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Hearing loss and cerebrospinal fluid pressure: Case report and review of the literature

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March 1, 2008
by Matthew S. Pogodzinski, MD, Jon K. Shallop, PhD, Juraj Sprung, MD, PhD, Toby N. Weingarten, MD, Gilbert Y. Wong, MD, and Thomas J. McDonald, MD


A decrease in cerebrospinal fluid pressure may result in an endolymphatic hydrops through a patent cochlear aqueduct or through the fundus of the internal auditory canal. This hydrops typically leads to low-frequency sensorineural hearing loss. We describe the case of a man who presented with a subjective and objective hearing loss in addition to a headache 4 days after he had undergone a dural puncture. We treated him with a standard epidural blood patch. Immediately after treatment, his hearing improved and his headache resolved.

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