A Case of Bacterial Meningoencephalitis Following Sudden Sensorineural Hearing Loss with Vertigo.
10.3342/kjorl-hns.2016.59.2.165
- Author:
Jin Woo PARK
1
;
Dae Bo SHIM
;
Gwanhee EHM
;
Mee Hyun SONG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. meehyun924@hanmail.net
- Publication Type:Case Report
- Keywords:
Labyrinthitis;
Meningoencephalitis;
Steroid;
Sudden sensorineural hearing loss;
Vertigo
- MeSH:
Aged;
Anti-Bacterial Agents;
Brain;
Dysarthria;
Female;
Fever;
Hearing;
Hearing Loss;
Hearing Loss, Sensorineural*;
Humans;
Hypertrophy;
Labyrinthitis;
Magnetic Resonance Imaging;
Mastoid;
Meningoencephalitis*;
Neurologic Manifestations;
Paranasal Sinuses;
Vertigo*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2016;59(2):165-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of sudden sensorineural hearing loss with vertigo in a 68-year-old woman, who developed bacterial meningoencephalitis during steroid treatment. The patient initially showed severe degree of sensorineural hearing loss on the left side with spontaneous nystagmus beating toward the contralateral side. Brain magnetic resonance imaging demonstrated no abnormal finding other than high signal intensity in parts of mastoid air cells and mild mucosal hypertrophy of the paranasal sinuses. During the course of steroid treatment, the hearing worsened to profound hearing loss, and on the 6th day of steroid treatment, the patient demonstrated dysarthria and disorientation with subsequent development of high fever. The patient was diagnosed with bacterial meningoencephalitis and treated with antibiotics. The patient recovered without any neurologic deficit but unilateral profound hearing loss persisted. The case is presented here along with a possible pathogenic mechanism of bacterial meningoencephalitis following sudden sensorineural hearing loss in this patient.
