Hearing loss after spinal anesthesia. An audiological controlled trial

Walsted, A.; Salomon, G.; Olsen, K.S.

Ugeskrift for Laeger 155(38): 3009-3011

1993


ISSN/ISBN: 0041-5782
PMID: 8256307
Document Number: 417523
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.

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