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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1984-5-30
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pubmed:abstractText |
Fifty-one children with bacterial meningitis were studied prospectively using serial recordings of brainstem auditory evoked potential (BAEP) from the earliest phase of the disease, according to a standardized protocol. The objectives were to make an early diagnosis and follow the evolution of deafness in the course of meningitis and evaluate the prognostic value of BAEP. Thirty-five children (68.6%) always had normal recordings; 11 children (21.6%) had transient BAEP abnormalities (prolonged wave V latency or elevated threshold for wave I), and five children (9.8%) had persistent pathologic BAEP recordings from the first examination at 48 hours until discharge from the hospital and have a persistent deafness. All recordings that were normal or pathologic at discharge were confirmed by behavioral audiometry 3 months later. These results show the early occurrence of deafness in the course of meningitis with a crucial phase of possible recovery or worsening occurring during the first 2 weeks. There were no cases of "late" deafness or "late" recovery (there was sometimes slight improvement) occurring after discharge; thus BAEPs have a prognostic value. However, observation of a child with clinically proven selective high-frequency postmeningitic deficit but without a hearing handicap, a disorder that was diagnosed early with BAEP (which tests only the high frequencies), is a warning that this method alone is insufficient and that clinical auditory surveillance and conventional audiometry remain necessary.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0031-4005
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
73
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
579-86
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:6718112-Adolescent,
pubmed-meshheading:6718112-Bacterial Infections,
pubmed-meshheading:6718112-Brain Stem,
pubmed-meshheading:6718112-Child,
pubmed-meshheading:6718112-Child, Preschool,
pubmed-meshheading:6718112-Deafness,
pubmed-meshheading:6718112-Evoked Potentials, Auditory,
pubmed-meshheading:6718112-Female,
pubmed-meshheading:6718112-Humans,
pubmed-meshheading:6718112-Infant,
pubmed-meshheading:6718112-Infant, Newborn,
pubmed-meshheading:6718112-Male,
pubmed-meshheading:6718112-Meningitis,
pubmed-meshheading:6718112-Meningitis, Listeria,
pubmed-meshheading:6718112-Prognosis,
pubmed-meshheading:6718112-Prospective Studies,
pubmed-meshheading:6718112-Tape Recording
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pubmed:year |
1984
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pubmed:articleTitle |
Early diagnosis and evolution of deafness in childhood bacterial meningitis: a study using brainstem auditory evoked potentials.
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pubmed:publicationType |
Journal Article,
Case Reports
|