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Pneumolabyrinth and Recurrent Paroxysmal Positional Vertigo After Traumatic Stapes Fracture.
- Source :
-
The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2019 Apr; Vol. 128 (4), pp. 352-356. Date of Electronic Publication: 2018 Dec 17. - Publication Year :
- 2019
-
Abstract
- Objectives:: The development of pneumolabyrinth without previous head trauma is a rare event; the associated symptoms may be nonspecific, and they can simulate various cochleo-vestibular pathological entities. The aim of the present study is to describe one of these rare occurrences, characterized by a peculiar onset.<br />Methods:: We report a case of stapes fracture secondary to ear pick penetration into the middle ear with a pneumolabyrinth that caused a recurrent paroxysmal positional vertigo (PPV) mimicking a canalolithiasis.<br />Results:: The patient developed a profound left sensorineural hearing loss and an intractable PPV with "migrant" features. A pneumolabyrinth was visualized with high-resolution computed tomography. A perilymphatic fistula (PLF) with stapes fracture was found while performing an explorative tympanotomy. After the surgical treatment of the PLF, the patient no longer complained of vestibular symptoms.<br />Conclusions:: To our knowledge, this is the fifth case of traumatic pneumolabyrinth simulating a canalolithiasis without previous history of temporal bone trauma and/or middle ear surgery. A pneumolabyrinth should be suspected in case of patients presenting recurrent intractable PPV after ear trauma.
- Subjects :
- Adult
Diagnostic Techniques, Otological
Female
Humans
Labyrinth Diseases
Postoperative Complications diagnosis
Postoperative Complications physiopathology
Postoperative Complications surgery
Recurrence
Reoperation methods
Tinnitus diagnosis
Tinnitus etiology
Tomography, X-Ray Computed methods
Treatment Outcome
Craniocerebral Trauma complications
Fractures, Bone complications
Fractures, Bone diagnosis
Hearing Loss, Sensorineural diagnosis
Hearing Loss, Sensorineural etiology
Stapes injuries
Stapes Surgery adverse effects
Stapes Surgery methods
Vertigo diagnosis
Vertigo etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1943-572X
- Volume :
- 128
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Annals of otology, rhinology, and laryngology
- Publication Type :
- Academic Journal
- Accession number :
- 30556403
- Full Text :
- https://doi.org/10.1177/0003489418819553