Reversible sensorineural hearing loss in a late presentation of acute disseminated encephalomyelitis: A case report
Bibliographic record
Abstract
Acute disseminated encephalomyelitis (ADEM) is a demyelinating disease of the central nervous system. It presents with a variety of symptoms including fever and encephalopathy. Hearing loss is a rare symptom. We present a 10-year-old girl who exhibited late-onset isolated hearing loss following an episode of ADEM that had not been treated. Initially, she displayed classical symptoms, but her hearing loss became the predominant concern weeks later, so intravenous corticosteroids were given. Remarkably, this treatment resulted in a significant partial reversal of her hearing ability. This highlights the potential for hearing loss as a late complication of ADEM. The improvement following corticosteroid therapy suggests that inflammation may play a critical role in the pathophysiology of auditory dysfunction. Our review of literature indicates a limited number of similar reports, underscoring the rarity and clinical significance of this symptom. This case adds valuable insight into the spectrum of ADEM and its atypical presentations.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.006 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".