A Case of Sensorineural Hearing Loss and Vertigo during Epidural Nerve Block
10.21790/rvs.2018.17.4.170
- Author:
Byeong Min LEE
1
;
Jin hong NOH
;
Seong Ki AHN
;
Hyun Woo PARK
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University Hospital, Jinju, Korea. phw83@hanmail.net
- Publication Type:Case Report
- Keywords:
Sudden hearing loss;
Epidural anesthesia;
Pneumocephalus;
Perilymphatic fistula
- MeSH:
Aged;
Anesthesia and Analgesia;
Anesthesia, Epidural;
Back Pain;
Cerebrospinal Fluid;
Chronic Pain;
Dizziness;
Ear, Inner;
Female;
Fistula;
Hearing;
Hearing Loss;
Hearing Loss, Sensorineural;
Hearing Loss, Sudden;
Humans;
Intracranial Pressure;
Nerve Block;
Perilymph;
Pneumocephalus;
Vertigo
- From:Journal of the Korean Balance Society
2018;17(4):170-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epidural anesthesia has significantly advanced in neuraxial anesthesia and analgesia. It is used for surgical anaesthesia and treatment of chronic pain. Hearing loss during or after epidural anesthesia is rare, and it is known to occur by the change of the intracranial pressure. Cerebrospinal fluid is connected with perilymph in the cochlear and vestibule that is important to hearing and balance. If the intracranial pressure is abruptly transferred to the inner ear, perilymph can be leak, that called perilymphatic fistula, dizziness, and hearing loss can occur suddenly. We report a 65-year-old woman who presented with acute onset dizziness and hearing loss during the epidural nerve block for back pain, wherein we speculated a possibility of perilymphatic fistula as the mechanism of hearing loss and dizziness. The mechanism of dizziness and hearing loss was suspected with perilymphatic fistula.
