منهما من القوقعة ويعبر جذع الدماغ والدماغ المتوسط. يعاني بعض المصابين بفقد السمع المكاني من فقدان القدرة على معالجة أدلة الفارق الزمني بين الأذنين (عند الترددات المنخفضة). يتمكن الشخص من تحديد مكان الموجات الصوتية القادمة من الأسفل أو الأعلى أو خلف الرأس (المستوى العمودي) من خلال معالجة الإشارة في السبيلين السمعيين المركزيين. لكن الاستدلال في هذه الحالة يعتمد على القمم (الذرا) التي تُضاف إلى الصوت القادم إلى الأذنين من خلال الشكل المعقد لصيوان الأذن. تُضاف ذرا مختلفة للموجة الصوتية القادمة من الأسفل مقارنة بالأمواج القادمة من الأعلى أو من الخلف. تُضاف أكثر الذرا وضوحًا إلى الأصوات التي يتراوح ترددها بين 4 كيلوهرتز و10 كيلوهرتز. يعاني بعض المصابين بفقد السمع المكاني من فقدان القدرة على معالجة الأدلة المرتبطة بالصيوان (عند الترددات العالية). (ar)
- Spatial hearing loss refers to a form of deafness that is an inability to use spatial cues about where a sound originates from in space. This in turn affects the ability to understand speech in the presence of background noise. People with spatial hearing loss have difficulty processing speech that arrives from one direction while simultaneously filtering out 'noise' arriving from other directions. Research has shown spatial hearing loss to be a leading cause of central auditory processing disorder (CAPD) in children. Children with spatial hearing loss commonly present with difficulties understanding speech in the classroom. Spatial hearing loss is found in most people over 70 years of age, and can sometimes be independent of other types of age related hearing loss. As with presbycusis, spatial hearing loss varies with age. Through childhood and into adulthood it can be viewed as spatial hearing gain (with it becoming easier to hear speech in noise), and then with middle age and beyond the spatial hearing loss begins (with it becoming harder again to hear speech in noise). Sound streams arriving from the left or right (the horizontal plane) are localised primarily by the small time differences of the same sound arriving at the two ears. A sound straight in front of the head is heard at the same time by both ears. A sound to the side of the head is heard approximately 0.0005 seconds later by the ear furthest away. A sound halfway to one side is heard approximately 0.0003 seconds later. This is the interaural time difference (ITD) cue and is measured by signal processing in the two central auditory pathways that begin after the cochlea and pass through the brainstem and mid-brain. Some of those with spatial hearing loss are unable to process ITD (low frequency) cues. Sound streams arriving from below the head, above the head, and over behind the head (the vertical plane) are localised again by signal processing in the central auditory pathways. The cues this time however are the notches/peaks that are added to the sound arriving at the ears by the complex shapes of the pinna. Different notches/peaks are added to sounds coming from below compared to sounds coming from above, and compared to sounds coming from behind. The most significant notches are added to sounds in the 4 kHz to 10 kHz range. Some of those with spatial hearing loss are unable to process pinna related (high frequency) cues. By the time sound stream representations reach the end of the auditory pathways brainstem inhibition processing ensures that the right pathway is solely responsible for the left ear sounds and the left pathway is solely responsible for the right ear sounds. It is then the responsibility of the auditory cortex (AC) of the right hemisphere (on its own) to map the whole auditory scene. Information about the right auditory hemifield joins with the information about the left hemifield once it has passed through the corpus callosum (CC) - the brain white matter that connects homologous regions of the left and right hemispheres. Some of those with spatial hearing loss are unable to integrate the auditory representations of the left and right hemifields, and consequently are unable to maintain any representation of auditory space. An auditory space representation enables attention to be given (conscious top-down driven) to a single auditory stream. A gain mechanism can be employed involving the enhancement of the speech stream, and the suppression of any other speech streams and any noise streams. An inhibition mechanism can be employed involving the variable suppression of outputs from the two cochlea. Some of those with spatial hearing loss are unable to suppress unwanted cochlea output. Those individuals with spatial hearing loss are not able to accurately perceive the directions different sound streams are coming from and their hearing is no longer 3-dimensional (3D). Sound streams from the rear may appear to come from the front instead. Sound streams from the left or right may appear to come from the front. The gain mechanism can not be used to enhance the speech stream of interest from all other sound streams. Those with spatial hearing loss need target speech to be raised by typically more than 10 dB when listening to speech in a background noise compared to those with no spatial hearing loss. Spatial hearing ability normally begins to develop in early childhood, and then continues to develop into early adulthood. After the age of 50 years spatial hearing ability begins to decline. Both peripheral hearing and central auditory pathway problems can interfere with early development. With some individuals, for a range of different reasons, maturation of the two ear spatial hearing ability may simply never happen. For example, prolonged episodes of ear infections such as “glue ear” are likely to significantly hinder its development. (en)
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