How Long After Neonatal Meningitis Should An Infant Have a Hearing Screening?

Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensoryneuronal or conductive), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss> 90 dB. A differential diagnosis of hearing loss can be found here. Learning Point After bacterial meningitis children should be screened for potential hearing loss. Data supports that screening in the hospital is effective. Many children can be identified at that time. Screening if not done while inpatient should be done soon – usually within days/weeks of discharge. Additional screening using validated child development screening should also be completed and are recommended by the American Academy of Pediatrics. Additional formal screening to identify late sequelae of bacterial meningitis or as a consequence of ototoxic drug exposure probably should occur at some interval, but the author was unable to identify an exact timing. Discussion with a pediatrician who is also a hearing screening expert felt that if one hearing screening was already normal, then a followup evaluation at 6 months would be appropriate. However, if the initial screening was abnormal then referral to an audiologist and/or otolaryngologist for formal evaluation was necessary and...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Shanshan Zhang1, Dongli Yuan2 and Ge Tan1* 1Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 2The Institute of Medical Information, Chongqing Medical University, Chongqing, China Primary systemic vasculitis can affect every structure in both the central and peripheral nervous system, causing varied neurological manifestations of neurological dysfunction. Early recognition of the underlying causes of the neurological symptoms can facilitate timely treatment and improve the prognosis. This review highlights the clinical manifestations of primary systemic vasc...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
J Neurol Surg B DOI: 10.1055/s-0039-1679891An auditory brainstem implant (ABI) is a surgically implanted central neural auditory prosthesis for the treatment of profound sensorineural hearing loss in children and adults who are not cochlear implant candidates due to a lack of anatomically intact cochlear nerves or implantable cochleae. The device consists of a multielectrode surface array which is placed within the lateral recess of the fourth ventricle along the brainstem and directly stimulates the cochlear nucleus, thereby bypassing the peripheral auditory system. In the United States, candidacy criteria for ABI include...
Source: Journal of Neurological Surgery Part B: Skull Base - Category: Neurosurgery Authors: Tags: Invited Review Source Type: research
Ben Farrimond, 13, wears cochlear implants after meningitis left him deaf. The family, of Merseyside, searched for two days. His mother captured the revelation they had been found magical moment.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
The objective of this report is to compare the characteristics of symptoms and differences in the therapeutic responses of them, who had the same mutation. In addition, we aimed to examine the usefulness of cytokine measurement for diagnosis or determination of treatment effect of CAPS. A 5-year-old Japanese boy (proband) came to our hospital because of short stature, reached the diagnosis of Muckle-Wells syndrome (MWS) due to a mutation inNLRP3 gene, which had not been reported so far (p.G328E, c.G983A). His mother and grandmother harbored the same mutation ofNLRP3. We measured serum concentrations of cytokines in the pro...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
Bacterial meningitis can cause a labyrinthitis. Consequences often are intracochlear soft tissue neoformation (cochlear obliteration) or intracochlear osteoneogenesis (cochlear ossification) and deafness. Cochlear implantation becomes challenging and hearing rehabilitation is complicated. This retrospective case-control-study aimed to find correlations between morphologic, electric and functional parameters.
Source: International Journal of Pediatric Otorhinolaryngology - Category: ENT & OMF Authors: Source Type: research
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Source: Otology and Neurotology - Category: ENT & OMF Tags: Pediatric Otology Source Type: research
Abstract Mumps, a common childhood disease in the pre-vaccine era that causes swelling of the parotid salivary glands, can lead to orchitis, viral meningitis, and sensorineural deafness. While the incidence of disease decreased dramatically after the vaccine was added to standard vaccination schedules, the disease has made a substantial resurgence in recent years. As a result, it becomes critical to examine the factors involved in recurring outbreaks. Although low and incomplete vaccination coverage may be a key reason, it does not fully explain the issue due to the high rate of occurrence in populations with high...
Source: Vaccine - Category: Allergy & Immunology Authors: Tags: Vaccine Source Type: research
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Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Brief Clinical Studies Source Type: research
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Source: Journal of the American Academy of Physician Assistants - Category: Primary Care Tags: CME: Infectious Diseases Source Type: research
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Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
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