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Learning disability in children with postmeningitic cochlear implants

J E Isaacson1, M S Hasenstab, D L Wohl

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, USA.

Archives of Otolaryngology--Head & Neck Surgery
|September 1, 1996
PubMed
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Children with learning disabilities who receive cochlear implants show slower auditory and language development. Learning disability does not preclude cochlear implantation but requires careful expectation management.

Area of Science:

  • Pediatric audiology
  • Neuroscience
  • Developmental pediatrics

Background:

  • Meningitis can lead to hearing loss requiring cochlear implantation in children.
  • Learning disabilities can impact developmental trajectories in children with hearing loss.

Purpose of the Study:

  • To investigate the impact of learning disability on auditory perception, receptive language, and sequential organization in children with postmeningitic cochlear implants.

Main Methods:

  • Retrospective study of 10 pediatric patients with cochlear implants (5 with learning disability).
  • Analysis of performance on a pediatric cochlear implant test battery.
  • Follow-up duration ranged from 12 months to 7 years.

Main Results:

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  • Children with learning disability demonstrated slower progress and greater variability in test performance.
  • Lower overall test scores were observed in children with learning disability compared to peers without learning disability.

    • Conclusions:

    • Learning disability is not a contraindication for cochlear implantation in children with postmeningitic hearing loss.
    • Preoperative counseling is crucial for families and support staff regarding realistic expectations and outcomes for these children.