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Letters to the Editor
Oct 2011

To Avoid Delay and Optimize Magnetic Resonance Imaging in Postmeningitic Hearing Loss

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, VU University Medical Center, Amsterdam, the Netherlands.

Arch Otolaryngol Head Neck Surg. 2011;137(10):1052-1053. doi:10.1001/archoto.2011.161

We read the article titled “Current Techniques in Management of Postmeningitic Deafness in Children” by Young and Tan1 with great interest. The authors describe 5 children with deafness due to meningitis who received a state-of-the-art diagnostic workup with auditory steady state response measurements and magnetic resonance imaging (MRI) with FIESTA (fast imaging employing steady state acquisition) sequences before bilateral cochlear implantion was performed. They stressed that pneumococcal meningitis is still present today, even though there has been a decline in incidence since vaccination programs were implemented. We congratulate the authors on their excellent work on this important topic. However, 2 issues (how delay is avoided and optimal imaging) that we think are also important in discussing current postmeningitic deafness were not addressed.

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