Related Experiment Video

Updated: May 26, 2026

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
06:54

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation

Published on: August 4, 2023

Does meningitis after cochlear implantation remain a concern in 2011?

Anil K Lalwani1, Noel L Cohen

  • 1Department of Otolaryngology, New York University School of Medicine, New York City, New York, USA.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|December 7, 2011
PubMed
Abstract

Insights

Meningitis following cochlear implantation remains a concern, with vaccination against Streptococcus pneumoniae offering a key preventive strategy. While cases continue, the overall incidence appears to be decreasing.

Area of Science:

  • Otolaryngology
  • Infectious Disease
  • Public Health

Background:

  • Cochlear implantation is a vital auditory restoration technology.
  • Post-implantation meningitis is a rare but serious complication, particularly in pediatric recipients.
  • Since 2002, 283 cases and 30 fatalities have been reported to the CDC.

Purpose of the Study:

  • To track the incidence and trends of meningitis after cochlear implantation.
  • To identify potential etiologic factors and preventive measures for post-implantation meningitis.

Main Methods:

  • Analysis of reported cases from the CDC Database Manufacturer and User Facility Device Experience (MAUDE).
  • Review of potential etiologic factors and the impact of device modifications.
  • Evaluation of preventive strategies, including vaccination.

Main Results:

  • Despite device changes, meningitis cases persist, with approximately 20 new cases annually worldwide.
  • Streptococcus pneumoniae is a primary causative agent.
  • Vaccination against Streptococcus pneumoniae is a powerful preventive tool.

Conclusions:

  • Meningitis following cochlear implantation, while serious, may be diminishing in incidence.
  • Vaccination against Streptococcus pneumoniae is crucial for mitigating this risk.
  • Continued surveillance and preventive strategies are essential.

More Related Videos

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation06:59

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Published on: February 29, 2020

Related Concept Videos

Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...