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Postoperative sudden sensorineural hearing loss after posterior lumbar decompression: a case report.
Can J Anaesth 2003; 50(5):519-21CJ

Abstract

PURPOSE

We report a case in which a patient sustained a dural tear during spinal surgery under general anesthesia complicated by a severe and persistent unilateral sensorineural hearing loss.

CLINICAL FINDINGS

A 51-yr-old man with no previous otological history underwent a posterior lumbar decompression surgery in the prone position under general anesthesia. A small dural tear was discovered intra-operatively and was repaired by sutures. Surgery lasted for eight hours with over 3 L of blood loss. Recovery from anesthesia was otherwise uneventful. A unilateral right-sided sensorineural hearing loss was discovered shortly after completion of surgery. This was associated with mild tinnitus but no vertigo. There was no aural fullness, pain, headache or postural element to his symptoms. Despite extensive investigations, treatment and follow-up by an otorhinolaryngologist, his symptoms failed to improve 18 months following surgery.

DISCUSSION

The possible etiologies, preventive strategies, prognosis and management plan of this rare complication are discussed.

Authors+Show Affiliations

Department of Anesthesia, Division of Neurosurgery, Toronto Western Hospital, University of Toronto, 399 Bathurst Street, Toronto, Ontario M5T 2S8, Canada. peter.mak@uhn.on.caNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12734165

Citation

Mak, Peter H K., and Paul S. Tumber. "Postoperative Sudden Sensorineural Hearing Loss After Posterior Lumbar Decompression: a Case Report." Canadian Journal of Anaesthesia = Journal Canadien D'anesthesie, vol. 50, no. 5, 2003, pp. 519-21.
Mak PH, Tumber PS. Postoperative sudden sensorineural hearing loss after posterior lumbar decompression: a case report. Can J Anaesth. 2003;50(5):519-21.
Mak, P. H., & Tumber, P. S. (2003). Postoperative sudden sensorineural hearing loss after posterior lumbar decompression: a case report. Canadian Journal of Anaesthesia = Journal Canadien D'anesthesie, 50(5), pp. 519-21.
Mak PH, Tumber PS. Postoperative Sudden Sensorineural Hearing Loss After Posterior Lumbar Decompression: a Case Report. Can J Anaesth. 2003;50(5):519-21. PubMed PMID: 12734165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative sudden sensorineural hearing loss after posterior lumbar decompression: a case report. AU - Mak,Peter H K, AU - Tumber,Paul S, PY - 2003/5/8/pubmed PY - 2003/12/3/medline PY - 2003/5/8/entrez SP - 519 EP - 21 JF - Canadian journal of anaesthesia = Journal canadien d'anesthesie JO - Can J Anaesth VL - 50 IS - 5 N2 - PURPOSE: We report a case in which a patient sustained a dural tear during spinal surgery under general anesthesia complicated by a severe and persistent unilateral sensorineural hearing loss. CLINICAL FINDINGS: A 51-yr-old man with no previous otological history underwent a posterior lumbar decompression surgery in the prone position under general anesthesia. A small dural tear was discovered intra-operatively and was repaired by sutures. Surgery lasted for eight hours with over 3 L of blood loss. Recovery from anesthesia was otherwise uneventful. A unilateral right-sided sensorineural hearing loss was discovered shortly after completion of surgery. This was associated with mild tinnitus but no vertigo. There was no aural fullness, pain, headache or postural element to his symptoms. Despite extensive investigations, treatment and follow-up by an otorhinolaryngologist, his symptoms failed to improve 18 months following surgery. DISCUSSION: The possible etiologies, preventive strategies, prognosis and management plan of this rare complication are discussed. SN - 0832-610X UR - https://www.unboundmedicine.com/medline/citation/12734165/Postoperative_sudden_sensorineural_hearing_loss_after_posterior_lumbar_decompression:_a_case_report_ L2 - https://dx.doi.org/10.1007/BF03021068 DB - PRIME DP - Unbound Medicine ER -