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Understand sensory loss Handout 4: What are the main causes of sensory loss? Learning outcome 3, Assessment criteria 3.1, 3.2 An individual may experience a form of sensory loss because of: a congenital defect an inherited disorder an illness an injury. Sensory loss may occur suddenly or can be slow and gradual. Some inviduals are born with sensory losses (due to congenital defects or inherited disorders) whilst others acquire them through illness or injury. It is also possible to be born with some sensory loss and then acquire others at a later stage in life. An individual born with Down’s syndrome, for example, is likely to have some congenital hearing loss but may also develop a problem with their sight or sense of touch as they grow older. Causes of hearing loss Type of cause Hearing loss may result from: Congenital Acquired problems with the in utero (pre-birth) development of the bones or passages of the ear physical damage during birth autoimmune disorders such as autoimmune inner ear disease (AIED) being linked to a condition such as Down’s syndrome. head injury infections of the ear alone: otitis media or inflammation of the middle ear, for example general infection; rubella or German measles, for example progressive ear disease; for example, Ménière’s disease, which also affects balance temporary conditions, but potentially severe if left untreated; hard ear wax or swimmer’s ear, for example environmental causes; heavy smoking or sustained very loud noise, for example reaction to medications damage to the auditory nerves: this can also result in constant ringing or whistling noises in the ear known as tinnitus. Causes of sight loss Type of cause Sight loss may result from Congenital Acquired illnesses contracted during pregnancy: for example, rubella and syphilis some congenital syndromes or diseases trauma to head or eyes during birth. head injury, particularly to the ‘visual area’ at the back of the brain eye injury or internal eye trauma, including detached retina and high pressure within the eye leading to glaucoma brain disease such as a stroke, transient ischaemic attack (a small temporary stroke) or a brain tumour general disease – particularly diabetes, which affects the blood vessels in the eyes; multiple sclerosis; blood pressure problems eye infections; for example, uveitis, which occurs around the eyeball vitamin A deficiency age-related change – particularly AMD (age-related macular degeneration), where central sharp vision starts to be lost but peripheral vision round the edges may remain cataracts.