Isolated chronic tinnitus after neuraxial labor analgesia

The most common complication of neuraxial labor analgesia,1 accidental dural puncture (ADP), causes headache, nausea, neck stiffness, diplopia and tinnitus, all of which are attributed to leakage of cerebrospinal fluid (CSF) from the intrathecal space.2 The resultant intracranial hypotension has been shown on magnetic resonance imaging (MRI) to be associated with downward movement of intracranial structures, meningeal enhancement and vasodilation of blood vessels.3 Although positional headache is the most common symptom of ADP, other symptoms of intracranial hypotension may be more prominent or may present on their own.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research

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Conclusions: The PRKCQ rs4750316 polymorphism may be a susceptibility factor for VKH syndrome pathogenesis and extraocular presentations, indicating that PRKCQ may be involved in the pathogenesis and extraocular presentations of VKH syndrome through the T-cell receptor (TCR) signaling pathway. PMID: 31908401 [PubMed - in process]
Source: Molecular Vision - Category: Molecular Biology Tags: Mol Vis Source Type: research
CONCLUSIONS: Concussion in the deployed settings does not occur in isolation, with co-morbid and co-occurring conditions being common. Presence of multiple co-morbidities appears to influence clinical course and overall recovery. Post-traumatic headaches are often phenotypically fully consistent with migraine, and appear related to pre-existing migraine if supported by detailed pre-deployment headache history suggesting same. Careful and comprehensive history taking and evaluation is invaluable in identifying associated conditions including migraine, potentially helping clinicians with more accurate symptom attribution, di...
Source: Headache - Category: Neurology Authors: Tags: Headache Source Type: research
Semin Neurol DOI: 10.1055/s-0039-3402065Meniere's disease (MD) is a set of uncommon disorders with core phenotype of tinnitus, episodic vertigo, and sensorineural hearing loss. MD shows a genetic predisposition and a family history is found in 10% cases, with an autosomal dominant inheritance pattern. It is a multifactorial condition whose onset and development are triggered by the combined effect of genetic and environmental factors. Histopathological studies have associated MD with the accumulation of endolymph in the cochlea and the vestibular organs. However, endolymphatic hydrops does not fully explain the persistence...
Source: Seminars in Neurology - Category: Neurology Authors: Tags: Review Article Source Type: research
Conclusions: The clinical manifestations of petrosal cholesteatoma are various, and sometimes it is difficult to differentiate it from other petrosal lesions. The combining with MRI-DWI and CT examination is necessary and has an advantage. PMID: 31876216 [PubMed - as supplied by publisher]
Source: Acta Oto-Laryngologica - Category: ENT & OMF Authors: Tags: Acta Otolaryngol Source Type: research
Work-related musculoskeletal diseases result from an imbalance between work requirements and the functional capacity to respond such demands. Costen syndrome is a temporomandibular disorder with vestibulocochlear alteration. A 22-year-old woman presented reporting some discomfort, such as mouth opening constrained, sensitivity in the temporomandibular joint (TMJ) region, intense headache, tired feeling in the masticatory muscles, tinnitus, dizziness, and ear fullness. Clinical and physical examination showed the presence of popping in the TMJ, evidence of bruxism, and trigger points in the cervical and masticatory musculature.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Conclusion: The conclusion of this study will help clinicians and patients with aphasia after CVA to make decision. Ethics and dissemination: No privacy health information will be collected, thus formal ethics approval is not required. The findings of this SR will be submitted to a peer-reviewed journal. PROSPERO registration number: CRD42019144587.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
[Typical characteristics of the symptoms of patients suffering from Ménière's disease and the multidisciplinary approach]. Orv Hetil. 2019 Dec;160(48):1915-1920 Authors: Molnár A, Maihoub S, Fent Z, Tamás L, Szirmai Á Abstract Introduction: Ménière's disease (MD) is a disorder that affects the inner ear, characterized by vertigo, tinnitus, hearing loss and vegetative symptoms. One of the main points of the management of the patients is the analysis of the vertigo diaries. Aim: To identify the typical characteristics of the symptoms and to highlight the ...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
ConclusionWe suggest using the term ‘drug-induced intracranial hypertension’ (DIIH) and propose a set of diagnostic criteria for DIIH. Our review attempts to identify DIIH-associated drugs based on a strict diagnostic and drug-causality algorithm, then stratify them into appropriate risks categories. This may ultimately assist phy sicians in counselling patients about the risk of DIIH when prescribing medications and recognizing this uncommon yet sight-threatening condition.
Source: American Journal of Clinical Dermatology - Category: Dermatology Source Type: research
Abstract Hypertensive emergencies (HE) and urgencies (HU) are frequent causes of patients referral to Emergency Department (ED) and the approach may be different according to local clinical practice. Our aim was to explore awareness, management, treatment and counselling after discharge of HE and HU in Italy, by mean of an on-line survey. The young investigator research group of the Italian Society of Hypertension developed a 23-item questionnaire spread by e-mail invitation to the members of Italian Scientific societies in the field of Hypertension. 665 questionnaires were collected from EDs, Emergency and Urgenc...
Source: European Journal of Internal Medicine - Category: Internal Medicine Authors: Tags: Eur J Intern Med Source Type: research
Conclusion: Yellow fever vaccine may be a possible trigger for VKH. PMID: 31603703 [PubMed - as supplied by publisher]
Source: Ocular Immunology and Inflammation - Category: Allergy & Immunology Tags: Ocul Immunol Inflamm Source Type: research
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