Audiovestibular neuropathy in an immunocompetent man with cryptococcal meningitis.

gnorimies20.15 shared this article with you from Inoreader Audiovestibular neuropathy in an immunocompetent man with cryptococcal meningitis. Via pubmed: hearing and balance Audiovestibular neuropathy in an immunocompetent man with cryptococcal meningitis. Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Oct 19;: Authors: Reynard P, Bascoul A, Biotti D, Karsenty J, Ionescu E, Thai-Van H Abstract INTRODUCTION: Cryptococcus spp. is a fungus responsible for 600,000 deaths per year worldwide, mainly in immunosuppressed subjects. However, 20% of cases occur in immunocompetent subjects. Neuropathic disorders involving the auditory nerve have been reported, but vestibular disorders have never been described in detail. We report the case of an immunocompetent man, who presented audiovestibular disorders leading to a diagnosis of cryptococcal meningitis. CASE REPORT: A 39-year-old man was referred for balance disorders and right sensorineural hearing loss. He presented right vestibulo-saccular impairment and bilateral absence of auditory brainstem responses. Brain MRI was suggestive of cryptococcal meningitis. A cystic lesion in the right flocculus compressed the vestibulocochlear nerve. During monthly follow-up, pure tone audiometry gradually improved and speech audiometry in silence returned to normal. Partial resynchronization of the auditory afferent pathways was observed only on the contralateral side to vestibulocochlear nerve compression, while complete recovery of saccular function was observed. DISCUSSION: Cryptococcal meningitis in immunocompetent subjects may be accompanied by lesions of the auditory and vestibular afferent pathways. Recovery of hearing and balance was observed in response to medical treatment and early vestibular rehabilitation. PMID: 33092984 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.