Hearing Loss as a Sequel of Lumbar Puncture

Only a few case reports have been published about hearing impairment following lumbar puncture, and not all were thoroughly documented by audiograms. We present nine cases of hearing loss following myelography, lumbar puncture, and spinal anesthesia. We speculate that this rare complication arises only in persons with a wholly or partially patent cochlear aqueduct, and occurs via the release of perilymphatic fluid in the cerebrospinal space. Hearing loss was seen in eight of the nine patients in the lower frequencies, and in six of the nine patients on both sides. Recovery to normal hearing was noticed in six of the nine patients. Transient hearing loss may occur more often than it is generally assumed, and the symptom can remain unnoticed. Since not all of these hearing losses proved to be fully reversible, we suggest informing patients about this complication for medicolegal reasons.

[1]  P. Hardy,et al.  Influence of spinal puncture and injection on VHIth nerve function , 1988, The Journal of Laryngology & Otology.

[2]  M. Bove,et al.  Transient hearing loss following spinal anaesthesia , 1987, Anaesthesia.

[3]  Allen Gw.  Fluid flow in the cochlear aqueduct and cochlea-hydrodynamic considerations in perilymph fistula, stapes gusher, and secondary endolymphatic hydrops. , 1987 .

[4]  E. Lehnhardt,et al.  Transient hearing loss after lumbar myelography. , 1986, The Laryngoscope.

[5]  J. Lamb,et al.  Vestibulo-cochlear symptoms after myelography. , 1985, The British journal of radiology.

[6]  M. Novak,et al.  Transient hearing loss with metrizamide , 1985, The Laryngoscope.

[7]  N. Hirashima.  Treatment of Sudden Deafness with Sodium Salts of Triiodobenzoic Acid Derivatives , 1978, The Annals of otology, rhinology, and laryngology.

[8]  Loers Fj.  [Paresis of the tympanic nerve--a rare complication of spinal anesthesia (author's transl)]. , 1977 .

[9]  T. Palva.  Cochlear aqueduct in infants. , 1970, Acta oto-laryngologica.

[10]  H. Schuknecht,et al.  The morphologic basis for perilymphatic gushers and oozers. , 1988, Advances in oto-rhino-laryngology.

[11]  M. Astor.  Radiobiological studies on a series of human cell lines of varying glutathione content. , 1985, The British journal of radiology.

[12]  Vincent J. Collins,et al.  Principles of anesthesiology , 1976 .

[13]  T. Palva,et al.  Human cochlear aqueduct. , 1969, Acta oto-laryngologica.

[14]  J. Arnvig.  TRANSITORY DECREASE OF HEARING AFTER LUMBAR PUNCTURE. A PERSONAL EXPERIENCE WHICH THROWS SOME LIGHT ON THE FUNCTION OF THE AQUEDUCT OF THE COCHLEAE. , 1963, Acta oto-laryngologica.