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Cochlear implantation of a patient with multiple sclerosis: case report and systematic review

Published online by Cambridge University Press:  15 October 2021

J Routila ,
J O Karhu  and
J Salonen
J Routila*
Affiliation:
Department of Audiology, Turku University Hospital, Turku, Finland Department of Otorhinolaryngology – Head and Neck Surgery, University of Turku, Turku, Finland
J O Karhu
Affiliation:
Department of Radiology, Turku University Hospital, Turku, Finland
J Salonen
Affiliation:
Department of Audiology, Turku University Hospital, Turku, Finland Department of Otorhinolaryngology – Head and Neck Surgery, University of Turku, Turku, Finland
*
Author for correspondence: Mr Johannes Routila, Department of Audiology, Turku University Hospital, Kiinamyllynkatu 4-8, TurkuFI-20521, Finland E-mail: [email protected]
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Abstract

Background

Cochlear implantation can be used when a patient's hearing cannot satisfactorily be improved after optimised hearing aid fitting. However, in patients with a cochlear nerve or brain disorder affecting hearing, the benefits of cochlear implants are not so straightforward.

Methods

This paper describes a 58-year-old patient suffering from multiple sclerosis and profound sensorineural hearing loss, rehabilitated with a cochlear implant. Literature concerning cochlear implantation in demyelinating conditions was systematically reviewed using PubMed/Medline and Web of Science databases.

Results

The patient's cochlear implantation was successful, with speech discrimination scores remaining above 90 per cent for eight years post-operatively. No previous cases of cochlear implantation with multiple sclerosis related hearing loss have been reported, despite the high incidence of hearing loss in multiple sclerosis patients.

Conclusion

This paper demonstrates that multiple sclerosis lesions should not be an exclusion criterion in an otherwise suitable candidate for cochlear implantation.

Keywords

Multiple SclerosisAcoustic TumorHearing LossCochlear ImplantsRehabilitation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 2 , February 2022 , pp. 176 - 180
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Mr J Routila takes responsibility for the integrity of the content of the paper

