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보행시 이명이 유발되는 상반고리관피열증후군 1예

A Case of Superior Canal Dehiscence Syndrome as a Cause of Step-Synchronous Tinnitus

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참고문헌

주제분류이비인후과학

초록

The superior canal dehiscence syndrome (SCDS) is a rare disorder caused by the dehiscence of the temporal bone overlying the superior semicircular canal. It has become apparent that SCDS can lead to a variety of clinical manifestations, vestibular and/or auditory, in contrast to the typical symptoms, as initially described. We recently examined a 54-year-old woman with unilateral stepsynchronous tinnitus without any vestibular symptoms. Tinnitus is a quite unremarkable finding among variable symptoms of the syndrome; however, it can be one of the clues to identify SCDS when it is accompanied by low-frequency conductive hearing loss. Therefore, in diagnosing SCDS, attention must be also paid to those patients with nonspecific complaints, for example, stepsynchronous tinnitus. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:738-41)

Abstract

The superior canal dehiscence syndrome (SCDS) is a rare disorder caused by the dehiscence of the temporal bone overlying the superior semicircular canal. It has become apparent that SCDS can lead to a variety of clinical manifestations, vestibular and/or auditory, in contrast to the typical symptoms, as initially described. We recently examined a 54-year-old woman with unilateral stepsynchronous tinnitus without any vestibular symptoms. Tinnitus is a quite unremarkable finding among variable symptoms of the syndrome; however, it can be one of the clues to identify SCDS when it is accompanied by low-frequency conductive hearing loss. Therefore, in diagnosing SCDS, attention must be also paid to those patients with nonspecific complaints, for example, stepsynchronous tinnitus. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:738-41)

참고문헌 (11)

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  3. Minor LB, "Clinical manifestations of superior semicircular canal dehiscence", Laryngoscope, 115(10), pp.1717~1727 (2005)
  4. Zhou G, "Clinical and diagnostic characterization of canal dehiscence syndrome: A great otologic mimicker", Otol Neurotol, 28(7), pp.920~926 (2007)
  5. 송재준, "앞반고리관 결손증후군 1예", 대한이비인후과학회지 두경부외과학, 50(5), pp.451~455 (2007), 대한이비인후과학회
  6. Mikulec AA, "Superior semicircular canal dehiscence presenting as conductive hearing loss without vertigo", Otol Neurotol, 25(2), pp.121~129 (2004)
  7. Cremer PD, "Eye movements in patients with superior canal dehiscence syndrome align with the abnormal canal", Neurology, 55(12), pp.1833~1841 (2000)
  8. Carey JP, "Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey", Arch Otolaryngol Head Neck Surg, 126(2), pp.137~147 (2000)
  9. 박홍주, "소리 자극 강도와 흉쇄유돌근의 수축의 변화에 따른전정유발근전위의 변화", 대한이비인후과학회지 두경부외과학, 50(7), pp.579~583 (2007), 대한이비인후과학회
  10. Brantberg K, "Vestibular-evoked myogenic potentials in patients with dehiscence of the superior semicircular canal", Acta Otolaryngol, 119(6), pp.633~640 (1999)
  11. Streubel SO, "Vestibularevoked myogenic potentials in the diagnosis of superior canal dehiscence syndrome", Acta Otolaryngol Suppl, 545, pp.41~49 (2001)

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