Authors
Moath A J Albhnasawi, Anwar S S Abualrous, Mohammed O S Abumustafa, Nidal M M Abuhadrous
Published in
Surgical neurology international. Volume 17. Pages 442. Epub Aug 07, 2026.
Abstract
Cochlear implants provide substantial functional benefit to patients with severe sensorineural hearing loss. Management of acute intracranial hemorrhage adjacent to a functioning cochlear implant presents a unique challenge, requiring a balance between urgent neurosurgical intervention and preservation of implant integrity and auditory function.
An 18-year-old male with congenital bilateral deafness and a right cochlear implant presented following a road traffic accident with severe headache and vomiting. Computed tomography demonstrated a large right parietotemporal acute epidural hematoma (EDH) centered directly beneath the cochlear implant receiver-stimulator. To minimize the risk of implant damage, a targeted burr-hole evacuation was performed two centimeters superior to the implant, using suction via a flexible nasogastric tube. Near-complete evacuation of the hematoma was achieved. Postoperatively, the patient made a full neurological recovery with preserved cochlear implant function.
In selected cases of acute EDH adjacent to a functioning cochlear implant, a minimally invasive burr-hole approach may represent a safe and effective alternative to standard craniotomy, allowing hematoma evacuation while preserving implant function.
PMID:
42694761
Bibliographic data and abstract were imported from PubMed on 04 Sep 2026.
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