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August 1990

Reversible Hearing Loss in a Patient With Cryptococcosis

Author Affiliations

From the Departments of Neurosurgery (Drs Mayer, Chevalier, Dematons, and Cophignon) and Otolaryngology (Dr Casteran), Lariboisière Hospital; Department of Pediatric Psychiatry, Herold Hospital (Dr Albert); and Department of Pediatric Neurology, Saint-Vincent-De-Paul Hospital (Drs Boutin and Ponsot), Paris, France.

Arch Otolaryngol Head Neck Surg. 1990;116(8):962-964. doi:10.1001/archotol.1990.01870080084021

• A 16-year-old girl had hearing loss, paroxysmal tremor, gait disorders, and psychiatric disturbances as the initial manifestations of a cryptococcal meningoencephalitis. Imaging demonstrated an obstructive hydrocephalus, and neurootological explorations showed a retrocochlear deafness and diffuse brain-stem involvement. Emphasis is on the deafness, which rarely occurs as a presenting symptom in this condition, and on its dramatic improvement following antimycotic therapy.

(Arch Otolaryngol Head Neck Surg. 1990;116:962-964)

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