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학습 자료 둘러보기 →Suspect central auditory processing disorder when a patient reports difficulty understanding speech in noise but has normal pure tone thresholds on an audiogram. The hallmark is a discrepancy between intact peripheral sound detection and impaired neural processing.
The most indicative assessment finding is poor speech discrimination in noise. This test challenges the brain's ability to process complex signals, revealing deficits in temporal processing and binaural integration that are not apparent on standard pure tone testing.
Do not confuse central hearing loss with peripheral conditions. Findings like asymmetric sensorineural loss, elevated air conduction thresholds, or conductive patterns on otoscopy indicate cochlear, nerve, or middle ear pathologies, which require different management and referral pathways.
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