title: Outcomes with bilateral cochlear implantation following sudden dual sensory loss after ethylene glycol poisoning.
abstract: Acute loss of vision accompanied by profound loss of hearing is fortunately rare, but has a catastrophic effect on both the patient and their family. Re-establishing communication and spatial awareness are high priorities. We describe the case of a 45 year-old man who presented as a result of poisoning by ethylene glycol. Following assessment by clinicians who learned the deaf-blind alphabet in order to communicate, he had his hearing successfully rehabilitated with simultaneous bilateral cochlear implants. The patient recovered the ability to understand speech near perfectly in quiet, to attend to the ear giving the clearer signal in noise, and to localise sources of sound. The patient reported that the latter skill facilitated mobility. This is the first reported case of a patient with acute dual sensory loss due to ethylene glycol poisoning benefiting from bilateral cochlear implants.
authors.affiliation: Yorkshire Cochlear Implant Service, Bradford Royal Infirmary, Bradford, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Carr
authors.forename: David R
authors.initials: DR
authors.lastname: Strachan
authors.forename: A Quentin
authors.initials: AQ
authors.lastname: Summerfield
authors.forename: Pádraig T
authors.initials: PT
authors.lastname: Kitterick
authors.forename: Lynne
authors.initials: L
authors.lastname: Tapper
authors.forename: Christopher H
authors.initials: CH
authors.lastname: Raine
mesh_terms: D019929:Cochlear Implantation / Q000534:rehabilitation*; D019548:Crime Victims / Q000534:rehabilitation; D054062:Deaf-Blind Disorders / Q000139:chemically induced / Q000534:rehabilitation; D019855:Ethylene Glycol / Q000506:poisoning*; D006312:Hearing Loss, Bilateral / Q000139:chemically induced* / Q000534:rehabilitation*; D006319:Hearing Loss, Sensorineural / Q000139:chemically induced / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D019855:Ethylene Glycol