References

Sonnet, MH, Montaut-Verient, B, Niemier, JY, Hoen, M, Ribeyre, L, Parietti-Winkler, C. Cognitive abilities and quality of life after cochlear implantation in the elderly. Otol Neurotol 2017;38:e296–301CrossRefGoogle ScholarPubMed
Lewis, MS, Lilly, DJ, Hutter, MM, Bourdette, DN, McMillan, GP, Fitzpatrick, MA et al. Audiometric hearing status of individuals with and without multiple sclerosis. J Rehabil Res Dev 2010;47:669–78CrossRefGoogle ScholarPubMed
Daugherty, WT, Lederman, RJ, Nodar, RH, Conomy, JP. Hearing loss in multiple sclerosis. Arch Neurol 1983;40:33–5CrossRefGoogle ScholarPubMed
Tekin, M, Acar, GO, Cam, OH, Hanege, FM. Sudden sensorineural hearing loss in a multiple sclerosis case. North Clin Istanb 2014;1:109–13CrossRefGoogle Scholar
Di Stadio, A, Dipietro, L, Ralli, M, Meneghello, F, Minni, A, Greco, A et al. Sudden hearing loss as an early detector of multiple sclerosis: a systematic review. Eur Rev Med Pharmacol Sci 2018;22:4611–24Google ScholarPubMed
Atula, S, Sinkkonen, ST, Saat, R, Sairanen, T, Atula, T. Association of multiple sclerosis and sudden sensorineural hearing loss. Mult Scler J Exp Transl Clin 2016;2:2055217316652155Google ScholarPubMed
Franklin, DJ, Coker, NJ, Jenkins, HA. Sudden sensorineural hearing loss as a presentation of multiple sclerosis. Arch Otolaryngol Head Neck Surg 1989;115:41–5CrossRefGoogle ScholarPubMed
Shanbhag, J, Vaid, N. Cochlear implantation in a profoundly deaf patient who also suffers from multiple sclerosis--a case study. Cochlear Implants Int 2010;11:117–23CrossRefGoogle Scholar
Mowry, SE, King, S. Cochlear implantation in chronic demyelinating inflammatory polyneuropathy. Cochlear Implants Int 2017;18:116–20CrossRefGoogle ScholarPubMed
Goswamy, J, Bruce, IA, Green, KMJ, O'Driscoll, MP. Cochlear implantation in a patient with sensori-neural deafness secondary to Charcot-Marie-Tooth disease. Cochlear Implants Int 2012;13:184-–7CrossRefGoogle Scholar
Kobayashi, M, Yoshida, T, Sugimoto, S, Teranishi, M, Hara, D, Kimata, Y et al. Cochlear implantation in patient with Charcot-Marie-Tooth disease. Auris Nasus Larynx 2021;48:327–30CrossRefGoogle ScholarPubMed
Matsuda, S, Kaga, K. Charcot-Marie-tooth disease with long-term follow-up on auditory neuropathy--after cochlear implantation or hearing aid use. Otol Neurotol 2021;42:e635–42CrossRefGoogle ScholarPubMed
Pundir, M, Nagarkar, AN, Panda, NK. Intervention strategies in children with cochlear implants having attention deficit hyperactivity disorder. Int J Pediatr Otorhinolaryngol 2007;71:985–8CrossRefGoogle ScholarPubMed
Barot, A, Vishwakarma, R, Mehta, N, Patel, K, Darji, D, Vishwakarma, C. Auditory & verbal outcomes following cochlear implant in patients with demyelinating diseases of brain. Indian J Otol 2018;24:219–22Google Scholar
Dendrou, CA, Fugger, L, Friese, MA. Immunopathology of multiple sclerosis. Nat Rev Immunol 2015;15:545–58CrossRefGoogle ScholarPubMed
Furst, M, Levine, RA. Hearing disorders in multiple sclerosis. Handb Clin Neurol 2015;129:649–65CrossRefGoogle ScholarPubMed
Shallop, JK, Peterson, A, Facer, GW, Fabry, LB, Driscoll, CL. Cochlear implants in five cases of auditory neuropathy: postoperative findings and progress. Laryngoscope 2001;111:555–62CrossRefGoogle ScholarPubMed
Santarelli, R, Rossi, R, Scimemi, P, Cama, E, Valentino, ML, La Morgia, C et al. OPA1-related auditory neuropathy: site of lesion and outcome of cochlear implantation. Brain 2015;138:563–76CrossRefGoogle ScholarPubMed
Mason, JC, De Michele, A, Stevens, C, Ruth, RA, Hashisaki, GT. Cochlear implantation in patients with auditory neuropathy of varied etiologies. Laryngoscope 2003;113:45–9CrossRefGoogle ScholarPubMed
De Leenheer, EM, Dhooge, IJ, Veuillet, E, Lina-Granade, G, Truy, E. Cochlear implantation in 3 adults with auditory neuropathy/auditory dys-synchrony. B-ENT 2008;4:183–91Google ScholarPubMed
Lundin, K, Stillesjö, F, Rask-Andersen, H. Prognostic value of electrically evoked auditory brainstem responses in cochlear implantation. Cochlear Implants Int 2015;16:254–61CrossRefGoogle ScholarPubMed
Stangerup, SE, Caye-Thomasen, P. Epidemiology and natural history of vestibular schwannomas. Otolaryngol Clin North Am 2012;45:257–68CrossRefGoogle ScholarPubMed
Harris, F, Tysome, JR, Donnelly, N, Durie-Gair, J, Crundwell, G, Tam, YC et al. Cochlear implants in the management of hearing loss in neurofibromatosis type 2. Cochlear Implant Int 2017;18:171–9CrossRefGoogle ScholarPubMed
Arístegui, M, Denia, A. Simultaneous cochlear implantation and translabyrinthine removal of vestibular schwannoma in an only hearing ear: report of two cases (neurofibromatosis type 2 and unilateral vestibular schwannoma). Otol Neurotol 2005;26:205–10CrossRefGoogle Scholar