Irish Journal of Medical Science

, Volume 180, Issue 1, pp 79–84 | Cite as

Sudden (reversible) sensorineural hearing loss in pregnancy

  • R. KennyEmail author
  • N. Patil
  • N. Considine
Original Article



Sudden hearing loss directly associated with pregnancy or birth is a little known and rare occurrence. The temporary, unilateral, low-frequency sensorineural hearing loss in this case was reported after the birth of the patient’s first child, and again during the third trimester of her second pregnancy.


This paper discusses the different explanations as to why hearing losses occur due to physical changes within the body during pregnancy and birth. It is probable that this patient had significant anatomical asymmetry with one patent and one non-patent cochlear aqueduct, allowing increased pressure unilaterally. The mechanical restriction of the inner ear hair cells caused the hearing loss that returned to normal, when the pressure returned to normal.


Our case demonstrates that pregnancy can lead to hearing loss in two sequential pregnancies. Mechanisms are discussed in detail. Clinically it appears that the hearing loss and tinnitus associated with pregnancy can spontaneously recover.


Pregnancy Unilateral Sensory neural Hearing loss Endolymphatic pressure 


  1. 1.
    Walsted A, Salomon G, Olsen KS (1993) Hearing loss after spinal anesthesia. An audiological controlled trial (article in Danish) Ugeskr Laeger 155(38):3009–3011Google Scholar
  2. 2.
    Rajasekaran AK, Kirk P, Varshney S (2003) Transient hearing loss with labour epidural block. Anaesthesia 58:613–614CrossRefPubMedGoogle Scholar
  3. 3.
    Sennaroglu G, Belgin E (2001) Audiological findings in pregnancy. J Laryngol Otol 115(8):617–621CrossRefPubMedGoogle Scholar
  4. 4.
    Bozzato A, Gottwald F, Steinhart H, Zenk J (2004) Beidseitige hörminderung in der gravidität (Binaural auditory deficit during pregnancy) HNO 52:911–916Google Scholar
  5. 5.
    Andrews JC, Ator GA, Honrubia V (1992) The exacerbation of symptoms in Meniere’s disease during the premenstrual period. Arch Otolaryngol Head Neck Surg 118(1):74–78PubMedGoogle Scholar
  6. 6.
    Jessen MR, Shaenboen MJ (1996) Simultaneous bilateral facial palsy in pregnancy. J Am Osteopath Assoc 96(1):55–57PubMedGoogle Scholar
  7. 7.
    Ben David Y, Tal J, Podoshin L, Fradis M, Sharf M, Pratt H, Faraggi D (1995) Brain stem auditory evoked potentials: effects of ovarian steroids correlated with increased incidence of Bell’s palsy in pregnancy. Otolaryngol Head Neck Surg 113(1):32–35CrossRefPubMedGoogle Scholar
  8. 8.
    Kiliçkan L, Gürkan Y, Ozkarakas H (2002) Permanent sensorineural hearing loss following spinal anesthesia. Acta Anaesthesiol Scand 46(9):1155 (case report)Google Scholar
  9. 9.
    Finegold H, Mandell G, Vallejo M, Ramanathan S (2002) Does spinal anesthesia cause hearing loss in the obstetric population? Anesth Analg 95(1):198–203CrossRefPubMedGoogle Scholar
  10. 10.
    Michel O, Brusis T, Loennecken I, Matthias R (1990) Innenohrschwerhörigkeit nach liquorpunktion: Eine zuwenig beachete komplikation (Sensorineural hearing loss after lumber puncture). HNO 38:71–76PubMedGoogle Scholar
  11. 11.
    Phillips AJ, Marchbanks RJ (1989) Effects of posture and age on tympanic membrane displacement measurements. Br J Audiol 23(4):279–284CrossRefPubMedGoogle Scholar
  12. 12.
    Hardy PAJ (1988) Influence of spinal puncture and injection on VIIIth nerve function. J Laryngol Otol 102:452CrossRefPubMedGoogle Scholar
  13. 13.
    Uchide K, Suzuki N, Takiguchi T, Terada S, Inoue M (1997) The possible effect of pregnancy on Meniere’s disease. ORL J Otorhinolaryngol Relat Spec 59(5):292–295PubMedGoogle Scholar
  14. 14.
    Reid A, Cottingham CA, Marchbanks RJ (1993) The prevalence of perilymphatic hypertension in subjects with tinnitus: a pilot study. Scand Audiol 22(1):61–63CrossRefPubMedGoogle Scholar
  15. 15.
    Shapiro JL, Yudin MH, Ray JG (1999) Bell’s palsy and tinnitus during pregnancy: predictors of pre-eclampsia? Three cases and a detailed review of the literature. Acta Otolaryngol 119(6):647–651CrossRefPubMedGoogle Scholar
  16. 16.
    Kanadys WM, Oleszczuk J (2005) Sudden sensorineural hearing loss during pregnancy. Ginekol Pol 76(3):225–227PubMedGoogle Scholar
  17. 17.
    Derebery MJ (2000) Allergic management of Meniere’s disease: an outcome study. Otolaryngol Head Neck Surg 122(2):174–182CrossRefPubMedGoogle Scholar
  18. 18.
    Derebery MJ (1996) Allergic and immunologic aspects of Meniere’s disease. Otolaryngol Head Neck Surg 114(3):360–365CrossRefPubMedGoogle Scholar
  19. 19.
    Sprung J, Haddox JD, Maitra-D’Cruze AM (1991) Horner’s syndrome and trigeminal nerve palsy following epidural anaesthesia for obstetrics. Can J Anaesth 38(6):767–771 (review)CrossRefPubMedGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2010

Authors and Affiliations

  1. 1.Department of AudiologySligo General HospitalSligoIreland
  2. 2.Department of ENTSligo General HospitalSligoIreland

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