Borkowski W J, Goldgar D E, Gorga M P, Brookhouser P E, Worthington D W
Boys Town National Institute for Communication Disorders in Children, Omaha, NE 68131.
Pediatr Neurol. 1985 May-Jun;1(3):134-9. doi: 10.1016/0887-8994(85)90052-9.
Auditory brainstem responses were measured in 94 children under 24 months of age immediately following treatment for bacterial meningitis. Evidence of peripheral hearing loss (thresholds of 30 dB HLn or greater) was found in 47% of the patients. In addition, 9% had prolonged interwave latencies, indicating the possible presence of retrocochlear pathology. Other clinical data were examined as well. CSF glucose concentration correlated with both the presence and magnitude of hearing loss (as measured by auditory brainstem responses). Magnitude of hearing loss also was associated with the presence of seizures. Although all children recovering from meningitis should be assessed for hearing loss, those who have had low CSF glucose concentrations and seizures appear to be at high risk.
对94名24个月以下细菌性脑膜炎治疗后立即进行听觉脑干反应测量。47%的患者存在外周听力损失（阈值为30 dB HLn或更高）的证据。此外，9%的患者波间潜伏期延长，提示可能存在蜗后病变。还检查了其他临床数据。脑脊液葡萄糖浓度与听力损失的存在及程度（通过听觉脑干反应测量）相关。听力损失程度也与癫痫发作的存在相关。虽然所有从脑膜炎中康复的儿童都应进行听力损失评估，但脑脊液葡萄糖浓度低和有癫痫发作的儿童似乎风险较高。
