My understanding is that nobody is entirely clear whether this is permanent or not. Some people have recovered quickly and others are still having lingering effects. Several suffered a concussion, which just doesn't work -- I work for an audio simulation company (think jets and helicopters) and there's just no way audible sound or even infrasound can do this.
OTOH, there is a theory that guided infrasound can do serious tissue damage, which was possibly the cause of Dyatlov Pass[1].
There are numerous drugs that can cause repetitive auditory hallucinations, mild brain injury, and CNS damage. A sufficiently advanced actor could easily try to sophisticate a new substance that would enable this kind of attack without showing up on toxicology screens.