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Idiopathic Intracranial Hypertension Presenting as Auditory Neuropathy Hearing Disorder in a Child
Amjad Tobia1,2, Ranin Khayr1, Talma Shpak1
1Department of Otolaryngology-Head and Neck Surgery, Bnai-Zion Medical Center, Haifa, Israel.
Insights
Idiopathic intracranial hypertension (IIH) can cause severe hearing loss in children. Prompt treatment of IIH may reverse this auditory neuropathy, suggesting a potential link.
Area of Science:
- Neurology
- Otolaryngology
- Pediatrics
Background:
- Otologic symptoms are recognized in idiopathic intracranial hypertension (IIH).
- Sensorineural hearing loss (SNHL) in pediatric IIH patients is rarely reported.
- Auditory neuropathy (AN) is a hearing disorder affecting the auditory nerve and brainstem.
Abstract:
Otologic manifestations are known to occur in patients with idiopathic intracranial hypertension (IIH), but the occurrence of sensorineural hearing loss, especially in pediatric populations, has been addressed in only a few reports. Here, we describe a pediatric patient who presented with IIH and severe bilateral hearing loss. The patient's hearing loss was diagnosed as a form of auditory neuropathy (AN) and resolved after prompt treatment of the increased intracranial pressure. This case points to a possible association between IIH and AN and suggests that IIH may potentially be a reversible cause of AN spectrum disorder. Laryngoscope, 129:E407-E411, 2019.
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