{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T22:33:24Z","timestamp":1783377204725,"version":"3.54.6"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T00:00:00Z","timestamp":1575849600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Sudden sensorineural hearing loss (SSNHL) after spinal-epidural anaesthesia is a very rare complication. The patient is a 25-year-old female who developed right-sided hearing loss, unbalance, a sensation of aural fullness and tinnitus 2 days post uncomplicated spinal-epidural anaesthesia for an emergency caesarean section. Initial management by her primary care physician for suspected eustachian tube dysfunction did not relieve symptoms, and 2 weeks subsequently, audiological assessment demonstrated right Sensorineural hearing loss (SNHL). Specialist consultation was sought, and the patient was commenced on systemic corticosteroids. Microscope otoscopy and posterior fossa magnetic resonance imaging were normal. High-resolution computed tomography scan demonstrated an enlarged right cochlear aqueduct. Repeat audiology after 2 weeks revealed unchanged hearing levels and improved speech discrimination scores in the right ear (from 53 to 90%). Repeat audiogram at 4 months and at 10 months showed no further improvement. Possible physiopathology of this complication, diagnostic dilemma and review of treatment options are discussed.<\/jats:p>","DOI":"10.1093\/jscr\/rjz316","type":"journal-article","created":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T22:12:05Z","timestamp":1571263925000},"source":"Crossref","is-referenced-by-count":4,"title":["Unilateral permanent sudden sensorineural hearing loss after spina-epidural anaesthesia for caesarean section: a case report"],"prefix":"10.1093","volume":"2019","author":[{"given":"Mostafa","family":"Alwan","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Monash Health, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Hurtado","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Monash Health, Melbourne, VIC, Australia"},{"name":"Adjunct Lecturer, Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,12,9]]},"reference":[{"key":"2019120820370778400_ref1","first-page":"3","article-title":"Bilateral hearing loss after spinal anaesthesia","volume":"5","author":"Ahmed","year":"2009","journal-title":"JAFMC Bangladesh"},{"key":"2019120820370778400_ref2","first-page":"4295601","article-title":"Sudden sensorineural hearing loss after orthopedic surgery under combined spinal and epidural anesthesia","volume":"2016","author":"Vilhena","year":"2016","journal-title":"Case Rep Otolaryngol"},{"key":"2019120820370778400_ref3","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1034\/j.1399-6576.2002.460916.x","article-title":"Permanent sensorineural hearing loss following spinal anesthesia","volume":"46","author":"Kilickan","year":"2002","journal-title":"Acta Anaesthesiol Scand"},{"key":"2019120820370778400_ref4","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/00000542-200301000-00036","article-title":"Perioperative hearing impairment","volume":"98","author":"Sprung","year":"2003","journal-title":"Anesthesiology"},{"key":"2019120820370778400_ref5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.otohns.2007.02.018","article-title":"Hearing loss after spinal anesthesia: the effect of different infusion solutions","volume":"137","author":"Yildiz","year":"2007","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2019120820370778400_ref6","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1177\/000348949210100503","article-title":"Hearing loss as a sequel of lumbar puncture","volume":"101","author":"Michel","year":"1992","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2019120820370778400_ref7","article-title":"Unilateral sudden sensorineural hearing loss after spinal anesthesia for elective Cesarean section: a case report","volume":"3","author":"AG Benson","year":"2012","journal-title":"J Anesth Clin Res."},{"key":"2019120820370778400_ref8","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1097\/00115550-200409000-00007","article-title":"Hearing loss does not occur in young patients undergoing spinal anesthesia","volume":"29","author":"Ok","year":"2004","journal-title":"Reg Anesth Pain Med"},{"key":"2019120820370778400_ref9","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/00000539-200207000-00035","article-title":"Does spinal anesthesia cause hearing loss in the obstetric population?","volume":"95","author":"Finegold","year":"2002","journal-title":"Anesth Analg"},{"key":"2019120820370778400_ref10","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1097\/00000539-200205000-00050","article-title":"Does hearing loss after spinal anesthesia differ between young and elderly patients?","volume":"94","author":"Gultekin","year":"2002","journal-title":"Anesth Analg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/12\/rjz316\/31270181\/rjz316.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/12\/rjz316\/31270181\/rjz316.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T01:37:17Z","timestamp":1575855437000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz316\/5669911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,1]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz316","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,12]]},"published":{"date-parts":[[2019,12,1]]},"article-number":"rjz316"}}