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Table 3 Treatments and outcomes

From: Hyperacusis in children: a scoping review

Study Reference Treatment Outcome
[2] Case 1: WNGs
Case 2: CBT
Case 1: ‘ability to cope was much improved’; case 2: ‘improvement seen two weeks later in resisting troublesome sounds’
[28] Behavioural therapy and Pure Relaxation Therapy Ball for home use 25% had sufficient improvement to permit discharge; 3% required more than three sessions before symptom resolution; 1% were referred back to service; 25% did not attend treatment
[30] Topamax 25 mg tablets Patient reported better tolerance to loud sounds
[31] Counselling Information and coping strategies
[34] TRT Rapid remission of hyperacusis; 75% showed significant improvement after 2–3 months, the rest – after 6 months.
[35] Valproic acid 15 mg/kg alone then combined with risperdone 0.5 mg/day Some improvement; could attend school but remained incapacitataed by sudden and loud sounds
[37] Sodium valproate 600 mg/day and risperdone 0.5 mg/day Improvement on VAS from 10 down to 4 or 5.
[41] Neuro-rehab Vestibular and utri-circular activation; gaze stabilization and macro-saccades; passive complex motion and home exercises to promote neuro-plascticity
[45] Case 1: Counselling and Gingko biloba
Case 2: Gingko biloba and environmental sounds
Case 1: patient reported gradual and stable improvement
Case 2: patient reported stable improvement