{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:53:00Z","timestamp":1777881180233,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:p>Audiometric disturbances are recognised as potential complications after spinal or epidural anaesthesia; however, incidences of tinnitus occur less frequently. We report a case of a patient with severe bilateral tinnitus post-lumbar puncture who was treated with an epidural blood patch. A 40-year-old ASA I lady (a medically fit patient with no known medical problem) presented with ongoing bilateral severe tinnitus for 6\u2009days after a lumbar puncture. Venous blood (18\u2009mL) was injected into the epidural space using a 16G needle. The patient completed the Tinnitus Handicap Inventory Questionnaire before the blood patch, 3\u2009h, 24\u2009h and 1-month post-procedure. An audiogram was also conducted before and 1\u2009month after the blood patch. The patient scored 84 (grade 5) on the Tinnitus Handicap Inventory before the blood patch. Three hours post-procedure, her score improved to 16 (grade 1), with complete resolution by 24\u2009h. Audiogram revealed a low-frequency mild sensorineural hearing loss in the left ear prior to the procedure. By her 1-month follow-up, her hearing loss was back to normal. In our experience, an epidural blood patch is an effective treatment for post-dural puncture tinnitus. Its effects are instantaneous and complete resolution is achieved by 24\u2009h.<\/jats:p>","DOI":"10.1177\/2050313x18759445","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T05:50:48Z","timestamp":1519192248000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Blood patch for the treatment of post-dural puncture tinnitus"],"prefix":"10.1177","volume":"6","author":[{"given":"Wei","family":"Jia","sequence":"first","affiliation":[{"name":"Ear, Nose and Throat (ENT) Department, London North West Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2013-9996","authenticated-orcid":false,"given":"Fiqry","family":"Fadhlillah","sequence":"additional","affiliation":[{"name":"Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,2,21]]},"reference":[{"key":"bibr1-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1956.02970070018005"},{"issue":"2","key":"bibr2-2050313X18759445","first-page":"153","volume":"9","author":"Newman CW","year":"1998","journal-title":"J Am Acad Audiol"},{"key":"bibr3-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890140029007"},{"key":"bibr4-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.1152\/ajplegacy.1932.101.2.396"},{"key":"bibr5-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199005000-00009"},{"key":"bibr6-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.5336\/medsci.2009-16013"},{"key":"bibr7-2050313X18759445","first-page":"1254","volume":"59","author":"Hasegawa H","year":"2010","journal-title":"Masui"},{"key":"bibr8-2050313X18759445","volume":"82","author":"Narchi P","year":"1996","journal-title":"Anesth Analg"},{"key":"bibr9-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2005.10.008"},{"key":"bibr10-2050313X18759445","first-page":"29","volume":"27","author":"Lee CC","year":"2007","journal-title":"J Med Sci"},{"key":"bibr11-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeg639"},{"key":"bibr12-2050313X18759445","doi-asserted-by":"publisher","DOI":"10.5152\/TJAR.2015.22043"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X18759445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X18759445","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X18759445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:35:06Z","timestamp":1777595706000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X18759445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,1]]},"references-count":12,"alternative-id":["10.1177\/2050313X18759445"],"URL":"https:\/\/doi.org\/10.1177\/2050313x18759445","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,1]]},"article-number":"2050313X18759445"}}