Resolution of bilateral sensorineural hearing loss following ventriculoperitoneal shunt and literature review.

Abstract:

OBJECTIVE:The purpose of this study is to highlight the relationship between obstructive hydrocephalus, changes in intracranial pressure, and sensorineural hearing loss. METHODS:A case of a 10-month old infant with sensorineural hearing loss secondary to obstructive hydrocephalus is reported. A literature review, with a focus on sensorineural hearing loss in the setting of changes in intracranial pressure, was performed. RESULTS:The authors report the case of a 10-month old infant with metopic and bicoronal craniosynostosis who presented with bilateral moderately severe sensorineural hearing loss after failing newborn hearing screening. Imaging subsequently demonstrated obstructive hydrocephalus, which was treated with the insertion of a VP shunt. The patient had immediate improvement of her hearing post-operatively, with repeat hearing tests showed resolution of her hearing loss. CONCLUSION:Sensorineural hearing loss is a rare complication of hydrocephalus, but changes in intracranial pressure should be considered in the differential diagnosis. We put forth a flow diagram illustrating the hypothesized relationship between intracranial pressures, alterations in the levels of cochlear fluid, and hearing.

authors

Jamshidi A,Glidewell C,Murnick J,Magge S,Reilly BK

doi

10.1016/j.ijporl.2017.06.034

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

141-144

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(17)30293-8

journal_volume

100

pub_type

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