Nakaya Muneo, Morita Ichiro, Horiuchi Masatoshi
Department of Otolaryngology, Central Hospital of Self-Defence Agency, Faculty of Medicine, University of Tokyo, Hongo 7-3-1 Bunkyo-ku, Tokyo 113-8655, Japan.
Auris Nasus Larynx. 2005 Dec;32(4):399-401. doi: 10.1016/j.anl.2005.07.013. Epub 2005 Sep 23.
Transient hearing impairment is a known sequel after various procedures that result in loss of cerebrospinal fluid, such as lumbar puncture, spinal anesthesia and myelography. But persistent or recurrent hearing loss after dural puncture is a rare entity. We present a case with recurrent low-frequency sensorineural hearing loss after myelography. The patient was treated successfully by means of an epidural blood patch, although the conservative treatment was ineffective.
短暂性听力障碍是各种导致脑脊液流失的操作(如腰椎穿刺、脊髓麻醉和脊髓造影)后已知的后遗症。但硬膜穿刺后持续性或复发性听力损失是一种罕见情况。我们报告一例脊髓造影后复发性低频感音神经性听力损失的病例。尽管保守治疗无效,但该患者通过硬膜外血贴治疗成功。