Research in Vestibular Science

  • 제17권4호
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  • Pages.170-174
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  • 2018
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  • 2092-8882(pISSN)
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  • 2093-5501(eISSN)
대한평형의학회 (The Korean Balance Society)
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경막외 신경차단술 시행 중 발생한 감각신경성난청과 어지럼 1예

A Case of Sensorineural Hearing Loss and Vertigo during Epidural Nerve Block

  • 이병민 (경상대학교병원 이비인후-두경부외과) ;
  • 노진홍 (새통영병원 신경과) ;
  • 안성기 (경상대학교병원 이비인후-두경부외과) ;
  • 박현우 (경상대학교병원 이비인후-두경부외과)
  • 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)
  • 투고 : 2018.10.11
  • 심사 : 2018.12.04
  • 발행 : 2018.12.15
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Auroy Y, Narchi P, Messiah A, Litt L, Rouvier B, Samii K. Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 1997;87:479-86. https://doi.org/10.1097/00000542-199709000-00005
  2. Kilickan L, Gurkan Y, Ozkarakas H. Permanent sensorineural hearing loss following spinal anesthesia. Acta Anaesthesiol Scand 2002;46:1155-7. https://doi.org/10.1034/j.1399-6576.2002.460916.x
  3. Sundberg A, Wang LP, Fog J. Influence of hearing of 22 G Whitacre and 22 G Quincke needles. Anaesthesia 1992;47:981-3. https://doi.org/10.1111/j.1365-2044.1992.tb03205.x
  4. Stoeckli SJ, Bohmer A. Persistent bilateral hearing loss after shunt placement for hydrocephalus. Case report. J Neurosurg 1999;90:773-5. https://doi.org/10.3171/jns.1999.90.4.0773
  5. Wang LP, Fog J, Bove M. Transient hearing loss following spinal anaesthesia. Anaesthesia 1987;42:1258-63. https://doi.org/10.1111/j.1365-2044.1987.tb05270.x
  6. Saberski LR, Kondamuri S, Osinubi OY. Identification of the epidural space: is loss of resistance to air a safe technique? A review of the complications related to the use of air. Reg Anesth 1997;22:3-15. https://doi.org/10.1016/S1098-7339(06)80050-7
  7. Ciuman RR. Communication routes between intracranial spaces and inner ear: function, pathophysiologic importance and relations with inner ear diseases. Am J Otolaryngol 2009;30:193-202. https://doi.org/10.1016/j.amjoto.2008.04.005
  8. Conde M, Villanueva A, Sanchez P, Perez JA, Ruiz-Rico R. Deafness secondary to lumbar puncture. Rev Neurol 1997;25:1218-20.
  9. Goodhill V. Sudden deafness and round window rupture. Laryngoscope 1971;81:1462-74. https://doi.org/10.1288/00005537-197109000-00010
  10. Al Felasi M, Pierre G, Mondain M, Uziel A, Venail F. Perilymphatic fistula of the round window. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:139-41. https://doi.org/10.1016/j.anorl.2010.12.004
  11. Cosar A, Yetiser S, Sizlan A, Yanarates O, Yildirim A. Hearing impairment associated with spinal anesthesia. Acta Otolaryngol 2004;124:1159-64. https://doi.org/10.1080/00016480410017143
  12. Truesdale CM, Peterson RB, Hudgins PA, Vivas EX. Internal auditory canal meningocele-perilabyrinthine/translabyrinthine fistula: case report and imaging. Laryngoscope 2016;126:1931-4. https://doi.org/10.1002/lary.25787
  13. Kohut RI, Hinojosa R, Ryu JH. Update on idiopathic perilymphatic fistulas. Otolaryngol Clin North Am 1996;29:343-52.