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Improvement of non-syndromic Hearing Loss After Treatment of High Cerebrospinal Fluid Pressure. A Case Report
(JOURNAL NEUROLOGICAL SCIENCES, 2011) Karabagli, Hakan; Duru, Soner; Imer, Murat; Apuhan, Tayfun
We report a newborn male with hydrocephalus that clinically improved hearing loss after the shunt and also endoscopic procedures. These changes were also documented with audiograms. A newborn 4-month-old male presented with non-syndromic bilateral hearing loss with hydrocephalus. In an attempt to improve his hydrocephalus he underwent two operations; first endoscopic third ventriculostomy, and then ventriculo-peritoneal shunt. After 10 months, his magnetic resonance images displayed double compartment hydrocephalus and shunt malfunction. The otologic work-up revealed sensorineural hearing loss. Therefore, endoscopic the compartments fenestration and catheter placement into the compartments and connection with ventriculo-peritoneal shunt was performed. After the third procedure, he had a significant improvement in intracranial pressure findings and hearing clinically. These changes were documented with audiograms. Non-syndromic hearing loss with hydrocephalus may be treatable by improvement of high cerebrospinal fluid pressure level, if the hearing loss is reversible period. The effect of cerebrospinal pressure levels on intra-cochlear fluid pressure and hearing is briefly discussed.