% ▁( V ign esh , ▁J aya , ▁& ▁Mur ale ed har an ▁ 2 0 1 6 ). ▁These ▁high - ris k ▁factors ▁are : ▁hy po x ia , ▁low ▁birth ▁weight , ▁prem ature ▁birth , ▁hyper bil ir ub in emia , ▁j au nd ice , ▁and ▁am in og ly cos ide ▁ant ib i otic ▁treat ments ▁( N ID CD , ▁ 2 0 1 8 ). ▁ ▁Possible ▁sites ▁of ▁les ion ▁▁ ▁Based ▁on ▁clin ical ▁testing ▁of ▁subjects ▁with ▁aud itory ▁ne urop ath y , ▁the ▁dis ruption ▁in ▁the ▁stream ▁of ▁sound ▁information ▁has ▁been ▁local ized ▁to ▁one ▁or ▁more ▁of ▁three ▁probable ▁locations : ▁the ▁inner ▁hair ▁cells ▁of ▁the ▁co ch lea , ▁the ▁syn ap se ▁between ▁the ▁inner ▁hair ▁cells ▁and ▁the ▁aud itory ▁n erve , ▁or ▁a ▁les ion ▁of ▁the ▁asc ending ▁aud itory ▁n erve ▁itself . ▁ ▁Di agn osing ▁aud itory ▁ne urop ath y ▁ ▁Di agn osis ▁is ▁possible ▁after ▁a ▁test ▁battery , ▁that ▁must ▁necessarily ▁include ▁the ▁following : ▁the ▁aud itory ▁bra inst em ▁response ▁and ▁o to ac oust ic ▁em issions . ▁Aud itory ▁bra inst em ▁response ▁should ▁be ▁tested ▁with ▁both ▁polar ities ▁( hel ps ▁in ▁ident ifying ▁co ch lear ▁micro phon ics ). ▁ ▁Aud itory ▁Ne urop ath y ▁can ▁be ▁diagn osed ▁with ▁a ▁battery ▁of ▁tests ▁including ▁O to ac oust