Long-term clinical outcomes of cochlear implantation in children with symptomatic epilepsy

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• 作者：Filippo Di Lella ; ^{dilella@ao.pr.it" class="auth_mail" title="E-mail the corresponding author} ; Andrea Bacciu ; Maurizio Falcioni ; Maurizio Guida ; Vincenzo Vincenti
• 关键词：Cochlear implant ; Epilepsy ; Sensorineural hearing loss ; Deafness ; Cerebral palsy ; Methylmalonic acidemia
• 刊名：International Journal of Pediatric Otorhinolaryngology
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：82
• 期：Complete
• 页码：23-27
• 全文大小：563 K

文摘

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.