Ménière disease

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient has a history of recurrent attacks of rotational vertigo, associated with vomiting. There is also bilateral hearing impairment.

Patient Data

Age: 35 years
Gender: Male
CT

CT temporal bone

On the left, no vestibular aqueduct aperture is visible at all. On the right, there is a little irregularity of the medial aspect of the temporal bone which may represent a severely narrowed aqueduct opening.

The inner ears appear normal bilaterally.

Case Discussion

This is a "definite" case of according to the American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing and Equilibrium1 criteria. In addition, CT findings of severely narrowed or absent vestibular aqueduct openings on both sides are supportive.

See Yamane et al.2 for images and useful illustrations.

In contradistinction of these CT features, vestibular aqueducts can be enlarged (normally congenital) as a cause of hearing loss.

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Case information

rID: 24268
Case created: 4th Aug 2013
Last edited: 27th Feb 2016
System: Head & Neck
Inclusion in quiz mode: Included

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