Research in Vestibular Science

The Korean Balance Society (대한평형의학회)
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A Case of Sensorineural Hearing Loss and Vertigo during Epidural Nerve Block

경막외 신경차단술 시행 중 발생한 감각신경성난청과 어지럼 1예

  • Lee, Byeong Min (Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University Hospital) ;
  • Noh, Jin hong (Department of Neurology, New Tongyoung Hospital) ;
  • Ahn, Seong Ki (Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University Hospital) ;
  • Park, Hyun Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University Hospital)
  • 이병민 (경상대학교병원 이비인후-두경부외과) ;
  • 노진홍 (새통영병원 신경과) ;
  • 안성기 (경상대학교병원 이비인후-두경부외과) ;
  • 박현우 (경상대학교병원 이비인후-두경부외과)
  • Received : 2018.10.11
  • Accepted : 2018.12.04
  • Published : 2018.12.15
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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.

Keywords

References

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