A Clear Guide to Auditory Neuropathy Spectrum Disorder
Dedicated Care for Auditory Neuropathy Spectrum Disorder
Auditory neuropathy spectrum disorder affects how sound signals travel from the inner ear to the brain, so hearing can seem inconsistent, especially in noise. Many people manage well with tailored care. Seek urgent audiovestibular medicine review for sudden hearing change, rapidly worsening understanding, imbalance, neurological signs, or symptoms following illness or injury.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Signal Timing Problems
An Overview of Auditory Neuropathy Spectrum Disorder
Auditory neuropathy spectrum disorder occurs when the inner ear detects sound, but the signals do not transmit or synchronise properly along the auditory nerve. As a result, sound reaches the brain in an unclear or inconsistent way. People may hear sounds but struggle to make sense of speech, particularly in busy or noisy environments.
The condition can appear at birth, during childhood, or later in life, and its impact varies widely. Some individuals notice fluctuating hearing, while others mainly experience poor speech understanding. Auditory neuropathy may occur alone or alongside neurological or genetic conditions. Our accurate assessment focuses on how sound timing and nerve function affect real-world listening.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Auditory Neuropathy Spectrum Disorder
When to Get Checked
Auditory neuropathy spectrum disorder can change how reliably sound is understood, making early review important when symptoms shift or worsen.
You should get assessed if speech becomes suddenly harder to follow, hearing fluctuates noticeably, one ear seems different, balance problems develop, or neurological symptoms appear. A timely review is also needed if changes follow illness or head injury, or if they occur in infants or children with delayed speech, poor sound response, or regression in listening skills.

How We Assess Auditory Neuropathy Spectrum Disorder
At Harley AVM, assessment begins by understanding how listening difficulties show up in everyday situations. We focus on speech clarity, listening effort, hearing fluctuations, and any associated neurological or developmental factors. We also analyse early life history, illness, medication exposure, and changes over time to identify patterns consistent with disrupted auditory nerve signalling.
Testing is selected based on symptoms and may include pure-tone audiometry, speech audiometry, speech-in-noise testing, tympanometry, auditory brainstem response, acoustic reflex threshold assessment, eustachian tube function tests, and otoacoustic emissions. Our senior audiovestibular expert oversees the process, ensuring results are interpreted in relation to nerve function, timing, and real-world listening ability.

Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Auditory Neuropathy Spectrum Disorder
Every Auditory Neuropathy Spectrum Disorder case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.