Permanent sensorineural hearing loss following spinal anesthesia

Kiliçkan, L; Gürkan, Yavuz; Özkarakaş, Haluk

doi:10.1034/j.1399-6576.2002.460916.x

Cited by 33 publications

(44 citation statements)

References 14 publications

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“…Hearing loss has also been reported, due to a low CSF pressure transmitted to the inner ear via the cochlear aqueduct. This decrement in hearing is usually fully reversible once normal subarachnoid pressure is restored, but permanent hearing loss has been reported [12,13]. Neck pain may result from tension on cervical nerves C 1–3 and may develop into a myofascial-like pain [14].…”

Section: Pathophysiology Of Plphmentioning

confidence: 99%

Lumbar Puncture: It Is Time to Change the Needle

2010

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Lumbar puncture is a frequent procedure performed by physicians from several disciplines to help establish a diagnosis and treatment for several diseases. Post-lumbar puncture headache (PLPH) is a frequent complication that typically lasts for a couple of days and can be severe enough to immobilize the patient and to require therapy. There are several risk factors identified, pain characteristics, and characteristic findings on spinal and head magnetic resonance imaging. There are several procedural factors that have been identified to be of consequence in attenuating the PLPH incidence, specifically the needle type and size used for this procedure. Once PLPH occurs, the clinician should treat it conservatively with bed rest, analgesics and increased fluids intake, especially caffeine-containing beverages, as it can dramatically affect the patient’s wellness. If the pain is severe and disabling and does not respond to conservative treatment, a blood patch should be considered at least 24–48 h following the LP. Epidural blood patch is a safe and rapidly effective treatment in experienced hands. Furthermore, patients who developed PLPH should be advised to contact the medical staff in case of changes in the characteristics of headaches. When a patient who was diagnosed with PLPH has a change in the pain character, or additional neurological manifestations appear, an urgent brain CT/head MRI should be performed to exclude rarer life-threatening intracranial complications.

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Section: Pathophysiology Of Plphmentioning

confidence: 99%

Lumbar Puncture: It Is Time to Change the Needle

2010

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“…The rate of post-operative hearing impairment after spinal anaesthesia is reported to be 0.2-8 per cent. 3 Hearing problems may emerge in the first 24 hours or present up to the 1st week post-operatively. Hearing loss following spinal anaesthesia is predominantly unilateral, occurring at the low frequencies of 125, 250 and 500 Hz.…”

Section: Discussionmentioning

confidence: 99%

Sudden bilateral hearing loss after spinal anaesthesia

2015

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“…There is one reported case, in which a lumber puncture gave rise to a unilateral hearing loss [8]. A study by Walsted et al [1] demonstrated that there are small but significant changes in low tone hearing following spinal anaesthesia.…”

Section: Discussionmentioning

confidence: 99%