Document Type

Capstone Project

Publication Date

Winter 1-4-2024

First Advisor

Antony Joseph, MA, Au.D., Ph.D., ABAC, CCC-A, CPS/A, F-NAP


vestibular, migraine, women, estrogen, menopause, ascending, nonorganic, hearing loss


Communication Sciences and Disorders | Medicine and Health Sciences | Speech Pathology and Audiology


Abstract 1- Introduction: Nonorganic hearing loss is not typically associated with a detectable pathology.Both adults and children can present to the clinic with nonorganic hearing loss. It is often the result of psychosocial stressors and is more common in children, specifically 6 to 19 years old. Case Presentation: An 11-year-old child presented to the clinic with bilateral mild to moderate sensorineural hearing loss, but prior exams showed unilateral hearing loss on the left side. Discussion: Audiologists need to obtain a detailed case history, determine any underlying complications, inquire about additional auditory diagnoses, and employ objective testing to ascertain test reliability. Conclusion: Adolescents may experience psychosocial stressors that influence their audiometric responses. Early intervention is key if nonorganic hearing loss is suspected, and, in most cases, a detailed case history, follow-up, and examination of prior test data is recommended for an accurate diagnosis.

Abstract 2- Introduction: Vestibular migraines are among the most common diagnoses of vertigo in adults.Males and females can both be affected by this condition; however, it is more commonly seen in females. The presentation of symptoms and triggers for vestibular migraine varies among individuals, which contributes to mismanagement of symptoms. Case Presentation: A 33-year- old female presented to the clinic with intermittent vertigo episodes happening seasonally for the past eight years. Discussion: Middle-aged women, especially those within the peri- or post- menopausal stages, are at an increased risk for vestibular disorders, including vestibular migraines. This may be due to sex hormone fluctuations and simultaneously altered neural and vascular pathways correlating with migraines. Conclusion: Vestibular migraines are often misdiagnosed or mismanaged. Physician awareness and further research are critical in determining individualized management plans for both men and women. Women may need increased individualized treatment plans based on menstrual cycle and pathophysiological differences.