An 11-year-old female was diagnosed with pneumococcal meningitis when she arrived at the emergency room with high fever in a confused mental state, with headache and nausea. Cerebrospinal fluid (CSF) tapping confirmed bacterial meningitis with a white blood cell count of 2200/HPF and S. pneumonia was later cultured. Ceftriaxone and amikacin were used for the treatment. Brain computed tomography (CT) and magnetic resonance imaging (MRI) were performed to confirm her recovery from the bacterial meningitis and in the first week of her treatment, she complained of hearing loss in both her ears and the severe vertigo persisted. On the 20th day of her treatment, her pure tone audiogram showed 100 dB response in both ears and no response on ABR. On speech evaluation, the patient scored 0% with listening only, and 38.5% on constants and 54.5% on vowels with addition of lipreading. At this time, TBCT was normal whereas TBMR showed high signal attenuation on the right side labyrinthine, a possible indication of labyrinthitis (Figure 1a, Figure 2). Concerned about the early ossification of the cochlea, especially in the case of pneumococcal meningitis, the patient was implanted in her left ear with a Nucleus 24 Contour after 1 month. Some fibrous changes were noticed at the start of the basal turn while performing cochleostomy. However, all 22 electrodes were inserted without any resistance. Full insertion was checked using C-arm fluoroscopy (Figure 3). Intraoperative NRT was carried out but failed to show any response despite normal impedances for all 22 electrodes. No postoperative complications were observed and TBCT taken 2 months postoperatively showed some evidence of ossification in the right side cochlea (Figure 1b). Ten months postoperatively, the patient is showing slow improvement.