Table 2.
Inheritance | Autosomal recessive (simplex and multiplex cases) |
---|---|
Age of onset | Mostly prelingual (not always congenital), but postlingual onset has also been reported |
Evolution | Mostly stable, but progression has also been documented |
Severity | Mild to profound |
Truncating mutations usually result in more severe phenotypes | |
Audiogram shape | Flat or down-sloping |
Inner ear malformations | Prevalence typically lower than 10% |
Enlarged vestibular aqueduct, Mondini dysplasia | |
Vestibular function | Apparently normal, but a saccular dysfunction may go undetected (it can be revealed by VEMP or caloric testing) |
Cochlear implantation | Good outcomes (improvement of speech perception skills and reading performance). |
Phenotype of carriers | Loss of hearing in frequencies higher than 6 kHz |
Earlier onset of age-related hearing loss |