Sammons Vanessa J, Jacobson Erica, Lawson John
Department of Neurosurgery, Sydney Children's Hospital, Sydney, Australia.
J Neurosurg Pediatr. 2009 Oct;4(4):394-6. doi: 10.3171/2009.4.PEDS09103.
The authors present a pediatric patient with severe hearing loss due to communicating hydrocephalus. This is the first clearly documented case of de novo sensorineural deafness caused by hydrocephalus, with subsequent improvement in hearing after shunt insertion. The patient initially presented with otitis media and was found to have hearing loss. After reporting ongoing headaches, he received a diagnosis of communicating hydrocephalus, which was treated with the insertion of a ventriculoperitoneal shunt. Formal hearing tests showed dramatic improvement postsurgery; his hearing was normal at 2 months. At 3 years postsurgery the patient's hearing remains within normal limits. Hearing loss is a rare complication of hydrocephalus. Based on this case, the authors suggest that the diagnosis of hydrocephalus be considered as a cause of unexplained hearing loss, and conversely, that patients with hydrocephalus might benefit from hearing assessment.
作者报告了一名因交通性脑积水导致严重听力损失的儿科患者。这是首例有明确记录的由脑积水引起的新发感音神经性耳聋病例，在插入分流管后听力随后得到改善。该患者最初表现为中耳炎并被发现有听力损失。在报告持续头痛后，他被诊断为交通性脑积水，并通过插入脑室腹腔分流管进行治疗。正规听力测试显示术后听力有显著改善；2个月时听力正常。术后3年患者听力仍在正常范围内。听力损失是脑积水的一种罕见并发症。基于此病例，作者建议将脑积水诊断考虑为不明原因听力损失的一个病因，反之，脑积水患者可能会从听力评估中受益。
