Hearing loss and cerebrospinal fluid pressure: case report and review of the literature.
A decrease in cerebrospinal fluid pressure may result in an endolymphatic hydrops through a patent cochlear aqueduct or through the fundus of the internal auditory canal. This hydrops typically leads to low-frequency sensorineural hearing loss. We describe the case of a man who presented with a subjective and objective hearing loss in addition to a headache 4 days after he had undergone a dural puncture. We treated him with a standard epidural blood patch. Immediately after treatment, his hearing improved and his headache resolved.
Pogodzinski
Matthew S
MS
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55905, USA.
Shallop
Jon K
JK
Sprung
Juraj
J
Weingarten
Toby N
TN
Wong
Gilbert Y
GY
McDonald
Thomas J
TJ
D017217:Blood Patch, Epidural; D015170:Cerebrospinal Fluid Pressure; D006261:Headache / Q000209:etiology* / Q000503:physiopathology*; D034381:Hearing Loss / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013129:Spinal Puncture / Q000009:adverse effects*