Persistan Kulak Ağrısı Yakınması Olan Hastada Bilateral Süperior Semisirküler Kanal Dehisansı

Yıl 2019, Cilt: 3 Sayı: 1, 85 - 88, 25.04.2019

Kübra Çoban Feride Kural Rahatlı Erdinç Aydın

https://doi.org/10.30565/medalanya.475057

Öz

Süperior semisirküler kanal dehisansı, ses ile tetiklenen işitme kaybı, vertigo, nistagmus ve osilopsi ile seyreden radyolojik bir tanıdır. Klinik bulgular, kanal üzerindeki kemik yapının bulunmaması nedeniyle gelişen ‘üçüncü pencere’ ile açıklanmaktadır. Bir çalışmada 1000 temporal kemiğin 5’inde bu patoloji bildirilmiştir. Aynı çalışmada bilateral tutulum ise yalnızca bir vakada bildirilmiştir. Bu yazımızda, her iki kulağında uzun yıllardır kulak ağrısı dışında, ek yakınması olmayan, ve bilateral superior semisirküler kanal tutulumu tespit edilen erişkin hasta sunulmaktadır. Bilateral kanal dehisansı nadir görülen bir patolojidir ve bu vakalarda kulak ağrısı beklenmeyen bir semptomdur. Literatür taramamızda benzer bir vakaya rastlanılmamıştır. 

Anahtar Kelimeler

Süperior semisirküler kanal, dehisans, otalji

Bilateral Superior Semicircular Canal Dehiscence in Patient With Persistent Ear Pain

Öz

Superior semcircular canal dehiscence is a radiological diagnosis which is associated with sound-induced hearing loss, vertigo, nystagmus and oscillopsia. The clinical manifestations have been explained by the absence of a bony cover, generating a ‘third window’. In one temporal bone survey the prevelance was reported as 5 cases in 1000 temporal bones, whereas, bilateral involvement was observed in one case. Here we present an otherwise healthy adult patient suffering from bilateral persistent ear pain, in whom bilateral superior semicircular canal dehiscence was the sole pathology. Bilateral canal dehiscence is a very rare entity and ear pain is unlikely in these cases. To our knowledge, there has been no similar cases reported in the literature so far. 

Anahtar Kelimeler

Superior semicircular canal, dehiscence, otalgia

Kaynakça

• 1. Minor LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope. 2005;115(10):1717-27. PMID: 16222184
• 2. Manzari L, Modugno GC. Bilateral dehiscence of both superior and posterior semicircular canals. Otol Neurotol. 2009;30(3):423-5. PMID: 18997636
• 3. Kanaan AA, Raad RA, Hourani RG, Zaytoun GM. Bilateral superior semicircular canal dehiscence in a child with sensorineural hearing loss and without vestibular symptoms. Int J Pediatr Otorhinolaryngol. 2011;75(6):877-9. PMID: 21524803
• 4. Hamid MA. Bilateral dehiscence of the superior semicircular canals. Otol Neurotol 2001;22(4):567-8. PMID: 11449118
• 5. Carey JP1, Minor LB, Nager GT. Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey. Arch Otolaryngol Head Neck Surg. 2000;126(2):137-47. PMID: 10680863
• 6. Yew A, Zarinkhou G, Spasic M, Trang A, Gopen Q, Yang I. Characteristics and management of superior semicircular canal dehiscence. J Neurol Surg B Skull Base. 2012 Dec;73(6):365-70. PMID: 24294552
• 7. Crovetto M, Whyte J, Rodriguez OM, Lecumberri I, Martinez C, Eléxpuru J. Anatomo-radiological study of the Superior Semicircular Canal Dehiscence Radiological considerations of Superior and Posterior Semicircular Canals. Eur J Radiol. 2010 Nov;76(2):167-72. PMID: 19540691
• 8. Ceylan N, Bayraktaroglu S, Alper H, Savaş R, Bilgen C, Kirazli T, Güzelmansur I, Ertürk SM. CT imaging of superior semicircular canal dehiscence: added value of reformatted images. Acta Otolaryngol. 2010 Sep;130(9):996-1001. PMID: 20205621
• 9. Belden CJ, Weg N, Minor LB, Zinreich SJ. CT evaluation of bone dehiscence of the superior semicircular canal as a cause of sound- and/or pressure-induced vertigo. Radiology. 2003 Feb;226(2):337-43. PMID: 12563123
• 10. Teixeira EO, Fonseca MT. Superior Semicircular Canal Dehiscence Syndrome without Vestibular Symptoms. Int Arch Otorhinolaryngol. 2014;18(2):210-2. PMID: 25992092
• 11. Chilvers G, McKay-Davies I. Recent advances in superior semicircular canal dehiscence syndrome. J Laryngol Otol. 2015;129(3):217-25. PMID: 25655361
• 12. Niesten ME, Hamberg LM, Silverman JB, Lou KV, McCall AA, 1Windsor A, Curtin HD, Herrmann BS, Grolman W, Nakajima HH, Lee DJ. Superior canal dehiscence length and location influences clinical presentation and audiometric and cervical vestibular-evoked myogenic potential testing. Audiol Neurootol. 2014;19(2):97-105. PMID: 24434937
• 13. Mikulec AA, McKenna MJ, Ramsey MJ, Rosowski JJ, Herrmann BS, Rauch SD, Curtin HD, Merchant SN. Superior semicircular canal dehiscence presenting as conductive hearing loss without vertigo. Otol Neurotol. 2004 Mar;25(2):121-9. PMID: 15021770
• 14. Cho YW, Shim BS, Kim JW, Kim TS, Ahn JH, Chung JW, Lee KS, Yoon TH, Park HJ. Prevalence of radiologic superior canal dehiscence in normal ears and ears with chronic otitis media. Laryngoscope. 2014 Mar;124(3):746-50. PMID: 23794324
• 15. Reitsma S, Stokroos R, Weber JW, van Tongeren J. Pediatric Idiopathic Intracranial Hypertension Presenting With Sensorineural Hearing Loss. Ann Otol Rhinol Laryngol. 2015 Dec;124(12):996-1001. PMID: 26082474