0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Note |

Successful Cochlear Implantation in a Patient With Bilateral Thalamic Infarction

Ken Ito, MD; Rumi Ishida, MD; Yusuke Akamatsu, SLHT; Erika Ogata, SLHT; Takaharu Nito, MD
Arch Otolaryngol Head Neck Surg. 2007;133(2):192-193. doi:10.1001/archotol.133.2.192.
Text Size: A A A
Published online

Extract

The thalamus occupies four fifths of the diencephalon, and all afferent impulses except olfaction pass through the thalamus. Auditory impulses ascend through the cochlear nucleus, superior olivary complex, and inferior colliculus and then are transmitted through the medial geniculate body. Language disturbances, including aphasia, as well as dementia and emotional disorders, have been reported in patients with thalamic lesions (eg, infarction or thalamotomy).17 Because disorders in the central auditory pathway and severe psychiatric disorders have been regarded as contraindications for cochlear implantation (eg, this is explicitly written in the Japanese guidelines for cochlear implantation), one should be very cautious in determining the indication for cochlear implantation in profoundly deaf patients with thalamic disorders. In this report, to our knowledge, we demonstrate for the first time the successful cochlear implantation in a patient with bilateral thalamic infarction secondary to meningitis.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.

T2-weighted magnetic resonance image showing infarction mainly of the bilateral medial regions of the thalamus (arrows). A indicates anterior; L, left; P, posterior; and R, right.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

41 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();