All of a sudden no sound - please help

Hi,
I'm running Vista Ultimate 64-bit version with a X-Fi Titanium Fatalty Pro card and all of a sudden I noticed I don't have any sound coming from my speakers anymore and when I in iTune for example press the play button to play a song the play button changes to a pause button indicating the play button has been pressed but I don't get any sound and the time counter showing where in the song I am is not moving but just stays at 0 seconds into the song. When I press the pause button it returns to a play button again. I haven't changed anything in my system when it comes to drivers etc before this happened, it happened all by itself sort of speak. The only thing I could think of that might have caused this is if some automatic Microsoft updates for Vista 64-bit got installed affecting the Creative drivers for my sound card.
If I go into Vista's?sound settings I see my X-Fi Titanium Fatalty Pro card in there and it is reported to be?working but if I click configure and then press the Test button which normally cycles a tone between my speakers (I have a 5. speaker system) same thing happens as in iTunes ie the play button goes into a stop button indicating?it has been pressed but no sound?is coming from any speaker and then when I press the Stop button it returns to a Test button again. I have also checked in Device Manager for any problems but no exclamation marks or anything else strange in there - everything looks normal.
I have tried re-installing the drivers?but still same problem, I have also tried removing all the Creative drivers all together running in Safe Mode in Vista and then reinstall them once again but still no go. The only way for me to get sound from my X-Fi Titanium Fatalty Pro card right now is by unstalling the Creative drivers and instead use Windows Vista's built-in drivers identifying the sound card as a 'High definition audio device' and this way the sound is working just fine with sound coming from all speakers. Of course I could stay with using Vista's default driver since this is working but it would still be nice to be able to use the real Creative drivers for my card and I by not using them I guess I'm also missing lots of other functionality I get with using the real Creative software and drivers.
Anyone else seen this or has a clue what might be wrong?here?
Thanks in advance for your input guys!

Sounds similar but still not the same issue I guess because I have the problem regardless what application I'm using, I don't even get the internal Windows sounds when I have the Creative drivers installed.
Feels strange not more people have the same problem if it's caused by a Microsoft update so maybe that's not the case after all...can't understand though what might have caused it if not that?since I haven't done anything to my computer's config lately and this problem with the sound happened from one day to the other...hmm...

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