Cochlear implantation in a patient with atypical Cogan's syndrome complicated with hypertrophic cranial pachymeningitis

Cochlear implantation in a patient with atypical Cogan's syndrome complicated with hypertrophic cranial pachymeningitis
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DOI:
10.1016/j.anl.2010.04.005
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发表时间:
2010-12-01
期刊:
影响因子:
1.7
通讯作者:
Yamasoba, Tatsuya
Yamasoba, Tatsuya
中科院分区:
医学3区
文献类型:
--
作者:
Kawamura, Sayaka;Sakamoto, Takashi;Yamasoba, Tatsuya

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一名 55 岁女性患有双侧感音神经性听力损失 (SNHL)、眩晕、葡萄膜炎和与科根综合征 (CS) 相关的主动脉炎。她有李斯特菌脑膜炎和肥厚性颅脑硬脑膜炎 (HCP) 病史,这两种疾病都被认为与 SNHL 进展有关。尽管使用皮质类固醇和甲氨蝶呤 (MTX) 进行治疗,但一年内她仍出现双侧重度耳聋。她的左耳接受了人工耳蜗植入术(CI)。虽然耳蜗左右基转已骨化,但所有电极均成功插入,随后将耳蜗基转下段钻出。患者术后未出现任何并发症,言语感知良好。 (C) 2010 Elsevier Ireland Ltd. 保留所有权利。
A 55-year-old woman had bilateral sensorineural hearing loss (SNHL), vertigo, uveitis, and aortitis associated with Cogan's syndrome (CS). She had a history of listeria meningitis and hypertrophic cranial pachymeningitis (HCP), both of which were considered to be related to SNHL progression. She developed bilateral profound deafness within I year, despite medical treatment with corticosteroids and methotrexate (MTX). She underwent cochlear implantation (CI) of the left ear. Although the left and right basal turns of the cochleae were ossified, all electrodes were successfully inserted, and subsequently the inferior segment of the basal turn was drilled out. The patient did not have any postoperative complications and showed good speech perception. (C) 2010 Elsevier Ireland Ltd. All rights reserved.