PT - JOURNAL ARTICLE AU - Akyol, Asli G. AU - Nazliel, Bijen AU - Oner, Yusuf AU - Erdem, Ozlem TI - Chronic bilateral hearing loss in an immunocompetent patient DP - 2014 Oct 01 TA - Neurosciences Journal PG - 322--325 VI - 19 IP - 4 4099 - http://nsj.org.sa/content/19/4/322.short 4100 - http://nsj.org.sa/content/19/4/322.full SO - Neurosciences (Riyadh)2014 Oct 01; 19 AB - Congenital, infectious, toxic, and demyelinating disorders are common etiological causes of deafness. Tuberculous meningitis, as one of the infectious causes, should be considered in the differential diagnosis since tuberculosis represents an endemic public health problem in developing countries. Multiple cranial nerve palsies can be expected due to basal meningitis; however, presentation with bilateral hearing loss is quite rare. Early diagnosis and treatment are crucial to prevent mortality and residual neurologic deficits. The focus of this discussion is a 42-year-old female presenting with bilateral hearing loss and nonspecific complaints who was finally diagnosed with chronic tuberculous meningitis. We also demonstrate the characteristic radiological and histopathological findings.