METHODS: An immune-competent man with cryptococcal meningitis presented with sudden onset, bilateral, severe to profound sensorineural hearing loss and vestibular dysfunction. He was initially evaluated for cochlear implantation. However, he had a significant recovery; he no longer required surgery and was able to cope without a hearing aid.
CONCLUSIONS: Typically, cochlear implantation is performed with some urgency in patients with hearing loss post-bacterial meningitis, because of the risk of labyrinthitis ossificans. However, this process has not been described in patients with cryptococcal meningitis. Furthermore, patients with hearing loss associated with cryptococcal meningitis have shown varying degrees of reversibility. In this case report, hearing loss from cryptococcal meningitis is compared with that from bacterial meningitis, and the need for cochlear implantation in patients with cryptococcal meningitis is discussed.
方法:一名免疫能干的隐球菌性脑膜炎患者突然发作,双边,严重至严重的感觉神经性听力损失和前庭功能障碍。他最初被评估为人工耳蜗植入。然而,他有一个显著的恢复;他不再需要手术,能够应付没有助听器。
结论:通常,人工耳蜗植入在细菌性脑膜炎后听力损失患者中具有一定的紧迫性,因为骨化性迷路炎的风险。然而,该过程尚未在隐球菌性脑膜炎患者中描述。此外,与隐球菌性脑膜炎相关的听力损失患者表现出不同程度的可逆性.在这个案例报告中,将隐球菌性脑膜炎的听力损失与细菌性脑膜炎的听力损失进行比较,讨论了隐球菌性脑膜炎患者是否需要人工耳蜗植入。