Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, April 14, 2026

Treating Hearing Loss Could Halt Dementia

Let's see how long your competent? doctor has known about this and created a protocol for testing and implementation. OH NO, NOTHING EXISTS BECAUSE INCOMPETENCE! And yet your doctor still gets paid.

  • hearing loss (19 posts to February 2013) Impressive incompetence there; 13 plus years!

 

Treating Hearing Loss Could Halt Dementia

Summary: Can a simple ear surgery protect your memory? A major new study suggests the answer is yes.

By analyzing data from over 363,000 participants in the NIH’s All of Us Research Program, researchers discovered that two treatable middle ear conditions, eardrum perforations and cholesteatoma (abnormal skin growth), are linked to nearly double the odds of developing dementia. Crucially, the study found that when these conditions were treated with surgery or hearing aids, the elevated dementia risk significantly decreased or disappeared entirely.

Key Findings

  • The Risk Factor: Participants with a perforated eardrum had twice the odds of dementia, while those with cholesteatoma had nearly double the risk compared to those with healthy hearing.
  • The “Cure” for Cognitive Risk: For those with cholesteatoma, surgical treatment made the association with dementia nonsignificant, effectively “resetting” the risk profile to that of a healthy individual.
  • Hearing Aids as a Shield: Using hearing aids also reduced the dementia link for both conditions, reinforcing the theory that keeping the brain “plugged in” to sound is vital for cognitive health.
  • A Targeted Exception: Otosclerosis (a bone-related middle ear condition) was not significantly linked to dementia in this specific study, suggesting that certain types of hearing loss may impact the brain differently.

Source: AAO

A new study published in Otolaryngology–Head and Neck Surgery, the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF), finds that two common and treatable causes of conductive hearing loss—eardrum perforations and cholesteatoma, a type of abnormal skin growth in the middle ear—are associated with higher odds of dementia.

Notably, the study also found that treatment, whether through surgery or hearing aids, was associated with a reduction in that elevated risk.

The findings, first presented at the AAO-HNSF 2025 Annual Meeting & OTO EXPO in Indianapolis, Indiana, add to a growing body of evidence linking hearing loss to cognitive decline and raise an important question: if the underlying cause of hearing loss is treatable, could treating it help protect the brain?

“We have known for some time that untreated hearing loss is related to worse cognition in adults. This study shows that specific forms of surgically addressable hearing loss are also adversely related to cognition.

“But what is most exciting is that treatment with routine surgery may improve both the hearing and possibly reduce the risk of dementia,” said Justin S. Golub, MD, MS, corresponding author on the paper from the Department of Otolaryngology–Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian/Columbia University Irving Medical Center.

Researchers at Columbia University and the University of Utah analyzed data from more than 363,000 participants in the All of Us Research Program, a large and diverse national health dataset sponsored by the National Institutes of Health.

They found that participants with eardrum perforations had more than twice the odds of dementia compared to those without, and those with cholesteatoma had nearly twice the odds. Otosclerosis, a condition affecting the bones of the middle ear, was not significantly associated with dementia in this study.

Importantly, when surgical treatment was accounted for in the analysis, the association between cholesteatoma and dementia became nonsignificant. Treatment with hearing aids also reduced the association for both conditions, suggesting that restoring hearing, whether through surgery or devices, may play a meaningful role in lowering dementia risk.

Key Questions Answered:

Q: How can a hole in my eardrum possibly affect my brain?

A: It’s all about “cognitive load.” When you have conductive hearing loss, your brain has to work much harder to decode sound. This extra effort “steals” resources from other functions like memory. Additionally, social isolation caused by poor hearing can lead to brain atrophy.

Q: If I get surgery to fix my hearing, is the dementia risk gone?

A: The study found that for cholesteatoma, surgery made the dementia risk “nonsignificant.” While it’s not a 100% guarantee, restoring the physical pathway for sound appears to be one of the most effective ways to lower the biological risk associated with hearing loss.

Q: What if I have hearing loss but don’t want surgery?

A: Good news: the study found that hearing aids were also associated with a reduction in dementia risk. The key is simply restoring the flow of auditory information to the brain, whether through a device or a surgical fix.

Editorial Notes:

  • This article was edited by a Neuroscience News editor.
  • Journal paper reviewed in full.
  • Additional context added by our staff.

About this dementia and auditory neuroscience research news

Author: Tina Maggio
Source: AAO
Contact: Tina Maggio – AAO
Image: The image is credited to Neuroscience News

Original Research: Closed access.
Conductive Hearing Loss Pathologies are Associated With Dementia in the All of Us Research Program” by Powell, S.D., Weinstein, H.N.W., Tucker, L.H., Denham, M.W., Gurgel, R.K. and Golub, J.S. Otolaryngology – Head and Neck Surgery
DOI:10.1002/ohn.70152

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