{"doi":"10.1111/aas.12566","title":"Auditory function following post‐dural puncture headache treated with epidural blood patch. A long‐term follow‐up","abstract":"<jats:sec><jats:title>Background</jats:title><jats:p>Epidural analgesia is commonly used for pain management during labor. Sometimes, accidental dural puncture (<jats:styled-content style=\"fixed-case\">ADP</jats:styled-content>) occurs causing severely debilitating headache, which may be associated with transient hearing loss. We investigated if auditory function may be impaired several years after <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> treated with epidural blood patch (<jats:styled-content style=\"fixed-case\">EBP</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Sixty women (<jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> group) without documented hearing disability, who received <jats:styled-content style=\"fixed-case\">EBP</jats:styled-content> following <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> during labor between the years 2005–2011 were investigated in 2013 for auditory function using the following tests: otoscopic examination, tympanometry, pure tone audiometry, and transient‐evoked otoacoustic emissions. Additionally, they responded to a questionnaire, the Speech, Spatial and Qualities (<jats:styled-content style=\"fixed-case\">SSQ</jats:styled-content>) of hearing, concerning perceived hearing impairment. The results were compared to a control group of 20 healthy, non‐pregnant women in the same age group.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The audiometric test battery was performed 5.2 (1.9) years after delivery. No significant differences were found between the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> and the control groups in tympanometry or otoacoustic emissions. Pure tone audiometry revealed a significant but small (&lt; 5 dB) difference between the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> and control groups (<jats:italic>P</jats:italic> &lt; 0.05). The ability to hear speech in noise as measured by <jats:styled-content style=\"fixed-case\">SSQ</jats:styled-content> was significantly reduced in the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> group compared to the control group (<jats:italic>P</jats:italic> &lt; 0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>A minor hearing loss was detected in the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> group compared to the control group in pure tone audiometry in some women and during speech‐in‐noise component several years after accidental dural puncture treated with an epidural blood patch. This small residual hearing loss has minor clinical significance.</jats:p></jats:sec>","journal":"Acta Anaesthesiologica Scandinavica","year":2015,"id":603965,"datarank":0.40620753016533157,"base_score":2.70805020110221,"endowment":2.70805020110221,"self_citation_contribution":0.40620753016533157,"citation_network_contribution":0.0,"self_endowment_contribution":0.40620753016533157,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1549475,"name":"G. Dahlgren","orcid":null,"position":1,"is_corresponding":false},{"id":1549476,"name":"L. Irestedt","orcid":null,"position":2,"is_corresponding":false},{"id":1549477,"name":"A. Magnuson","orcid":null,"position":3,"is_corresponding":false},{"id":183485,"name":"C. Möller","orcid":null,"position":4,"is_corresponding":false},{"id":26053,"name":"A. Gupta","orcid":"0009-0003-7307-9741","position":5,"is_corresponding":false},{"id":1549474,"name":"B. Darvish","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Auditory function following post‐dural puncture headache treated with epidural blood patch. A long‐term follow‐up","abstract":"<jats:sec><jats:title>Background</jats:title><jats:p>Epidural analgesia is commonly used for pain management during labor. Sometimes, accidental dural puncture (<jats:styled-content style=\"fixed-case\">ADP</jats:styled-content>) occurs causing severely debilitating headache, which may be associated with transient hearing loss. We investigated if auditory function may be impaired several years after <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> treated with epidural blood patch (<jats:styled-content style=\"fixed-case\">EBP</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Sixty women (<jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> group) without documented hearing disability, who received <jats:styled-content style=\"fixed-case\">EBP</jats:styled-content> following <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> during labor between the years 2005–2011 were investigated in 2013 for auditory function using the following tests: otoscopic examination, tympanometry, pure tone audiometry, and transient‐evoked otoacoustic emissions. Additionally, they responded to a questionnaire, the Speech, Spatial and Qualities (<jats:styled-content style=\"fixed-case\">SSQ</jats:styled-content>) of hearing, concerning perceived hearing impairment. The results were compared to a control group of 20 healthy, non‐pregnant women in the same age group.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The audiometric test battery was performed 5.2 (1.9) years after delivery. No significant differences were found between the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> and the control groups in tympanometry or otoacoustic emissions. Pure tone audiometry revealed a significant but small (&lt; 5 dB) difference between the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> and control groups (<jats:italic>P</jats:italic> &lt; 0.05). The ability to hear speech in noise as measured by <jats:styled-content style=\"fixed-case\">SSQ</jats:styled-content> was significantly reduced in the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> group compared to the control group (<jats:italic>P</jats:italic> &lt; 0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>A minor hearing loss was detected in the <jats:styled-content style=\"fixed-case\">ADP</jats:styled-content> group compared to the control group in pure tone audiometry in some women and during speech‐in‐noise component several years after accidental dural puncture treated with an epidural blood patch. This small residual hearing loss has minor clinical significance.</jats:p></jats:sec>","is_dataset_classified":null,"base_score":2.70805020110221,"endowment":2.70805020110221,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"26105531","pmcid":null,"openalex_id":"https://openalex.org/W1660248146","authors":[],"funders":[],"total_grants":0,"fwci":0.5686,"citation_percentile":0.67671518,"influential_citations":0,"citation_trend":[{"year":2017,"count":2},{"year":2019,"count":1},{"year":2020,"count":1},{"year":2022,"count":1},{"year":2023,"count":7},{"year":2024,"count":1},{"year":2026,"count":1}],"oa_status":"closed","license":"http://onlinelibrary.wiley.com/termsAndConditions#vor","oa_locations":[{"url":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faas.12566","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/aas.12566","host_type":"publisher"},{"url":"https://doi.org/10.1111/aas.12566","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/26105531","host_type":"repository"}],"fields_of_study":["Anesthesia and Pain Management","Maternal and Perinatal Health Interventions","Pediatric Pain Management Techniques","Adult","Analgesia, Epidural","Analgesia, Obstetrical","Audiometry, Pure-Tone","Blood Patch, Epidural","Female","Follow-Up Studies","Hearing","Hearing Disorders","Humans","Post-Dural Puncture Headache","Pregnancy"],"mesh_terms":["Adult","Audiometry, Pure-Tone","Female","Follow-Up Studies","Hearing","Hearing Disorders","Humans","Pregnancy","Analgesia, Epidural","Analgesia, Obstetrical","Blood Patch, Epidural","Post-Dural Puncture Headache"],"keywords":["Medicine","Tympanometry","Pure tone audiometry","Audiometry","Hearing loss","Audiology","Anesthesia","Otoacoustic emission","Epidural blood patch","Surgery","Complication"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-07-29T23:07:02.507764Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}