Document Detail


Permanent sensorineural hearing loss following spinal anesthesia.
MedLine Citation:
PMID:  12366513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 25-year-old female developed permanent, fluctuating sensorineural hearing loss (SNHL), disabling vertigo, and tinnitus following an uneventful spinal anesthesia for cesarean section. At her first visit to the ear-nose-throat (ENT) department approximately 2 months postoperatively, pure-tone thresholds revealed profound SNHL on the right side whereas thresholds were within normal limits on the left side. The recruitment score (SISI) was 95% at 2000 Hz on the right side. Directional preponderance towards the right and the right canal paresis were evidenced by bithermal caloric testing. At follow ups the pure tone thresholds have shown some improvement, but fluctuating SNHL, disabling vertigo attacks, and tinnitus have remained. These findings imply a cochlear pathology causing endolymphatic hydrops possibly induced by lumbar puncture for spinal anesthesia.
Authors:
L Kiliçkan; Y Gürkan; H Ozkarakas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  46     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-07     Completed Date:  2002-12-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  1155-7     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Reanimation, and Department of Otorhinolaryngology, Kocaeli University School of Medicine, Kocaeli, Turkey. yavuzg@superonline.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Obstetrical / adverse effects*
Anesthesia, Spinal / adverse effects*
Audiometry, Pure-Tone
Caloric Tests
Cesarean Section
Female
Hearing Loss, Sensorineural / diagnosis,  etiology*
Humans
Pregnancy
Recruitment Detection, Audiologic
Tinnitus / etiology
Vertigo / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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