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Updated: Mar 20, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
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Reversible hearing loss following cryptococcal meningitis: case study.

W L Neo1, N Durisala2, E C Ho1

  • 1Department of Otolaryngology,Tan Tock Seng Hospital,Singapore.

The Journal of Laryngology and Otology
|May 24, 2016
PubMed
Summary
This summary is machine-generated.

Sensorineural hearing loss from cryptococcal meningitis can significantly improve, unlike hearing loss from bacterial meningitis. This case highlights potential hearing recovery, questioning the immediate need for cochlear implantation in fungal meningitis patients.

Keywords:
AuditoryCentralCochlear ImplantationCryptococcalCryptococcus NeoformansDrug EffectsEvoked PotentialsHearing LossHumansMaleMeningitisOtoacoustic EmissionsSensorineuralSpontaneous

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Audiology

Background:

  • Sensorineural hearing loss is a known complication of cryptococcal meningitis.
  • The mechanisms causing hearing loss in cryptococcal meningitis differ from those in bacterial meningitis.

Observation:

  • A case of an immunocompetent male with cryptococcal meningitis presenting with sudden, bilateral, severe-to-profound sensorineural hearing loss and vestibular dysfunction.
  • Initial evaluation considered cochlear implantation due to the severity of hearing loss.

Findings:

  • The patient experienced significant hearing recovery without surgical intervention or hearing aids.
  • This contrasts with bacterial meningitis, where urgent cochlear implantation is often considered due to labyrinthitis ossificans risk.

Implications:

  • The reversibility of hearing loss in cryptococcal meningitis suggests a different management approach compared to bacterial meningitis.
  • This case underscores the need to reconsider the urgency of cochlear implantation in fungal meningitis-related hearing loss.