Pérdida súbita unilateral de la audición sensorioneural después de anestesia espinal para cesárea: informe de caso
Unilateral Sudden Sensorineural Hearing Loss after Spinal Anesthesia for Elective Cesarean Section: A Case Report
Aaron G. Benson and Roberta E. Redfern
Neurotologist, Ohio Hearing and Balance Institute, Toledo Ear, Nose, and Throat, St. Luke's Hospital, 6005 Monclova Road Maumee, OH, USA
Sponsored Research Department, The Toledo Hospital, 2142 North Cove Blvd, Toledo, OH 43606, USA
J Anesth Clin Res 2012, 3:5
Abstract
The relationship between spinal anesthesia and hearing loss is not well understood, but is thought to be due to leakages of cerebrospinal fluid, which may or may not induce postural puncture headache. Previous studies have reported no risk of hearing loss in patients under 40 or the obstetric population. We present a case of a young woman who experienced severe sudden unilateral hearing loss after spinal anesthesia for elective cesarean section. This case illustrates that young, obstetric patients may experience hearing loss after spinal anesthesia.
http://www.omicsonline.org/2155-6148/2155-6148-3-211.pdf
Síndrome de cauda equina y sordera profunda después de raquia con bupivacaína isobárica
Cauda equina syndrome and profound hearing loss after spinal anesthesia with isobaric bupivacaine.
Traore M, Diallo A, Coulibaly Y, Guinto CO, Timbo SK, Thomas JT.
Department of Neurology, Point G Hospital, Medical School, Bamako, Mali. mtraore@mrtcbko.org
Anesth Analg. 2006 Jun;102(6):1863-4.
Abstract
A 33-yr-old man undergoing anorectal surgery developed cauda equina syndrome and bilateral profound hearing loss after single-injection spinal anesthesia with isobaric bupivacaine. There was no pain on needle placement. Neurologic assessment found impaired sensation to pinprick in the perineal region, lower extremity paralysis, and bowel and bladder incontinence. In addition, he developed a bilateral profound hearing loss involving the low frequencies, with the left side more affected than the right side. Although hearing impairment can occur with cerebrospinal fluid leakage, the etiology of cauda equina syndrome is uncertain. The simultaneous occurrence of these events has not been previously reported.
http://www.anesthesia-analgesia.org/content/102/6/1863.full.pdf
¿Puede la anestesia raquídea producir sordera en la población obstétrica?
Does spinal anesthesia cause hearing loss in the obstetric population?
Finegold H, Mandell G, Vallejo M, Ramanathan S.
Magee-Women's Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, 300 Halket Street, Pittsburgh, PA 15213, USA. Finegoldh@anes.upmc.edu
Anesth Analg. 2002 Jul;95(1):198-203
Abstract
Lumbar puncture is believed to cause hypoacousis by causing cerebrospinal fluid leakage in older individuals. We hypothesized that parturients undergoing subarachnoid block (SAB) may experience hearing loss. We evaluated the effects of SAB on hearing in parturients undergoing elective cesarean delivery. We also compared two types of spinal needles: a pencil-point needle (24-gauge Sprotte needle) and a cutting needle (25-gauge Quincke needle). Sixty patients were studied: 20 received lumbar epidural block for labor analgesia (controls), 20 received a SAB with a Sprotte needle, and 20 others received a SAB with a Quincke needle for cesarean delivery. A tone audiometer was used to test for that decibel level at which the patient heard 125-, 250-, 500-, 1000-, 2000-, 4000-, and 8000-Hz frequencies. The hearing test was performed before anesthesia, after delivery, and on the first and second postoperative days. The results were analyzed by using repeated-measures analysis of variance at P < 0.05. No patient from any of the three groups developed a hearing loss either at low or high frequencies. Spinal anesthesia does not lead to significant hearing loss when a pencil- or a cutting-point needle is used in the obstetric population. IMPLICATIONS: Sixty obstetric patients were enrolled in the study to examine the possible effects of spinal anesthesia on their hearing. By using an audiometer, the patient's hearing was evaluated before delivery, after delivery, and for the following 2 days. There was no significant change of hearing in any of the patients.
