Bilateral Hearing Loss after Spinal Anaesthesia

Mild and transient hearing deficiency is not very uncommon after anaesthesia which improves before patient is fully aware of the problem. But complete prolong bilateral hearing loss after spinal anaesthesia is extremely rare complication, which falls in the category of sudden sensorineural hearing loss (SSNHL). The diagnosis and management of SSNHL is still controversial. doi: 10.3329/jafmc.v5i1.2854 JAFMC Bangladesh. Vol 5, No 1 (June) 2009 pp.53-55

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Cochlear Implantation in Sudden Bilateral Sensorineural Hearing Loss

Ear Nose & Throat Journal ◽

10.1177/014556139807700412 ◽

1998 ◽

Vol 77 (4) ◽

pp. 300-303 ◽

Cited By ~ 3

Author(s):

Eric W. Sargent ◽

Douglas L. Beck

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Cochlear Implantation ◽

Sudden Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Bilateral Hearing Loss ◽

Significant Recovery ◽

Open Set ◽

Bilateral Sensorineural Hearing Loss

Although 1–4% of all cases of sudden sensorineural hearing loss (SSHL) are bilateral, all such patients reported to date have experienced significant recovery of hearing in at least one ear. We report a case of profound, bilateral idiopathic SSHL without recovery which was treated with cochlear implantation; the first such report to our knowledge. The patient achieved open-set spondee recognition. Individuals with sudden bilateral hearing loss in whom treatable causes have been eliminated may benefit from cochlear implantation.

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Unilateral permanent sudden sensorineural hearing loss after spina-epidural anaesthesia for caesarean section: a case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz316 ◽

2019 ◽

Vol 2019 (12) ◽

Author(s):

Mostafa Alwan ◽

Guillermo Hurtado

Keyword(s):

Hearing Loss ◽

Caesarean Section ◽

Sensorineural Hearing Loss ◽

Epidural Anaesthesia ◽

Rare Complication ◽

Sudden Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Speech Discrimination ◽

Diagnostic Dilemma ◽

Spinal Epidural

ABSTRACT Sudden sensorineural hearing loss (SSNHL) after spinal-epidural anaesthesia is a very rare complication. The patient is a 25-year-old female who developed right-sided hearing loss, unbalance, a sensation of aural fullness and tinnitus 2 days post uncomplicated spinal-epidural anaesthesia for an emergency caesarean section. Initial management by her primary care physician for suspected eustachian tube dysfunction did not relieve symptoms, and 2 weeks subsequently, audiological assessment demonstrated right Sensorineural hearing loss (SNHL). Specialist consultation was sought, and the patient was commenced on systemic corticosteroids. Microscope otoscopy and posterior fossa magnetic resonance imaging were normal. High-resolution computed tomography scan demonstrated an enlarged right cochlear aqueduct. Repeat audiology after 2 weeks revealed unchanged hearing levels and improved speech discrimination scores in the right ear (from 53 to 90%). Repeat audiogram at 4 months and at 10 months showed no further improvement. Possible physiopathology of this complication, diagnostic dilemma and review of treatment options are discussed.

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Quality Indicators for the Diagnosis and Management of Sudden Sensorineural Hearing Loss

Otology & Neurotology ◽

10.1097/mao.0000000000003205 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Justin Cottrell ◽

Siraj K. Zahr ◽

Jonathan Yip ◽

Sumit Agrawal ◽

Jason Archibald ◽

...

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Quality Indicators ◽

Sudden Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Diagnosis And Management

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Diagnosis and Management of Sudden Hearing Loss

Otolaryngology ◽

10.1016/s0194-5998(05)80188-3 ◽

1995 ◽

Vol 112 (5) ◽

pp. P83-P83

Author(s):

John J. Shea

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Sudden Hearing Loss ◽

Sudden Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Educational Objectives ◽

Diagnosis And Management

Educational objectives: To evaluate and manage patients with sudden sensorineural hearing loss appropriately and to counsel patients and their families regarding the implication of, and prognosis after, sudden sensorineural hearing loss.

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