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Reversible hearing loss in a patient with cryptococcosis
J M Mayer1, X Chevalier, E Albert
1Department of Neurosurgery, Lariboisière, Paris, France.
Archives of Otolaryngology--Head & Neck Surgery
|August 1, 1990
Abstract:
A 16-year-old girl had hearing loss, paroxysmal tremor, gait disorders, and psychiatric disturbances as the initial manifestations of a cryptococcal meningoencephalitis. Imaging demonstrated an obstructive hydrocephalus, and neuro-otological explorations showed a retrocochlear deafness and diffuse brainstem involvement. Emphasis is on the deafness, which rarely occurs as a presenting symptom in this condition, and on its dramatic improvement following antimycotic therapy.