Pogodzinski Matthew S, Shallop Jon K, Sprung Juraj, Weingarten Toby N, Wong Gilbert Y, McDonald Thomas J
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55905, USA.
Ear Nose Throat J. 2008 Mar;87(3):144-7.
A decrease in cerebrospinal fluid pressure may result in an endolymphatic hydrops through a patent cochlear aqueduct or through the fundus of the internal auditory canal. This hydrops typically leads to low-frequency sensorineural hearing loss. We describe the case of a man who presented with a subjective and objective hearing loss in addition to a headache 4 days after he had undergone a dural puncture. We treated him with a standard epidural blood patch. Immediately after treatment, his hearing improved and his headache resolved.
脑脊液压力降低可能通过开放的蜗水管或内耳道底导致内淋巴积水。这种积水通常会导致低频感音神经性听力损失。我们描述了一名男性患者的病例,该患者在硬膜穿刺4天后出现主观和客观听力损失以及头痛。我们用标准的硬膜外血补丁对他进行了治疗。治疗后,他的听力立即改善,头痛也得到缓解。