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Evaluation of hearing loss with auditory brainstem responses in the early and late period of bacterial meningitis in children

Published online by Cambridge University Press:  29 June 2007

İsmail Külahli ,
Mustafa Öztürk ,
Çaǧatay Bilen ,
Sebahattin Cüreoglu ,
Atilla Merhametsiz  and
Nurullah Çaǧil
İsmail Külahli*
Affiliation:
Department of Otolaryngology, University of Erciyes School of Medicine, Kayseri, Turkey.
Mustafa Öztürk
Affiliation:
Department of Paediatrics, University of Erciyes School of Medicine, Kayseri, Turkey.
Çaǧatay Bilen
Affiliation:
Department of Paediatrics, University of Erciyes School of Medicine, Kayseri, Turkey.
Sebahattin Cüreoglu
Affiliation:
Department of Otolaryngology, University of Erciyes School of Medicine, Kayseri, Turkey.
Atilla Merhametsiz
Affiliation:
Department of Otolaryngology, University of Erciyes School of Medicine, Kayseri, Turkey.
Nurullah Çaǧil
Affiliation:
Department of Ophthalmology, University of Erciyes School of Medicine, Kayseri, Turkey.
*
İsmail Külahli, Erciyes Universitesi Tip Fakültesi, K. B. B. Anabilim Dalt, 38039-Kayseri, Turkey. Fax: 4375264
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Abstract

The hearing function of 50 children with bacterial meningitis was evaluated at the second and 10th days, and eight weeks after admission with auditory brain system responses (ABR) to investigate whether meningitis causes hearing loss. Normal values were obtained in all tests from both ears of 24 patients (48 per cent). Twelve patients (24 per cent) had temporary, and seven (14 per cent) patients had persistent mild degree hearing loss. Severe hearing loss was detected bilaterally in five (10 per cent) patients and unilaterally in two (four per cent) patients. Patients with other complications such as subdural effusion, convulsion, brain oedema and paralysis were found to have a higher incidence of hearing loss. We observed that patients treated with dexamethasone had 7.7 per cent persistent hearing loss, 11.6 per cent mild hearing loss, 34.6 per cent transient hearing loss, but in the group who did not receive dexamethasone there was 19.2 per cent persistent hearing loss, 15.3 per cent mild hearing loss and 11.6 per cent transient hearing loss. There were other signficant differences between the two groups in restoration of normal body temperature, the CSF/plasma glucose concentration ratio was elevated, CSF (cerebro-spinal fluid) protein concentration was decreased and the cell count in the CSF was decreased in the dexamethasone group, significantly more than the group who were not receiving dexamethasone. The hearing loss tended to be more frequent among younger children.

Keywords

Evoked potentialsauditorybrainstemHearing losssensorineuralMengingitisbacterialDexamethasone
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 3 , March 1997 , pp. 223 - 227
Copyright
Copyright © JLO (1984) Limited 1997

