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How Can Hearing Loss Cause Dementia?
Journal article   Open access   Peer reviewed

How Can Hearing Loss Cause Dementia?

Timothy D Griffiths, Meher Lad, Sukhbinder Kumar, Emma Holmes, Bob McMurray, Eleanor A Maguire, Alexander J Billig and William Sedley
Neuron (Cambridge, Mass.), Vol.108(3), pp.401-412
11/11/2020
DOI: 10.1016/j.neuron.2020.08.003
PMID: 32871106
url
https://doi.org/10.1016/j.neuron.2020.08.003View
Published (Version of record) Open Access

Abstract

Epidemiological studies identify midlife hearing loss as an independent risk factor for dementia, estimated to account for 9% of cases. We evaluate candidate brain bases for this relationship. These bases include a common pathology affecting the ascending auditory pathway and multimodal cortex, depletion of cognitive reserve due to an impoverished listening environment, and the occupation of cognitive resources when listening in difficult conditions. We also put forward an alternate mechanism, drawing on new insights into the role of the medial temporal lobe in auditory cognition. In particular, we consider how aberrant activity in the service of auditory pattern analysis, working memory, and object processing may interact with dementia pathology in people with hearing loss. We highlight how the effect of hearing interventions on dementia depends on the specific mechanism and suggest avenues for work at the molecular, neuronal, and systems levels to pin this down. Griffiths et al. evaluate candidate explanations for the relationship between hearing loss and dementia. As well as considering common pathology, impoverished input, and resource competition, they develop a novel account based on specific interactions between auditory cognition and dementia pathology in the medial temporal lobe.
dementia medial temporal lobe hearing loss Alzheimer disease auditory cognition

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