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fMRI evaluation of cochlear implant candidacy in diffuse cortical cytomegalovirus disease
Author(s) -
Weiss Joshua P.,
Bernal Byron,
Balkany Thomas J.,
Altman Nolan,
Jethanamest Dan,
Andersson Erin
Publication year - 2012
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.23243
Subject(s) - candidacy , cochlear implantation , audiology , auditory cortex , cochlear implant , medicine , cytomegalovirus , white matter , hearing loss , cortex (anatomy) , neuroscience , magnetic resonance imaging , psychology , herpesviridae , radiology , virus , virology , politics , viral disease , political science , law
Congenital cytomegalovirus infection is the most frequent nongenetic cause of pediatric hearing loss in the United States, affecting approximately 8,000 children each year. Due in part to variable cytomegalic involvement of the auditory cortex, cochlear implantation outcomes have varied widely. Functional magnetic resonance imaging (fMRI) has the potential to assist in determining candidacy for cochlear implantation through the detection of intact auditory pathways including the cortex. We report a case of a 21‐month‐old girl with cytomegalovirus‐related deafness and diffuse white matter involvement in which fMRI was a determining factor for cochlear implantation and side selection.