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Case 266.

Chris J Cadman1, Lyndsay Fraser1, Claire McArthur1

  • 1From the Departments of Radiology (C.J.C., C.M.) and Otorhinolaryngology (L.F.), University Hospital Crosshouse, Kilmarnock, Scotland.

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|January 24, 2019
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Summary
This summary is machine-generated.

A 1-year-old boy with bilateral profound sensorineural hearing loss and developmental delay received a cochlear implant. Imaging confirmed suitability for the procedure, leading to successful implantation.

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Area of Science:

  • Pediatric Otolaryngology
  • Neuroimaging
  • Auditory Rehabilitation

Background:

  • A 1-year-old boy presented with bilateral profound sensorineural hearing loss diagnosed neonatally.
  • Conventional hearing aids showed no behavioral response, alongside mild developmental delay.
  • Ophthalmological findings included bilateral anesthetic corneas with abrasions.

Purpose of the Study:

  • To assess the suitability of a 1-year-old boy with profound hearing loss for cochlear implantation.
  • To evaluate the anatomical structures of the temporal bone and brain using advanced imaging techniques.

Main Methods:

  • Magnetic Resonance Imaging (MRI) of the temporal lobe and brain.
  • Thin-section Computed Tomography (CT) of the temporal bones.
  • Auditory brainstem testing was used for initial hearing loss confirmation.

Main Results:

  • MRI and CT scans provided detailed anatomical views of the temporal bone and brain structures.
  • The imaging was crucial in determining the patient's candidacy for cochlear implant surgery.
  • No syndromic features or significant physical abnormalities were noted on examination.

Conclusions:

  • Cochlear implant assessment involved comprehensive neuroimaging (MRI and CT).
  • The patient was deemed a suitable candidate and subsequently underwent left cochlear implantation.
  • This case highlights the role of advanced imaging in pediatric hearing loss management.