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Bilateral Vestibular Atelectasis with Tullio's Phenomenon
Steuphen Roy1, Guhan Kumarasamy1, Rosdan Salim1
1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan Malaysia.
Bilateral vestibular dehiscence, a rare cause of vertigo, was diagnosed in a young woman with unsteadiness and headache. High-resolution CT revealed dehiscence of the medial walls, highlighting diagnostic challenges of this uncommon condition.
Area of Science:
- Otolaryngology
- Neurology
- Radiology
Background:
- Vestibular dehiscence is a rare condition causing vertigo.
- Diagnosis and treatment are challenging due to limited case reports.
- Etiology, pathophysiology, and complications are not well understood.
Purpose of the Study:
- To report a case of bilateral vestibular dehiscence.
- To highlight the diagnostic process for this rare condition.
- To contribute to the understanding of vestibular dehiscence.
Main Methods:
- Case report of a young adult female presenting with unsteadiness and headache.
- Clinical observation of Tullio's phenomenon.
- High-resolution computed tomography (HRCT) for diagnosis.
Main Results:
- Bilateral vestibular dehiscence involving the medial walls was identified.
- The patient experienced unsteadiness for two years.
- Tullio's phenomenon was a key diagnostic indicator.
Conclusions:
- Vestibular dehiscence, though rare, can cause significant symptoms like vertigo and unsteadiness.
- High-resolution CT is crucial for diagnosing vestibular dehiscence.
- Further research is needed to clarify the pathophysiology and management of vestibular dehiscence.
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