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Published on: February 29, 2020
Hearing loss after lumbar puncture
1Department of Medicine, Whangarei Hospital, PO Box 742, Whangarei 0110, New Zealand.
Summary
A man experienced temporary hearing loss after a lumbar puncture. Doctors later discovered and treated a blocked left transverse sinus, a vein in the skull.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Lumbar puncture is a medical procedure to obtain cerebrospinal fluid for diagnostic testing.
- Raised intracranial pressure can lead to various neurological symptoms.
Observation:
- A 63-year-old male patient presented with acute on chronic hearing loss following a lumbar puncture.
- The lumbar puncture was performed to investigate elevated intracranial pressure.
Findings:
- The patient was diagnosed with stenosis of the distal left transverse sinus.
- Venous sinus stenting was successfully employed as a treatment for the identified stenosis.
Implications:
- This case highlights a potential, albeit transient, complication of lumbar puncture related to cerebrospinal fluid dynamics.
- Identifying and treating transverse sinus stenosis can effectively manage associated neurological and audiological deficits.
