I. BIRUNI INTERNATIONAL HEALTH SCIENCES CONGRESS, İstanbul, Türkiye, 23 - 24 Mayıs 2025, cilt.36, sa.12, ss.1-66, (Özet Bildiri)
OP12
Perrault Syndrome – A Rare Genetic Disorder with
Audiological and Neurological Implications
Berna Hoşgör¹, Ayça Ödemişlioğlu Aydın¹, Hande Evin
Eskicioğlu1,2, Serpil Mungan Durankaya2,3, Yüksel Olgun4,
Günay Kırkım2,3
¹Dokuz Eylül University, Institute of Health Sciences, Department of
Audiology, İzmir, Türkiye
²Dokuz Eylül University, Vocational School of Health Services,
Department of Medical Services and Techniques, Audiometry Program,
İzmir, Türkiye
³Dokuz Eylül University, Hearing, Speech and Balance Unit, İzmir,
Türkiye
4Dokuz Eylül University, Faculty of Medicine, Department of
Otorhinolaryngology, İzmir, Türkiye
Purpose: Perrault syndrome is a rare autosomal recessive
disorder that can present with ovarian dysgenesis, sensorineural
hearing loss and neurological symptoms. This case presents the
diagnosis and treatment management of a 5-year-old girl with a
rare syndrome. It emphasizes the importance of an appropriate
clinical approach and interdisciplinary collaboration between
different specialties for rare conditions such as Perrault
syndrome, in which hearing loss is also observed.
Case: At the age of 3, the patient was diagnosed at an external
center with bilateral sensorineural hearing loss and was
recommended hearing aids. However, due to inconsistent use
of the hearing aids, she presented to our clinic. An audiological
evaluation was performed using both objective and subjective
tests. In the Auditory Brainstem Response (ABR) test, no
response was obtained to click stimuli with alternating polarity
at maximum intensity. Prolonged cochlear microphonics
reversing in rarefaction and condensation polarities were
observed. Pure-tone audiometry revealed bilateral severe
sensorineural hearing loss. Cortical responses were recorded at
65 dB SPL and 75 dB SPL with hearing aids, while no responses
were observed without hearing aids. The patient’s hearing aids
were adjusted, and aided rehabilitation was continued. Since
sufficient amplification could not be achieved with the hearing
aids, the patient was included in the cochlear implantation
program. However, the family declined the implantation.
Conclusion: In syndromes where hearing loss develops over
time, collaboration between the disciplines of neurology,
genetics, and audiology is critically important for the diagnosis
and rehabilitation of hearing loss.
Keywords: Audiology, Genetic Disorder, Hearing Loss, Perrault
Syndrome