LOW-FREQUENCY HEARING-LOSS AFTER SPINAL-ANESTHESIA - PERILYMPHATIC HYPOTONIA

被引:38
|
作者
WALSTED, A
SALOMON, G
OLSEN, KS
机构
[1] GLOSTRUP CTY HOSP, DEPT EAR NOSE & THROAT, DK-2600 GLOSTRUP, DENMARK
[2] GLOSTRUP CTY HOSP, DEPT ANESTHESIOL, DK-2600 GLOSTRUP, DENMARK
来源
SCANDINAVIAN AUDIOLOGY | 1991年 / 20卷 / 04期
关键词
HEARING LOSS; CEREBROSPINAL FLUID LOSS; PERILYMPHATIC HYPOTONIA; ENDOLYMPHATIC HYDROPS MODEL; SPINAL ANESTHESIA;
D O I
10.3109/01050399109045965
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Audiological tests were conducted on 34 patients before and after undergoing an operation under spinal anesthesia. 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 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 an endolymphatic hydrops resulting from perilymphatic hypotonia due to loss of liquor, during and after the spinal anesthesia.
引用
收藏
页码:211 / 215
页数:5
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