Di Lella F, Bacciu A, Falcioni M, Guida M, Vincenti V. Long-term clinical outcomes of cochlear implantation in children with symptomatic epilepsy.
Int J Pediatr Otorhinolaryngol 2016;
82:23-7. [PMID:
26857310 DOI:
10.1016/j.ijporl.2015.12.021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2015] [Revised: 12/27/2015] [Accepted: 12/28/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVES
To describe long-term clinical outcomes of cochlear implantation in deaf children with symptomatic epilepsy.
MATERIALS AND METHODS
A retrospective data analysis review of patients implanted at the Cochlear Implant Center of the University of Parma, Italy, was performed, searching for implanted children with a confirmed diagnosis of symptomatic epilepsy. Clinical data, imaging findings, pre- and post-operative epilepsy pattern and EEG traces were analyzed; communicative skills were assessed using the Profile of Actual Linguistic Skills.
RESULTS
Search retrieved two patients affected by profound bilateral sensorineural hearing loss and symptomatic epilepsy (associated respectively with methylmalonic acidemia and cerebral palsy). After careful parental counselling both patients were offered and underwent cochlear implantation. Activation and use of cochlear implant did not determine substantial changes of pre-existing seizure pattern and EEG traces. Both patients showed substantial development of their communicative abilities.
CONCLUSIONS
Cochlear implantation in children with symptomatic epilepsy did not determine variations in seizure pattern or EEG traces. Both patients experienced substantial benefit from cochlear implantation.
Collapse