Low W K
Department of Otolaryngology, Singapore General Hospital, Singapore.
ORL J Otorhinolaryngol Relat Spec. 2002 Jan-Feb;64(1):35-7. doi: 10.1159/000049266.
Cryptococcal meningitis can present to the otologist with hearing loss and vestibular dysfunction. A man with cryptococcal meningitis presenting with bilateral profound sensorineural hearing loss and vestibular dysfunction is described. The difficulty in arriving at the diagnosis and consequences of misdiagnosis are discussed. Histological and clinical studies suggest that the cochlear nerve is likely to be damaged in patients who have deafness associated with this disease. Retrocochlear damage may result in cochlear implantation having a poor outcome.
隐球菌性脑膜炎可使耳科医生遇到听力损失和前庭功能障碍的病例。本文描述了一名患有双侧严重感音神经性听力损失和前庭功能障碍的隐球菌性脑膜炎男性患者。文中讨论了诊断的困难以及误诊的后果。组织学和临床研究表明，患有与该疾病相关耳聋的患者，其耳蜗神经可能受损。蜗后损伤可能导致人工耳蜗植入效果不佳。