http://www.anesthesia-analgesia.org/content/95/1/198.full.pdf+html
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Unilateral Sudden Sensorineural Hearing Loss after Spinal Anesthesia for Elective Cesarean Section: A Case Report
Aaron G. Benson and Roberta E. Redfern
Neurotologist, Ohio Hearing and Balance Institute, Toledo Ear, Nose, and Throat, St. Luke's Hospital, 6005 Monclova Road Maumee, OH, USA
Sponsored Research Department, The Toledo Hospital, 2142 North Cove Blvd, Toledo, OH 43606, USA
J Anesth Clin Res 2012, 3:5
Abstract
The relationship between spinal anesthesia and hearing loss is not well understood, but is thought to be due to leakages of cerebrospinal fluid, which may or may not induce postural puncture headache. Previous studies have reported no risk of hearing loss in patients under 40 or the obstetric population. We present a case of a young woman who experienced severe sudden unilateral hearing loss after spinal anesthesia for elective cesarean section. This case illustrates that young, obstetric patients may experience hearing loss after spinal anesthesia.
http://www.omicsonline.org/2155-6148/2155-6148-3-211.pdf
Síndrome de cauda equina y sordera profunda después de raquia con bupivacaína isobárica
Cauda equina syndrome and profound hearing loss after spinal anesthesia with isobaric bupivacaine.
Traore M, Diallo A, Coulibaly Y, Guinto CO, Timbo SK, Thomas JT.
Department of Neurology, Point G Hospital, Medical School, Bamako, Mali. mtraore@mrtcbko.org
Anesth Analg. 2006 Jun;102(6):1863-4.
Abstract
A 33-yr-old man undergoing anorectal surgery developed cauda equina syndrome and bilateral profound hearing loss after single-injection spinal anesthesia with isobaric bupivacaine. There was no pain on needle placement. Neurologic assessment found impaired sensation to pinprick in the perineal region, lower extremity paralysis, and bowel and bladder incontinence. In addition, he developed a bilateral profound hearing loss involving the low frequencies, with the left side more affected than the right side. Although hearing impairment can occur with cerebrospinal fluid leakage, the etiology of cauda equina syndrome is uncertain. The simultaneous occurrence of these events has not been previously reported.
http://www.anesthesia-analgesia.org/content/102/6/1863.full.pdf
¿Puede la anestesia raquídea producir sordera en la población obstétrica?
Does spinal anesthesia cause hearing loss in the obstetric population?
Finegold H, Mandell G, Vallejo M, Ramanathan S.
Magee-Women's Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, 300 Halket Street, Pittsburgh, PA 15213, USA. Finegoldh@anes.upmc.edu
Anesth Analg. 2002 Jul;95(1):198-203
Abstract
Lumbar puncture is believed to cause hypoacousis by causing cerebrospinal fluid leakage in older individuals. We hypothesized that parturients undergoing subarachnoid block (SAB) may experience hearing loss. We evaluated the effects of SAB on hearing in parturients undergoing elective cesarean delivery. We also compared two types of spinal needles: a pencil-point needle (24-gauge Sprotte needle) and a cutting needle (25-gauge Quincke needle). Sixty patients were studied: 20 received lumbar epidural block for labor analgesia (controls), 20 received a SAB with a Sprotte needle, and 20 others received a SAB with a Quincke needle for cesarean delivery. A tone audiometer was used to test for that decibel level at which the patient heard 125-, 250-, 500-, 1000-, 2000-, 4000-, and 8000-Hz frequencies. The hearing test was performed before anesthesia, after delivery, and on the first and second postoperative days. The results were analyzed by using repeated-measures analysis of variance at P < 0.05. No patient from any of the three groups developed a hearing loss either at low or high frequencies. Spinal anesthesia does not lead to significant hearing loss when a pencil- or a cutting-point needle is used in the obstetric population. IMPLICATIONS: Sixty obstetric patients were enrolled in the study to examine the possible effects of spinal anesthesia on their hearing. By using an audiometer, the patient's hearing was evaluated before delivery, after delivery, and for the following 2 days. There was no significant change of hearing in any of the patients.
http://www.anesthesia-analgesia.org/content/95/1/198.full.pdf+html
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
No hay comentarios:
Publicar un comentario