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Cochlear Implantation in Neurobrucellosis.
Münir Demir Bajin1, Özden Savaş2, Filiz Aslan3
1Department of Otolaryngology, Hacettepe University Hospital, Ankara, Turkey.
Balkan Medical Journal
|March 12, 2016
Summary
Cochlear implantation significantly improved auditory perception and speech intelligibility in a neurobrucellosis patient with profound hearing loss. This intervention offers successful hearing rehabilitation for neurobrucellosis survivors.
Area of Science:
- Neurology
- Otolaryngology
- Infectious Diseases
Background:
- Neurobrucellosis presents diverse neurological complications, including cranial nerve involvement, with the vestibulocochlear nerve affected in 10% of cases.
- Bilateral profound sensorineural hearing loss is a rare but serious complication of neurobrucellosis.
Purpose of the Study:
- To report a case of successful hearing rehabilitation using cochlear implantation in a patient with neurobrucellosis-induced hearing loss.
- To highlight cochlear implantation as a viable treatment option for sensorineural hearing loss following neurobrucellosis.
Main Methods:
- A case report of a 35-year-old female diagnosed with neurobrucellosis who developed profound bilateral sensorineural hearing loss.
- The patient underwent cochlear implantation after successful medical treatment for neurobrucellosis and meningitis.
Main Results:
- Post-cochlear implantation, the patient demonstrated significant improvement in auditory perception, achieving a Categories of Auditory Performance (CAP) score of 5.
- Speech intelligibility showed improvement with a Speech Intelligibility Rating (SIR) score of 3, with ongoing progress.
Conclusions:
- Cochlear implantation is a successful and cost-effective intervention for hearing rehabilitation in adult patients with sensorineural hearing loss post-neurobrucellosis.
- Timely cochlear implantation after neurobrucellosis treatment, especially meningitis, can lead to better postoperative outcomes.
