Central Auditory Disorders

Central Auditory Disorders Treatment in London

Many people experience listening difficulties even when hearing tests appear normal. Problems with sound processing, focus, or understanding speech in noise are common and often manageable. Seek urgent audiovestibular review if symptoms appear suddenly, worsen rapidly, follow a head injury or stroke, or occur with confusion, weakness, visual changes, or new neurological symptoms.

Sound Processing Beyond the Ear

An Overview of Central Auditory Disorders

Central auditory disorders affect how the brain interprets and makes sense of sounds, rather than how sound enters the ear. People with these conditions may hear sounds clearly but struggle to understand speech, especially in noisy settings. Difficulties often involve attention, timing, or recognising subtle differences between sounds.

These disorders can occur at any age and may follow neurological illness, head injury, ageing, or developmental differences. Symptoms vary widely and may overlap with other cognitive or language conditions. Because routine hearing tests can appear normal, specialised audiovestibular assessment helps identify where sound processing breaks down and guides appropriate management.

OUR REVIEW

Trusted by Patients,
Proven by Results

Discover how our expert care has transformed the lives of individuals struggling with hearing and balance issues. These testimonials reflect our unwavering commitment to clinical excellence and patient satisfaction.
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Soydan Osman profile picture
Soydan Osman
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I was seen by audiologist and Dr Arun, they were attentive, caring and took time to listen and adaptations were made throughout the appointment to support my anxiety and claustrophobia. This made a significant difference and genuinely helped me through the audiology testing. I gave an explanation of my current symptoms to Dr Arun he displayed great listening, compassion and understanding. The treatment I received on the day has greatly improved my symptoms, the one reassuring thing is any follow up is required is knowing that I will be in safe hands. I received my clinic letter promptly. After care queries handled by the admin team was exceptional, prompt and helpful. Overall the service was impeccable.
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Diana Granados profile picture
Diana Granados
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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.
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erika thomazi
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Great positive experience!
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Carol Bunyan
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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.
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Ged Robinson profile picture
Ged Robinson
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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.
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Adrian Lowe profile picture
Adrian Lowe
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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!
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Evan profile picture
Evan
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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.
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shahram zarafshan
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Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.
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Vasile Baltac profile picture
Vasile Baltac
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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.

Pinpointing the Cause

Diagnosing Central Auditory Disorders

When to Get Checked

You should get assessed if listening feels effortful despite normal hearing tests, or if you struggle to follow conversations in noise, process rapid speech, or retain spoken information. Ongoing difficulties at work, school, or social settings, especially when they worsen over time, also warrant specialist review.

Seek urgent assessment if symptoms appear suddenly, progress rapidly, or follow a head injury, stroke, or neurological illness. Immediate review is also needed if listening problems occur alongside confusion, weakness, visual changes, severe headaches, or sudden changes in balance or awareness.

Female audiologist conducting a harley street audiovestibular clinic consultation at Harley AVM Harley Street

How We Assess Central Auditory Disorders

Harley AVM assessment begins with dedicated time spent with a senior audiovestibular clinician to explore how listening difficulties affect everyday life. We take a detailed history covering symptom onset, learning or work challenges, attention demands, neurological history, and previous hearing assessments. This helps clarify patterns that routine hearing tests may not capture.

We then carry out structured audiovestibular and listening-based assessments tailored to the individual. These examine how the brain processes sound, speech, and timing rather than ear sensitivity alone. This careful, consultant-led pathway allows us to identify central auditory involvement, provide clear explanations, and recommend appropriate next steps or referrals where needed.

Specialist audiovestibular consultation for bppv at Harley AVM Harley Street
Harley Street AVM clinic reception and waiting area for audiovestibular patients

Major Insurance Providers Accepted

Insurance partner health insurance accepted at Harley AVM (9)
WPA
AXA PPP health insurance accepted at Harley AVM
Cigna
Insurance partner health insurance accepted at Harley AVM (12)
Healix
Bupa
Allianz

DIAGNOSTIC TESTS

Specialist Tests to Assess Hearing, Balance and Inner Ear Health

Harley Street Specialists in Hearing, Dizziness & Balance

Specialist Care for Central Auditory Disorders

Every Central Auditory Disorders 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.

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Take the first step towards better hearing and balance! Schedule your consultation today and experience expert care that truly makes a difference.