{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:14Z","timestamp":1756361414042,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,24]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>This case involves a woman in her 70s with a complex history of spinal surgeries and pre-existing left-sided sensorineural hearing loss (SNLH), who underwent elective spondylodesis for failed back surgery syndrome. Postoperatively, the patient complained of sudden onset, profound and painless hearing loss. Otorhinolaryngology (ENT) review confirmed bilateral sensorineural hearing loss. A large dural tear causing cerebral spinal fluid (CSF) leak was diagnosed. The CSF leak failed to heal with conservative management and required subsequent surgical repair. The SNHL was attributed to the drop in CSF pressure causing a disruption of the endolymph\/perilymph balance. The patient made a complete recovery after a short course of intravenous steroids. SNHL is a documented but rare adverse event in non-otological surgeries. This manuscript stresses the importance of anaesthesiologists being aware of such a complication in high-risk patients. It also highlights modifiable factors to prevent SNHL and discusses possible treatments.<\/jats:p>","DOI":"10.1136\/bcr-2024-264032","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T04:15:13Z","timestamp":1748924113000},"page":"e264032","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Postoperative sensorineural hearing loss in a non-otological surgery secondary to a dural tear after spinal surgery"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9644-4495","authenticated-orcid":false,"given":"Vasiliki","family":"Kalogianni","sequence":"first","affiliation":[{"name":"Intensive Care Unit, St George\u2019s Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0943-2181","authenticated-orcid":false,"given":"Fotios","family":"Vlahos","sequence":"additional","affiliation":[{"name":"University of Milano-Bicocca, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2307-3961","authenticated-orcid":false,"given":"Iosifina","family":"Giannakikou","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Hygeia Hospital, Athens, Attica, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"2025082722441431000_18.6.e264032.1","first-page":"50","article-title":"Unilateral sensorineural hearing loss after arthroscopic shoulder surgery in the beach-chair position: a case report","volume":"1","author":"Galvin","year":"2021","journal-title":"JSES Rev Rep Tech"},{"key":"2025082722441431000_18.6.e264032.2","doi-asserted-by":"crossref","first-page":"e482","DOI":"10.1016\/j.wneu.2019.07.204","article-title":"Sensorineural Deafness After Spine Surgery: Case Series and Literature Review","volume":"131","author":"Mallepally","year":"2019","journal-title":"World Neurosurg"},{"key":"2025082722441431000_18.6.e264032.3","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":"2025082722441431000_18.6.e264032.4","doi-asserted-by":"crossref","first-page":"176","DOI":"10.4236\/ojanes.2012.24039","article-title":"Peri-Operative Hearing Impairment","volume":"02","author":"Singh","year":"2012","journal-title":"OJAnes"},{"key":"2025082722441431000_18.6.e264032.5","unstructured":"Tanna RJ , Lin JW , Jesus O . Sensorineural hearing loss. StatPearls, 2023. Available: http:\/\/ ncbi.nlm.nih.gov"},{"key":"2025082722441431000_18.6.e264032.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0224561","article-title":"Long-term vancomycin use had low risk of ototoxicity","volume":"14","author":"Humphrey","year":"2019","journal-title":"PLoS ONE"},{"key":"2025082722441431000_18.6.e264032.7","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":"2025082722441431000_18.6.e264032.8","doi-asserted-by":"publisher","DOI":"10.1177\/000348949210100503"},{"key":"2025082722441431000_18.6.e264032.9","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1097\/00002517-200104000-00014","article-title":"Sudden sensorineural hearing loss after spinal surgery under general anesthesia","volume":"14","author":"Girardi","year":"2001","journal-title":"J Spinal Disord"},{"key":"2025082722441431000_18.6.e264032.10","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-196709000-00015"},{"key":"2025082722441431000_18.6.e264032.11","doi-asserted-by":"crossref","first-page":"999","DOI":"10.3349\/ymj.2012.53.5.999","article-title":"Therapeutic effects of carbogen inhalation and lipo-prostaglandin E1 in sudden hearing loss","volume":"53","author":"Lee","year":"2012","journal-title":"Yonsei Med J"},{"key":"2025082722441431000_18.6.e264032.12","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900090110017"},{"key":"2025082722441431000_18.6.e264032.13","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/lary.27867","article-title":"SCUBA Medicine for otolaryngologists: Part I. Diving into SCUBA physiology and injury prevention","volume":"130","author":"Mallen","year":"2020","journal-title":"Laryngoscope"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:44:26Z","timestamp":1756359866000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":13,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,2]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1136\/bcr-2024-264032"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264032","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}