Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is a neuroimmunologic demyelinating disorder that may present with central or peripheral sensorineural hearing loss (SNHL). This case describes a 43-year-old female with MOGAD and profound right-sided SNHL who did not improve with neuroimmunologic therapy. Additional immunologic and radiographic workup was unrevealing....
✦ The floor
Discussion
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No practice change warranted from a single case, but cochlear implantation may be a viable option for MOGAD patients with severe sensorineural hearing loss (nerve-related hearing loss); clinicians should be aware of this rare association and document outcomes.
MOGAD is an emerging demyelinating diagnosis increasingly recognized as a cause of sensorineural hearing loss; this case expands the known candidacy landscape for cochlear implantation to include autoimmune demyelinating etiologies.
- 01First or very rare documented case of cochlear implantation in a MOGAD (myelin oligodendrocyte glycoprotein antibody-associated disease) patient.
- 02MOGAD is a demyelinating (nerve-sheath damaging) autoimmune disorder that can cause sensorineural hearing loss.
- 03Published in Clinical Case Reports (DOI: 10.1002/ccr3.73690).
- 04Case report design limits generalizability; outcomes for this specific patient are not detailed in the available description.
- 05Raises awareness of MOGAD as a differential diagnosis in unexplained sensorineural hearing loss.
MOGAD can cause sensorineural hearing loss severe enough to warrant cochlear implantation.
studypartially supportedCochlear implantation is a feasible intervention in patients with MOGAD-related hearing loss.
studyunclear- PMID
- 42846657
- DOI
- 10.1002/ccr3.73690.
- Journal
- Clinical Case Reports
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) and sensorineural hearing loss
- Intervention
- Cochlear implantation in a patient with MOGAD-associated sensorineural hearing loss
Primary outcomes
Feasibility and outcome of cochlear implantation in a MOGAD patient