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[Hearing loss after spinal anesthesia. An audiological controlled trial].

Abstract
Audiological tests were conducted on 34 patients before and after undergoing an operation in spinal anaesthesia. One of these patients developed a considerable unilateral hearing loss in the low-frequency range, which persisted until an epidural blood-patch was given. Unexpectedly, we also found a general small but significant threshold shift at 500 Hz, which has never before been described in the literature. The biological mechanism is discussed, and the results suggest that the explanation of the hearing loss could be a condition similar to endolymphatic hydrops, resulting from perilymphatic hypotension due to loss of liquor during and after the spinal anaesthesia.
AuthorsA Walsted, G Salomon, K S Olsen
JournalUgeskrift for laeger (Ugeskr Laeger) Vol. 155 Issue 38 Pg. 3009-11 (Sep 20 1993) ISSN: 0041-5782 [Print] Denmark
Vernacular TitleHørenedsaettelse efter spinalanaestesi. En audiologisk kontrolleret undersøgelse.
PMID8256307 (Publication Type: Case Reports, Clinical Trial, English Abstract, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adult
  • Aged
  • Anesthesia, Spinal (adverse effects)
  • Audiometry (methods)
  • Ear, Middle (physiopathology)
  • Female
  • Hearing Loss (diagnosis, etiology, physiopathology)
  • Humans
  • Male
  • Middle Aged
  • Pressure
  • Prospective Studies
  • Reflex, Acoustic
  • Stapedius (physiopathology)

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