Large vestibular aqueduct syndrome

Case contributed by Mostafa Elfeky
Diagnosis certain

Presentation

Cochlear implant candidate, with bilateral hearing loss.

Patient Data

Age: 20 years
Gender: Female

Petrous bone

ct

Bilateral large vestibular aqueducts (VAs). The VA measures 3 mm at the operculum and 2.5 mm at its mid-portion. Left hearing aid device is noted.

Petrous bone

mri

Bilateral large vestibular aqueducts (VAs) and endolymphatic sacs.

Left choroid fissure cyst is noted.

Case Discussion

Large vestibular aqueduct syndrome (LVAS) is thought to be one of the most common congenital causes of sensorineural hearing loss (SNHL). It is usually sudden after head trauma or progressive during childhood. Cochlear implantation is the surgical effective choice of LVAS if marked hearing loss occurred.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.