The prognosis of hearing impairment complicating HIV-negative cryptococcal meningitis.
case_series · Level IV
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Abstract
Eight patients who had sensorineural hearing loss (SNHL) associated with cryptococcal meningitis were studied. After a minimum 3-year follow-up, one had died. Among the seven survivors, three had improved, two stabilized, and two progressed. Predictive factors included visual disturbance, meningeal enhancements on MRI, and a CSF cryptococcal antigen titer of >1:1,024. SNHL accounted for 30.8% (8/26) of cryptococcal meningitis patients in our study.
Medical subject headings
- Cochlea
- Cochlear Nerve
- Hearing Loss, Sensorineural
- Meningitis, Cryptococcal