Sezaryen operasyonu için uygulanan kombine spinoepidural anestezi sonrası tinnitus ve işitme kaybı
Spinal anestezi sonrası tinnitus ve düşük frekanslı işitme kaybı klinik bulgu olarak çok sık rastlanmasa da odyometri kullanılarak yapılan araştırmalarda işitme kaybı insidansı oldukça yüksek bulunmaktadır. Dural membranın delinmesi ve beyin omurilik sıvısı basıncının azalması sonucu endolenfatik hidrops gelişebilir ve bu durum tinnitus ve düşük frekanslarda işitme kaybına sebep olabilir. Biz bu olgu sunusu ile bir elektif sezaryen operasyonunda kombine spinoepidural anestezi sonrası gelişen tinnitus ve işitme kaybı olgusunu ve tedavisini sunmayı planladık.
Tinnitus and hearing loss after combined spinoepidural anesthesia for caesarean section
Although tinnitus and clinical findings of low-frequency hearing loss are not commonly seen following spinal anesthesia, the incidence is very high in the studies with audiometry. Endolymphatic hydrops may be developed because of dural membrane drilling and decreasing of cerebrospinal fluid pressure, and this situation can cause tinnitus and bilateral hearing loss in low frequencies. In this case, we aimed to remind tinnitus, hearing loss following spinoepidural anesthesia, and their treatments in an elective cesarean section operation.
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