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Artukarslan E, Matin F, Donnerstag F, et al. Cochlea implantation in patients with superficial hemosiderosis. Eur Arch Otorhinolaryngol. 2021;doi: 10.1007/s00405-021-07198-2.
Artukarslan, E., Matin, F., Donnerstag, F., Gärtner, L., Lenarz, T., & Lesinski-Schiedat, A. (2021). Cochlea implantation in patients with superficial hemosiderosis. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, . https://doi.org/10.1007/s00405-021-07198-2
Artukarslan, E, et al. "Cochlea implantation in patients with superficial hemosiderosis." European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery vol. (2021). doi: https://doi.org/10.1007/s00405-021-07198-2
Artukarslan E, Matin F, Donnerstag F, Gärtner L, Lenarz T, Lesinski-Schiedat A. Cochlea implantation in patients with superficial hemosiderosis. Eur Arch Otorhinolaryngol. 2021 Dec 20; doi: 10.1007/s00405-021-07198-2. Epub 2021 Dec 20. PMID: 34931263.
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Eur Arch Otorhinolaryngol. 2021 Dec 20; doi: 10.1007/s00405-021-07198-2. Epub 2021 Dec 20.

Cochlea implantation in patients with superficial hemosiderosis.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

E Artukarslan, F Matin, F Donnerstag, L Gärtner, T Lenarz, A Lesinski-Schiedat

Affiliations

  1. Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany. [email protected].
  2. Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany.
  3. Department of Neuroradiology, Hannover Medical School, Hannover, Germany.

PMID: 34931263 DOI: 10.1007/s00405-021-07198-2

Abstract

INTRODUCTION: Superficial hemosiderosis is a sub-form of hemosiderosis in which the deposits of hemosiderin in the central nervous system damage the nerve cells. This form of siderosis is caused by chronic cerebral hemorrhages, especially subarachnoid hemorrhages. The diversity of symptoms depends on the respective damage to the brain, but in most of the cases it shows up as incipient unilateral or bilateral hearing loss, ataxia and signs of pyramidal tracts. We are investigating the question of whether cochlear implantation is a treatment option for patients with superficial hemosiderosis and which strategy of diagnostic procedure has to be ruled out preoperatively.

MATERIALS AND METHODS: In a tertiary hospital between 2009 and 2018, we examined (N = 5) patients with radiologically confirmed central hemosiderosis who suffered from profound hearing loss to deafness were treated with a cochlear implant (CI). We compared pre- and postoperative speech comprehension (Freiburg speech intelligibility test for monosyllables and HSM sentence test).

RESULTS: Speech understanding improved on average by 20% (monosyllabic test in the Freiburg speech intelligibility test) and by 40% in noise (HSM sentence test) compared to preoperative speech understanding with optimized hearing aids.

DISCUSSION: The results show that patients with superficial siderosis benefit from CI with better speech understanding. The results are below the average for all postlingual deaf CI patients. Superficial siderosis causes neural damages, which explains the reduced speech understanding based on central hearing loss. It is important to correctly weigh the patient's expectations preoperatively and to include neurologists within the therapy procedure.

© 2021. The Author(s).

Keywords: Cochlear implant; Cochlear spiral ganglion neurons; Superficial hemosiderosis

