title: Cochlear Implantation in Neurobrucellosis.
abstract: BACKGROUND
  Neurobrucellosis is a disease consisting of a wide spectrum of complications such as peripheral neuropathy, cranial nerve involvement, ataxia, meningeal irritation, paraplegia, seizures, coma, and even death. The vestibulocochlear nerve seems to be the most commonly affected cranial nerve (10%). We present a patient with neurobrucellosis whose auditory perception and speech intelligibility skill performances improved after cochlear implantation.
  
  
  METHODS
  A 35 year-old woman was admitted to another hospital 2 years ago with the symptoms of headache, nausea, and altered consciousness, who was finally diagnosed with neurobrucellosis. She developed bilateral profound sensorineural hearing loss during the following 6 months. There was no benefit of using hearing aids. After successful treatment of her illness, she was found to be suitable for cochlear implantation. After the operation, her auditory perception skills improved significantly with a Categories of Auditory Performance (CAP) score of 5. According to clinical observations and her family members' statements, her Speech Intelligibility Rating (SIR) score was 3. Her speech intelligibility skills are still improving.
  
  
  CONCLUSIONS
  Our case report represents the second case of hearing rehabilitation with cochlear implantation after neurobrucellosis. Cochlear implantation is a cost-effective and time-proven successful intervention in post-lingual adult patients with sensorineural hearing loss. Early timing of the surgery after appropriate treatment of meningitis helps the patient to achieve better postoperative results.
authors.affiliation: Department of Otolaryngology, Hacettepe University Hospital, Ankara, Turkey.
authors.forename: Münir Demir
authors.initials: MD
authors.lastname: Bajin
authors.affiliation: Department of Otolaryngology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
authors.forename: Özden
authors.initials: Ö
authors.lastname: Savaş
authors.affiliation: Audiology Unit, Department of Otolaryngology, Hacettepe University Hospital, Ankara, Turkey.
authors.forename: Filiz
authors.initials: F
authors.lastname: Aslan
authors.affiliation: Department of Otolaryngology, Hacettepe University Hospital, Ankara, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Sennaroğlu
keywords: Cochlear implantation; neurobrucellosis; sensorineural hearing loss