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References

Baldwin, R. L., Sweitzer, R. S., Freind, D. B. (1985) Meningitis and sensorineural hearing loss. Laryngoscope 95: 802–805.CrossRefGoogle ScholarPubMed
Bhatt, S., Halpin, C., Hsu, W., Thedinger, B. A., Levine, R. A., Tuomanen, E., Nadol, J. B. (1991) Hearing loss and pneumococcal meningitis: An animal model. Laryngoscope 101: 1285–1292.CrossRefGoogle ScholarPubMed
Bhatt, S. M., Lauretano, A., Cabellos, C., Halpin, C., Levine, R. A., Xu, W. Z., Nadol, J. B., Tuomanen, E. (1993) Progression of hearing loss in experimental pneumococcal meningitis: Correlation with cerebrospinal fluid cytochemistry. Journal of Infectious Diseases 167: 675–683.CrossRefGoogle ScholarPubMed
Brookhouser, P. E., Auslander, M. C., Meskan, M. E. (1988) The pattern and stability of postmeningitic hearing loss in children. Laryngoscope 98: 940–948.CrossRefGoogle ScholarPubMed
Cohen, B. A., Schenk, V. A., Sweeney, D. B. (1988) Meningitis-related hearing loss evaluated with evoked potentials. Pediatric Neurology 4: 18–22.CrossRefGoogle ScholarPubMed
Cooper, R. F. III, Bagwell, C., Smith, T. B. (1987) Hearing loss in pediatric meningitis. American Family Physician 35: 133–138.Google ScholarPubMed
Dodge, P. R., Davis, H., Feigin, R. D., Holmes, S. J., Kaplan, S. L., Jubelirer, D. P., Stechenberg, B. W., Hirsh, S. K. (1984) Prospective evaluation of hearing impairment as a sequelae of acute bacterial meningitis. New England Journal of Medicine 311: 869–874.CrossRefGoogle ScholarPubMed
Fortnum, H. M., Hull, D. (1992) Is hearing assessed after bacterial meningitis? Archives of Disease in Childhood 67: 1111–1112.CrossRefGoogle ScholarPubMed
Fortnum, H. M. (1992) Hearing impairment after bacterial meningitis: a review. Archives of Disease in Childhood 67: 1128–1133.CrossRefGoogle ScholarPubMed
Fortnum, H., Davis, A. (1993) Hearing impairment in children after bacterial meningitis: incidence and resource implications. British Journal of Audiology 27: 43–52.CrossRefGoogle ScholarPubMed
Guiscafre, H., Benitez-Diaz, L., Martinez, M. C., Munoz, O. (1984) Reversible hearing loss after meningitis prospective assessment using auditory evoked responses. Annals of Otology, Rhinology and Laryngology 93: 229–232.CrossRefGoogle ScholarPubMed
Harada, T., Semba, T., Suzuki, M., Kikuchi, S., Murofushi, T. (1988) Audiological characteristics of hearing loss following meningitis. Acta Otolaryngologica (Stockholm) 456: 61–67.CrossRefGoogle ScholarPubMed
Hasanoğlu, A., Yürümez, A. (1988) Kliniğmizde izlediğmiz menenjit vakalarinda geç nörolojik komplikasyonlar. Erciyes Tip Dergisi 10: 301–307.Google Scholar
Jiang, Z. D., Liu, X. Y., Wu, Y. Y., Zheng, M. S., Liu, H. C. (1990) Long-term impairments of brain and auditory functions of children recovered from purulent meningitis. Developmental Medicine and Child Neurology 32: 473–480.CrossRefGoogle ScholarPubMed
Kaplan, S. L., Catlin, F. I., Weaver, T., Feigin, R. D. (1984) Onset of hearing loss in children with bacterial meningitis. Pediatrics 73 (5): 575–578.CrossRefGoogle ScholarPubMed
Kotagal, S., Rosenberg, C., Rudd, D., Dunkle, L. M., Horenstein, S. (1981) Auditory evoked potentials in bacterial meningitis. Archives of Neurology 38: 693–695.CrossRefGoogle ScholarPubMed
MacDonald, J. T., Feinstein, S. (1984) Hearing loss following Hemophilus influenzae meningitis in infancy (Diagnosis by evoked response audiometry). Archives of Neurology 41: 1058–1059.CrossRefGoogle ScholarPubMed
Munoz, O., Benitez-Diaz, L., Martinez, M. C., Benitez, L. (1983) Hearing loss after Hemophilus influenzae meningitis. Follow-up study with auditory brainstem potentials. Annals of Otology, Rhinology and Laryngology 92: 272–275.CrossRefGoogle ScholarPubMed
Özdamar, O., Kraus, N. (1983) Auditory brain stem response in infants recovering from bacterial meningitis: Neurologic assessment. Archives of Neurology 40: 499–502.CrossRefGoogle Scholar
Schaad, U. B., Gnehm, H. E. (1993) Dexamethasone therapy for bacterial meningitis in children. Lancet 342: 457–461.CrossRefGoogle ScholarPubMed
Schönfeld, H., Helwig, H. (1992) Dexamethasone therapy for bacterial meningitis. Antibiotics and Chemotherapy 45: 169–183.Google Scholar
Smyth, V., O'Connell, B., Pitt, R., O'Callaghan, M., Scott, J. (1988) Audiological management in the recovery phase of bacterial meningitis. International Journal of Pediatric Otorhinolaryngology 15: 79–86.CrossRefGoogle ScholarPubMed
Yavuz, H., Yondemli, F., Ozel, A., Erkul, I. (1992) Menenjit geçiren çocuklarda işitme kaybinin araştirlmasi. Türk Otolarengoloji Arşivi 30: 5–9.Google Scholar