Anitta 14/f clinical notes- b/l congenital SNHL for cochlear implant MRI of brain including cochlea and CT of temporal bones technique- plain axial: t1,t2, FLAIR,DWI,FIESTA coronal :t2 cochlear imaging 3d FIESTA ct temporal bone, axial 2mm sections findings cerebralparenchyma is normal in bulk & signal intensity pattern with maintained grey white matter differentiation. multiple small/t2 hyperintense lesions are seen in b/l cerebral white matter- likely ischemic lesions no acute infarcts.no hemorrhagic areas. no intra cranial mass lesions no SDH ventricular system is normal b/l basal ganglia and thalami are normal cerebellum midbrain pons and medulla are normal megacisternamanga is noted sella, super sellar & para sellar regions are normal b/l orbital structures are normal no CPA mass lesions b/l inner ear structures b/l cochlea show normal 21/2 turns with apparently normal modiolus b/l vestibule are normal b/l semilunar canal are normal no dialated endolymphatic duct or sac b/l 7/8th nerve complexes are normal in b/l IAMs ct temporal bone b/l EAC s normal b/l middle ear cavity including ossicular chain normal b/l inner ear structures are normal; no definite calcifications in cochlea b/l facial nerveroot canals normal in course b/l mastoid air cells are well pneumatised, no e/o mastoiditis impression/finding summary multiple small or tiny t2 hyperintense lesions in b/l cerebral white matter in b/l cerebral white matter- likely ischemic lesions no acute infarcts. no hemorrhagic areas. no intra cranial mass lesions. no SDH no CPA lesions normal b/l inner ear structures ELECTROPHYSIOLOGICAL STUDIES BERA right ear- brain stem auditory evoked potentials was absent at 99dBnHL left ear- diagnosis- bilateral profound SN hearing loss ASSR - bilateral profound SN hearing loss DPOAE - absent in both ears tympanometry - bilateral A type, reflexes absent, no indication of any MEP PTA- bilateral profound SN hearing loss Recommendations ENT review regular use of hearing aid counselling - (realistic views of CI given, limited outcomes) follow up ASSR Response Audiogram Thresholds A/C left 1000Hz 99dB HLcg A/C left 2000Hz 97 dBHLcg OAE report test condition - satisfactory recommendation abnormal functioning of OHE s in both ears Tympanometry results bilateral A type tympanogram with reflexes absent no indications of any ME pathology Aided Audiogram stimulus used - pure tone instrument used - siemens cirlo sp test condition - satisfactory can u tell me the successfulness of cochlear implant.