<- Home <- Arhive <- Vol. 21, Issue 1, March 2013

Rom J Leg Med21(1)41-46(2013)
© Romanian Society of Legal Medicine

Hearing assesment of a malingering patient

G. Musat, C. Sarafoleanu, O. Stelea

Abstract: The objective of this paper is to evaluate the various possibilities of assessing patients with alleged hearing impairment. The method used to elaborate this study is literature research and a clinical case presentation. The conclusion of the review is that although the assessment of the malingering patient is not a very frequent situation encountered in the day-today audiology practice, there are special tests that can be performed in order to detect the simulation. These tests are classified in conventional or subjective audiometric tests and objective tests. The objective tests that can be used are: impedancemetry with stapedian reflex testing, otoacustic emissions (OAE), and electrophysiological testing such as: brainstem evoked response audiometry (BERA), Auditory Steady State Response (ASSR), cortical evoked response audiometry (CERA). In the last period of time the conventional audiometry is seldom used, the objective electrophysiological testing being utilized with an increased frequency for detecting malingering.
Keywords: malingering patient, audiology, hearing loss, electrophysiological hearing tests.

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