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Recurrent hearing loss after myelography treated with epidural blood patch
Muneo Nakaya1, Ichiro Morita, Masatoshi Horiuchi
1Department of Otolaryngology, Central Hospital of Self-Defence Agency, Faculty of Medicine, University of Tokyo, Hongo 7-3-1 Bunkyo-ku, Tokyo 113-8655, Japan. muneo@interlink.or.jp
Auris, Nasus, Larynx
|September 27, 2005
Summary
Recurrent hearing loss after myelography is rare but treatable. An epidural blood patch effectively resolved persistent symptoms when conservative methods failed.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Cerebrospinal fluid (CSF) loss from dural puncture can cause transient hearing issues.
- Persistent or recurrent hearing loss post-dural puncture is uncommon.
Observation:
- A case of recurrent low-frequency sensorineural hearing loss following myelography is presented.
- The patient experienced persistent hearing impairment despite conservative treatments.
Findings:
- An epidural blood patch was administered to the patient.
- The epidural blood patch treatment was successful in resolving the hearing loss.
Implications:
- Highlights a rare complication of myelography: recurrent hearing loss.
- Demonstrates the efficacy of epidural blood patching for this specific condition.
- Suggests epidural blood patching as a viable treatment for persistent hearing loss after dural puncture procedures.