[脊髓麻醉后的听力障碍]。

IF 1.9 Q2 POLITICAL SCIENCE Regional-Anaesthesie Pub Date : 1991-08-01
O Michel, T Brusis
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引用次数: 0

摘要

在脊髓麻醉后听力损失的少数病例报告中,听力损伤的完全恢复一直被描述。在9例同时行脊髓造影和硬脑膜穿刺后听力下降的患者中,有3例听力未恢复或部分恢复。两起案件因玩忽职守而告上法庭。他们的诉讼可以被驳回,因为这种罕见的并发症似乎只发生在由于淋巴周围液流入脑脊液而导致耳蜗导水管完全或部分未清除的患者。9名患者中有8名在30-40分贝的较低频率范围内出现听力损失。6例患者双侧均有损伤。9例患者中有6例听力恢复正常。短暂性听力损失的发生频率可能比一般认为的要高,当患者出现严重的头痛、头晕和恶心的硬脑膜穿刺后综合征时,症状可能会被忽视。并非所有的听力损失病例都是完全可逆的,但这种并发症的个体风险是不可预测的。使用细针可减少脑脊液经硬脑膜穿刺漏出,从而降低发生率。
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[Hearing disorders following spinal anesthesia].

In the few case reports of hearing loss following spinal anesthesia, complete recovery of the hearing impairment has always been described. In nine cases with hearing loss following not only spinal anesthesia but also myelography and dural puncture, the hearing of three patients did not recover or only partly returned. Two cases went to court for malpractice. Their suits could be dismissed because it appears likely that this rare complication arises only in persons with a wholly or partially unobliterated aquaeductus cochleae due to loss of perilymphatic fluid into the cerebrospinal space. Hearing loss was seen in eight of nine patients in lower frequencies around 30-40 dB. In six patients there was impairment on both sides. Recovery of normal hearing occurred in six of the nine patients. Transient hearing loss may occur more often than is generally assumed, and the symptom may remain unnoticed when a severe post-dural puncture syndrome with headache, dizziness, and nausea dominates the attention of the patient. Not all cases of hearing loss proved to be fully reversible, but the individual risk for this complication is not predictable. The use of fine-gauge needles may reduce the leakage of cerebrospinal fluid through the dural puncture and thus lower the incidence.

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CiteScore
3.50
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0.00%
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[An epidural spinal abscess as a lethal complication of peridural anesthesia]. [Knotting of a peridural catheter]. [A simple technique for estimating the level of analgesia in regional anesthesia]. [CSE--the combination of spinal and epidural anesthesia]. [Comments on the paper by R. Schürg et al. Maternal and neonatal plasma concentrations of bupivacaine during peridural anesthesia for cesarean section].
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