Meningitis following cochlear implantation: Pathomechanisms, clinical symptoms, conservative and surgical treatments

Wolfgang Arnold, G. Bredberg, W. Gstöttner, J. Helms, H. Hildmann, T. Kiratzidis, J. Müller, R. T. Ramsden, P. Roland, J. N. Walterspiel

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Pneumococcal otogenic meningitis is a rare postsurgical complication that can develop following stapedectomy or after cochlear implantation. The bacterial infection can be fatal in some instances. A recent increase in the incidence of otogenic meningitis among cochlear implant wearers is of concern. The majority of meningitis cases are associated with a 2-component electrode manufactured by one cochlear implant company. The device with the added 'positioner' component has been withdrawn from the market (FDA Public Health Web Notification: Cochlear Implant Recipients may be at Greater Risk for Meningitis, Updated: August 29, 2002, www.fda.gov/cdrh/safety/cochlear.html). Not all cases have been subsequent to otitis media and symptoms have developed from less than 24 h up to a few years after implantation. The purpose of this paper is to review and discuss the pathogenesis, pathology/bacteriology and to elaborate on some clinical features of otogenic meningitis in implanted children and adults. Essential aspects of surgery, electrode design, and cochleostomy seal are discussed. Conclusions are drawn from the available data and recommendations are made for good practice in cochlear implantation and follow-up.

Original languageEnglish (US)
Pages (from-to)382-389
Number of pages8
JournalORL
Volume64
Issue number6
DOIs
StatePublished - 2002

Fingerprint

Cochlear Implantation
Meningitis
Cochlear Implants
Electrodes
Pneumococcal Meningitis
Stapes Surgery
Bacteriology
Cochlea
Otitis Media
Bacterial Infections
Public Health
Pathology
Safety
Equipment and Supplies
Conservative Treatment
Incidence

Keywords

  • Cochlear implant
  • Diagnosis
  • Meningitis
  • Pathogenesis
  • Prophylaxis
  • Treatment

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Arnold, W., Bredberg, G., Gstöttner, W., Helms, J., Hildmann, H., Kiratzidis, T., ... Walterspiel, J. N. (2002). Meningitis following cochlear implantation: Pathomechanisms, clinical symptoms, conservative and surgical treatments. ORL, 64(6), 382-389. https://doi.org/10.1159/000067579

Meningitis following cochlear implantation : Pathomechanisms, clinical symptoms, conservative and surgical treatments. / Arnold, Wolfgang; Bredberg, G.; Gstöttner, W.; Helms, J.; Hildmann, H.; Kiratzidis, T.; Müller, J.; Ramsden, R. T.; Roland, P.; Walterspiel, J. N.

In: ORL, Vol. 64, No. 6, 2002, p. 382-389.

Research output: Contribution to journalArticle

Arnold, W, Bredberg, G, Gstöttner, W, Helms, J, Hildmann, H, Kiratzidis, T, Müller, J, Ramsden, RT, Roland, P & Walterspiel, JN 2002, 'Meningitis following cochlear implantation: Pathomechanisms, clinical symptoms, conservative and surgical treatments', ORL, vol. 64, no. 6, pp. 382-389. https://doi.org/10.1159/000067579
Arnold, Wolfgang ; Bredberg, G. ; Gstöttner, W. ; Helms, J. ; Hildmann, H. ; Kiratzidis, T. ; Müller, J. ; Ramsden, R. T. ; Roland, P. ; Walterspiel, J. N. / Meningitis following cochlear implantation : Pathomechanisms, clinical symptoms, conservative and surgical treatments. In: ORL. 2002 ; Vol. 64, No. 6. pp. 382-389.
@article{d889a49a6347453da6691054a23b69bd,
title = "Meningitis following cochlear implantation: Pathomechanisms, clinical symptoms, conservative and surgical treatments",
abstract = "Pneumococcal otogenic meningitis is a rare postsurgical complication that can develop following stapedectomy or after cochlear implantation. The bacterial infection can be fatal in some instances. A recent increase in the incidence of otogenic meningitis among cochlear implant wearers is of concern. The majority of meningitis cases are associated with a 2-component electrode manufactured by one cochlear implant company. The device with the added 'positioner' component has been withdrawn from the market (FDA Public Health Web Notification: Cochlear Implant Recipients may be at Greater Risk for Meningitis, Updated: August 29, 2002, www.fda.gov/cdrh/safety/cochlear.html). Not all cases have been subsequent to otitis media and symptoms have developed from less than 24 h up to a few years after implantation. The purpose of this paper is to review and discuss the pathogenesis, pathology/bacteriology and to elaborate on some clinical features of otogenic meningitis in implanted children and adults. Essential aspects of surgery, electrode design, and cochleostomy seal are discussed. Conclusions are drawn from the available data and recommendations are made for good practice in cochlear implantation and follow-up.",
keywords = "Cochlear implant, Diagnosis, Meningitis, Pathogenesis, Prophylaxis, Treatment",
author = "Wolfgang Arnold and G. Bredberg and W. Gst{\"o}ttner and J. Helms and H. Hildmann and T. Kiratzidis and J. M{\"u}ller and Ramsden, {R. T.} and P. Roland and Walterspiel, {J. N.}",
year = "2002",
doi = "10.1159/000067579",
language = "English (US)",
volume = "64",
pages = "382--389",
journal = "ORL; journal for oto-rhino-laryngology and its related specialties",
issn = "0301-1569",
publisher = "S. Karger AG",
number = "6",

