Hydrocephalus-Associated Hearing Loss and Resolution after Ventriculostomy

  title={Hydrocephalus-Associated Hearing Loss and Resolution after Ventriculostomy},
  author={Joshua F. Dixon and Raleigh O. Jones},
  journal={Otolaryngology–Head and Neck Surgery},
  pages={1037 - 1039}
H ydrocephalus is not usually considered in the differential diagnosis of sensorineural hearing loss (SNHL). There have been reports in the literature of sudden SNHL after reduction of intracranial pressure (ICP) via ventriculoperitoneal shunt (VPS). However, a literature search reveals only 1 study that associates elevated ICP with SNHL and 1 case of hydrocephalus-associated SNHL. We present a patient who developed hydrocephalus and SNHL and experienced total resolution of SNHL with treatment… 

Figures from this paper

Hearing loss in hydrocephalus: a review, with focus on mechanisms
The hydrodynamic theory proposes that the intimate relationship between CSF and inner ear fluids permits relative endolymphatic or perilymphatic hydrops in the setting of CSF pressure disturbances, and some studies have found an independent association between hydrocephalus and hearing loss.
Endolymphatic Hydrops and Cerebrospinal Fluid Pressure: A 30-Year Update
  • A. Gordon
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2013
The only case cited of CSF pressure reduction leading to resolution of hydrops was the study of shunted idiopathic aqueductal stenosis that prompted the review, and it was proposed that low, not high, CSF pressures induced the hydrops in these and other cases I reviewed.
Hearing Change After Shunt Placement in Elderly Patients with Idiopathic Normal-Pressure Hydrocephalus
The hearing changes in 53 elderly patients who underwent shunt surgery for normal pressure hydrocephalus between January 2012 and March 2018 agree with previous reports that hearing loss after surgery is due to relative endolymphatic hydrops, and hypothesize that hearing improvement isDue to release from the relative increase of the perilymphatic pressure.
A 1 Year Child with Hydrocephalus: A Case Report
This study mainly focuses on expert surgical management and excellent nursing care which leads to fast recovery of the patient without any postoperative complications and satisfaction of recovery.
Management of patients with cochlear implants and ventriculoperitoneal shunts
An overview of each device is provided, conditions that may predispose to the requirement of both devices are discussed, and pre- and post-operative issues arising from the co-existence of advanced technologies are considered.
PTPRQ as a potential biomarker for idiopathic normal pressure hydrocephalus
Using comparative proteomic analysis of CSF from patients with iNPH and AD, protein tyrosine phosphatase receptor type Q (PTPRQ) was identified as a candidate biomarker protein for discriminating iN PH from AD.
Audiological findings in a group of neurologically compromised children: A retrospective study
Behavioural audiometry appears to be a largely unreliable method of testing the hearing of children diagnosed with neurological disorders, as results were obtained in only 27.5% of the study sample; however, it remains the gold standard in paediatric hearing testing to evaluate the entire auditory system and provides information on how a child processes sound.


Resolution of hydrocephalus-associated sensorineural hearing loss after insertion of ventriculoperitoneal shunt.
This is the first clearly documented case of de novo sensorineural deafness caused by hydrocephalus, with subsequent improvement in hearing after shunt insertion, which is suggested to be a cause of unexplained hearing loss.
Improvement of chronic hearing loss after shunt revision. A case report.