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[颈椎注射治疗后急性神经性听力损失]

[Acute neural hearing loss after cervical spine injection treatment].

作者信息

Ernst B P, Helling K, Strieth S

机构信息

Hals‑, Nasen‑, Ohrenklinik und Poliklinik - Plastische Operationen. Universitätsmedizin, Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland.

出版信息

HNO. 2018 Nov;66(11):843-846. doi: 10.1007/s00106-018-0537-y.

DOI:10.1007/s00106-018-0537-y
PMID:30006652
Abstract

This article presents the case of a 39-year-old woman receiving injection therapy for cervicalgia. Due to accidental injection into the cervical spinal cord, the patient suffered from syncope, sensomotoric deficit, and bilateral neural hearing loss. Injection therapies for spinal disorders are routinely carried out in clinical practice, despite a low level of evidence and potentially severe complications. In the event of neuro-otologic complications, prompt evaluation by an otologist should be sought and rehabilitation initiated if necessary.

摘要

本文介绍了一名39岁女性接受颈部疼痛注射治疗的病例。由于意外注入颈脊髓,患者出现晕厥、感觉运动功能障碍和双侧神经性听力损失。尽管证据水平较低且可能存在严重并发症,但脊柱疾病的注射治疗在临床实践中仍常规进行。如果发生神经耳科并发症,应寻求耳鼻喉科医生的及时评估,并在必要时开始康复治疗。

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本文引用的文献

1
Prospective, double-blind, randomized placebo-controlled trials in interventional spine: what the highest quality literature tells us.介入性脊柱领域的前瞻性、双盲、随机安慰剂对照试验:最高质量文献告诉我们的内容。
Spine J. 2009 Aug;9(8):690-703. doi: 10.1016/j.spinee.2008.06.447. Epub 2008 Sep 11.
2
The effect of different anaesthetic agents in hearing loss following spinal anaesthesia.不同麻醉剂对脊髓麻醉后听力丧失的影响。
Eur J Anaesthesiol. 1998 Jan;15(1):61-3. doi: 10.1046/j.1365-2346.1998.00232.x.
3
Inadvertent intraoperative myelography with Hypaque: case report and discussion.
术中意外使用泛影葡胺行脊髓造影:病例报告与讨论
Surg Neurol. 1997 Jul;48(1):70-3. doi: 10.1016/s0090-3019(96)00156-5.
4
Hearing loss following spinal anaesthesia with bupivacaine.布比卡因脊髓麻醉后听力丧失
Clin Otolaryngol Allied Sci. 1996 Oct;21(5):449-54. doi: 10.1046/j.1365-2273.1996.00827.x.
5
Hearing loss after spinal anesthesia is related to needle size.脊髓麻醉后听力丧失与针头大小有关。
Anesth Analg. 1990 May;70(5):517-22. doi: 10.1213/00000539-199005000-00009.
6
Hearing loss as a sequel of lumbar puncture.听力损失作为腰椎穿刺的后遗症。
Ann Otol Rhinol Laryngol. 1992 May;101(5):390-4. doi: 10.1177/000348949210100503.