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CT-scans of cochlear implant patients with characteristics of Pendred syndrome.
[pendred syndrome]
Sensorineural
hearing
loss
(
SNHL
)
in
newborns
is
estimated
with
an
incidence
around
1
:
10
,
000
per
year
and
is
divided
into
syndromic
and
non-syndromic
forms
.
In
case
of
present
retrocochlear
function
'
cochlear
implantation
allows
speech
and
cognitive
development
in
affected
children
,
comparable
to
that
of
normal
hearing
children
.
Pathogenesis
of
SNHL
remains
unclear
in
many
cases
.
Imaging
of
the
temporal
bone
,
such
as
computed
tomography
(
CT
)
and
magnetic
resonance
imaging
(
MRI
)
,
can
reveal
conspicuous
findings
,
e
.
g
.
enlarged
vestibular
aqueduct
(
EVA
)
and
Mondini
malformation
(
MM
)
of
the
cochlea
.
These
malformations
can
be
a
clinical
sign
for
Pendred
syndrome
.
We
screened
CT
scans
of
75
cochlear
implant
patients
for
EVA
and
MM
.
Six
patients
were
observed
to
have
either
EVA
alone
(
n
=
3
)
,
or
MM
alone
(
n
=
2
)
,
or
a
combination
of
both
(
n
=
1
)
.
Further
malformations
of
the
temporal
bone
could
be
found
within
the
whole
group
,
as
well
.
Our
results
confirm
the
general
opinion
on
EVA
and
MM
,
being
commonly
found
in
patients
with
SNHL
.
A
possible
association
with
Pendred
syndrome
needs
to
be
confirmed
by
genetic
investigations
with
search
for
mutations
in
the
SLC
26
A
4
gene
and
further
clinical
tests
,
such
as
Perchlorate
test
for
surveillance
of
thyroid
function
.
Diseases
Validation
Diseases presenting
"thyroid function"
symptom
cohen syndrome
congenital adrenal hyperplasia
erythropoietic protoporphyria
pendred syndrome
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