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Persistent dizziness following head trauma and perilymphatic fistula
1Department of Otology/Neurology, Washington Hospital Center, Washington, DC 20010, USA.
Archives of Physical Medicine and Rehabilitation
|November 1, 1995
Summary
Persistent dizziness, lasting months or years, may stem from perilymphatic fistulas, an inner ear leak often caused by head trauma. Early diagnosis and surgical repair of these fistulas can resolve symptoms like dizziness and tinnitus.
Area of Science:
- Otolaryngology
- Neurology
- Vestibular Science
Background:
- Perilymphatic fistulas (PLFs) involve abnormal inner ear ruptures leading to perilymph leakage.
- These fistulas are frequently associated with head trauma and postconcussive syndrome symptoms.
Observation:
- Persistent dizziness, tinnitus, and cognitive changes can be indicative of PLFs.
- Diagnostic evaluations include audiograms, electronystagmography, electrocochleography, and fistula tests.
Findings:
- Surgical repair of the oval and round windows can effectively treat PLFs.
- This minor surgical intervention often yields positive results in symptom resolution.
Implications:
- Increased awareness of PLFs among healthcare professionals is crucial for timely diagnosis.
- Consultation with inner ear specialists can lead to effective treatment for this often overlooked condition.
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