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Published on: November 29, 2024
Superior semicircular canal dehiscence and enlarged vestibular aqueduct
Cristina Brandolini1, Giovanni Carlo Modugno
1Department of Specialistic Surgical and Anesthesiological Sciences, University of Bologna, Bologna, Italy. cribrandolini@libero.it
Insights
Superior semicircular canal dehiscence, a rare inner ear defect, can occur with an enlarged vestibular aqueduct in children. Early diagnosis is crucial for preserving hearing and preventing symptoms triggered by sound or pressure changes.
Area of Science:
- Otolaryngology
- Neuroscience
- Radiology
Background:
- Superior semicircular canal dehiscence (SSCD) is a defect of the bony labyrinth.
- It can be present in the pediatric population.
- Enlarged vestibular aqueduct (EVA) is another inner ear malformation.
Observation:
- A 16-year-old female presented with congenital hearing loss.
- She had no vestibular symptoms.
- Radiological diagnosis confirmed SSCD and an associated omolateral EVA.
Findings:
- The co-occurrence of SSCD and EVA creates a third mobile window in the inner ear.
- This malformation can lead to cochleovestibular symptoms.
Implications:
- Early diagnosis of SSCD and EVA is essential.
- Prompt identification can help preserve inner ear function.
- Understanding these defects aids in managing hearing loss and related symptoms.
Abstract:
Superior semicircular canal dehiscence is a well described labyrinthine defect, detect in pediatric population too. We report a case of superior semicircular canal dehiscence, which radiological diagnosis was confirmed by multiplanar reformatted CT images, associated to omolateral enlarged vestibular aqueduct in a 16-year-old female who presented with congenital hearing loss without vestibular symptoms. Both inner ear malformations act as a third mobile window into the labyrinth and cochleo-vestibular symptoms can result from loud sounds or pressure changes. An early diagnosis should be strived for preserve inner ear functions.
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