Abstract
Dehiscence of the lateral semicircular canal (LSCD) has been reported much but mainly in association with cholesteatoma and canal wall down mastoidectomy, while idiopathic LSCD was rarely reported. Bassim reported one case with lateral semicircular canal dehiscence, but presented no vestibular or auditory symptoms. The patient in this study complained significant sound-induced vertigo and autophony in his right ear. The axis of nystagmus was orthogonal to the lateral semicircular canal, and no torsional or vertical motions were observed, so pathology of the lateral semicircular canal was preferentially considered. Benign paroxysmal positional vertigo was excluded since vertigo attacks had no relation to the change of head position. The dehiscence of the right lateral semicircular canal was then confirmed through the high-resolution temporal bone computer tomography scan and the reconstructed images. The cause of the LSCD is poorly understood, since no history of head trauma, otological infection or surgery was documented.
References
Gersdorff MC, Nouwen J, Decat M, Degols JC, Bosch P (2000) Labyrinthine fistula after cholesteatomatous chronic otitis media. Am J Otol 21:32–35
Bassim MK, Patel KG, Buchman CA (2007) Lateral semicircular canal dehiscence. Otol Neurotol 28:1155–1156. doi:10.1097/MAO0b013e31809ed965
Minor LB, Solomon D, Zinreich JS, Zee DS (1998) Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 124:249–258
Zhou G, Gopen Q, Poe DS (2007) Clinical and diagnostic characterization of canal dehiscence syndrome: a great otologic mimicker. Otol Neurotol 28:920–926. doi:10.1097/MAO.0b013e31814b25f2
Zhou G, Ohlms L, Liberman J, Amin M (2007) Superior semicircular canal dehiscence in a young child: implication of developmental defect. Int J Pediatr Otorhinolaryngol 71:1925–1928. doi:10.1016/j.ijporl.2007.08.009
Chen EY, Paladin A, Phillips G, Raske M, Vega L, Peterson D, Sie KC (2009) Semicircular canal dehiscence in the pediatric population. Int J Pediatr Otorhinolaryngol 73:321–327. doi:10.1016/j.ijporl.2008.10.027
Acknowledgments
This study was supported by Science and Technology Ministry of China “Tenth Five” Tackling Key Project Fund (No: 2004BA702B04, CFD); Educational Ministry of China (No: NCET-06-0369, CFD); National Natural Science Foundation (No: 30772398, CFD).
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There is no financial relationship with the organization that sponsored the research.
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Zhang, YB., Dai, CF. & Sha, Y. Sound-induced vertigo due to bone dehiscence of the lateral semicircular canal. Eur Arch Otorhinolaryngol 267, 1319–1321 (2010). https://doi.org/10.1007/s00405-010-1239-6
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DOI: https://doi.org/10.1007/s00405-010-1239-6