}

TY - JOUR

T1 - Meningitis following cochlear implantation

T2 - Pathomechanisms, clinical symptoms, conservative and surgical treatments

AU - Arnold, Wolfgang

AU - Bredberg, G.

AU - Gstöttner, W.

AU - Helms, J.

AU - Hildmann, H.

AU - Kiratzidis, T.

AU - Müller, J.

AU - Ramsden, R. T.

AU - Roland, P.

AU - Walterspiel, J. N.

PY - 2002

Y1 - 2002

N2 - Pneumococcal otogenic meningitis is a rare postsurgical complication that can develop following stapedectomy or after cochlear implantation. The bacterial infection can be fatal in some instances. A recent increase in the incidence of otogenic meningitis among cochlear implant wearers is of concern. The majority of meningitis cases are associated with a 2-component electrode manufactured by one cochlear implant company. The device with the added 'positioner' component has been withdrawn from the market (FDA Public Health Web Notification: Cochlear Implant Recipients may be at Greater Risk for Meningitis, Updated: August 29, 2002, www.fda.gov/cdrh/safety/cochlear.html). Not all cases have been subsequent to otitis media and symptoms have developed from less than 24 h up to a few years after implantation. The purpose of this paper is to review and discuss the pathogenesis, pathology/bacteriology and to elaborate on some clinical features of otogenic meningitis in implanted children and adults. Essential aspects of surgery, electrode design, and cochleostomy seal are discussed. Conclusions are drawn from the available data and recommendations are made for good practice in cochlear implantation and follow-up.

AB - Pneumococcal otogenic meningitis is a rare postsurgical complication that can develop following stapedectomy or after cochlear implantation. The bacterial infection can be fatal in some instances. A recent increase in the incidence of otogenic meningitis among cochlear implant wearers is of concern. The majority of meningitis cases are associated with a 2-component electrode manufactured by one cochlear implant company. The device with the added 'positioner' component has been withdrawn from the market (FDA Public Health Web Notification: Cochlear Implant Recipients may be at Greater Risk for Meningitis, Updated: August 29, 2002, www.fda.gov/cdrh/safety/cochlear.html). Not all cases have been subsequent to otitis media and symptoms have developed from less than 24 h up to a few years after implantation. The purpose of this paper is to review and discuss the pathogenesis, pathology/bacteriology and to elaborate on some clinical features of otogenic meningitis in implanted children and adults. Essential aspects of surgery, electrode design, and cochleostomy seal are discussed. Conclusions are drawn from the available data and recommendations are made for good practice in cochlear implantation and follow-up.

KW - Cochlear implant

KW - Diagnosis

KW - Meningitis

KW - Pathogenesis

KW - Prophylaxis

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=0036948175&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036948175&partnerID=8YFLogxK

U2 - 10.1159/000067579

DO - 10.1159/000067579

M3 - Article

C2 - 12499760

AN - SCOPUS:0036948175

VL - 64

SP - 382

EP - 389

JO - ORL; journal for oto-rhino-laryngology and its related specialties

JF - ORL; journal for oto-rhino-laryngology and its related specialties

SN - 0301-1569

IS - 6

ER -