References

  1. Koeppen AH, Dentinger MP (1988) Brain hemosiderin and superficial siderosis of the central nervous system. J Neuropathol Exp Neurol 47(3):249–270 - PubMed
  2. Fearnley J, Rudge P (1995) Treatment of superficial siderosis of the central nervous system. Mov Disord 10(5):685 - PubMed
  3. Fearnley JM, Stevens JM, Rudge P (1995) Superficial siderosis of the central nervous system. Brain 118(Pt 4):1051–1066 - PubMed
  4. Dhooge IJ, De Vel E, Urgell H, Gallego S, Vinck B (2002) Cochlear implantation in a patient with superficial siderosis of the central nervous system. Otol Neurotol 23(4):468–472 - PubMed
  5. Berrettini S, De Vito A, Bruschini L, Fortunato S, Forli F (2012) Cochlear implantation in patients affected by superficial hemosiderosis of the central nervous system. Eur Arch Otorhinolaryngol 269(1):25–31 - PubMed
  6. Yoo A, Jou J, Klopfenstein JD, Kattah JC (2018) Focused neuro-otological review of superficial siderosis of the central nervous system. Front Neurol 9:358 - PubMed
  7. Bittencourt AG, Goffi-Gomez MV, Pinna MH, Bento RF, de Brito R, Tsuji RK (2012) Programming peculiarities in two cochlear implant users with superficial siderosis of the central nervous system. Eur Arch Otorhinolaryngol 269(5):1555–1563 - PubMed
  8. Kumar N (2010) Neuroimaging in superficial siderosis: an in-depth look. AJNR Am J Neuroradiol 31(1):5–14 - PubMed
  9. Omichi R, Kariya S, Maeda Y, Nishizaki K (2016) Cochlear implantation is a therapeutic option for superficial siderosis patients with sensorineural hearing loss. J Laryngol Otol 130(4):408–411 - PubMed
  10. Sugimoto H, Ito M, Hatano M, Yoshizaki T (2012) Cochlear implantation in a patient with superficial siderosis. Auris Nasus Larynx 39(6):623–626 - PubMed
  11. Flores Martin A, Shanmugarajah P, Hoggard N, Hadjivassiliou M (2021) Treatment response of deferiprone in infratentorial superficial siderosis: a systematic review. Cerebellum 20(3):454–461 - PubMed
  12. Cheng CY, Chen MH, Wang SJ, Lin KP (2011) A proposed mechanism of superficial siderosis supported by surgical and neuroimaging findings. Med Hypotheses 76(6):823–826 - PubMed
  13. Wilson D, Chatterjee F, Farmer SF, Rudge P, McCarron MO, Cowley P et al (2017) Infratentorial superficial siderosis: classification, diagnostic criteria, and rational investigation pathway. Ann Neurol 81(3):333–343 - PubMed
  14. Tyler GK, Martin TP, Baguley DM (2012) Systematic review of outcome of cochlear implantation in superficial siderosis. Otol Neurotol 33(6):976–982 - PubMed
  15. Alshehabi M, Walshe P, Viani L (2019) Cochlear implantation in the presence of superficial siderosis. Clin Otolaryngol 44(6):1166–1169 - PubMed
  16. Modest MC, Carlson ML, Wanna GB, Driscoll CL (2015) Cochlear implantation in patients with superficial siderosis: seven cases and systematic review of the literature. Otol Neurotol 36(7):1191–1196 - PubMed
  17. Chaudhry A, Chaudhry D, Muzaffar J, Crundwell G, Monksfield P, Bance M (2020) Outcomes of cochlear implantation in patients with superficial siderosis: a systematic review and narrative synthesis. J Int Adv Otol 16(3):443–455 - PubMed
  18. Gartner L, Lenarz T, Joseph G, Buchner A (2010) Clinical use of a system for the automated recording and analysis of electrically evoked compound action potentials (ECAPs) in cochlear implant patients. Acta Otolaryngol 130(6):724–732 - PubMed
  19. Wood VH, Bird PA, Giles EC, Baber WJ (2008) Unsuccessful cochlear implantation in two patients with superficial siderosis of the central nervous system. Otol Neurotol 29(5):622–625 - PubMed
  20. River Y, Honigman S, Gomori JM, Reches A (1994) Superficial hemosiderosis of the central nervous system. Mov Disord 9(5):559–562 - PubMed
  21. Bird PA, Monteath P, Healy L (2010) Successful cochlear implantation in a patient with superficial siderosis of the central nervous system. Otol Neurotol 31(1):177 - PubMed
  22. Schievink W, Wasserstein P, Maya M (2016) Intraspinal hemorrhage in spontaneous intracranial hypotension: link to superficial siderosis? Report of 2 cases. J Neurosurg 24:454–456 - PubMed
  23. Nadol JB Jr, Adams JC, O’Malley JT (2011) Temporal bone histopathology in a case of sensorineural hearing loss caused by superficial siderosis of the central nervous system and treated by cochlear implantation. Otol Neurotol 32(5):748–755 - PubMed
  24. Schvartz-Leyzac KC, Pfingst BE (2018) Assessing the relationship between the electrically evoked compound action potential and speech recognition abilities in bilateral cochlear implant recipients. Ear Hear 39(2):344–358 - PubMed
  25. Annual Quality Report (2019) Deutsches Hörzentrum in Hannover 2019 - PubMed

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