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Pediatrics Central Nervous System ad6d9ef7

In a 7 months old child diagnosed with H influenza meningitis, which of the following investigation should be done on follow up:

A
BERA
B
CECT Scan
C
MRI
D
X ray skull
High-Yield Explanation
Ans. A. BERASensorineural hearing loss (SNHL) is the most common neuropsychological sequel of ABM.It occurs in as many as 30% of patients with pneumococcal meningitis, 10% with meningococcal meningitis and 5-20% with Haemophilus influenza type 'b' meningitis.The effect of SNHL on language is well-recognized and therefore early detection is mandatory. However, hearing assessment is difficult in infants and young children. Brainstem evoked response audiometry (BERA) can help to assess hearing in this population.

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