A Case of Labyrinthine Fistula by Cholesteatoma Mimicking Lateral Canal Benign Paroxysmal Positional Vertigo
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Acute peripheral vestibulopathy, of which the chief complaint is positional vertigo, comprises benign paroxysmal positional vertigo (BPPV), labyrinthitis, labyrinthine fistula, and cerebellopontine angle tumors. Since the typical presentation of labyrinthine fistulas may be sensorineural hearing loss, positional vertigo, or disequilibrium, it is often difficult to distinguish from BPPV or Meniere’s disease. Herein we report a 61-year-old female patient with typical symptoms and signs attributable to geotropic type variant of the lateral semicircular canal BPPV on the left side, who eventually was confirmed as having a labyrinthine fistula from chronic otitis media with cholesteatoma on the left side. This is another case where, even in the presence of isolated vertigo showing typical findings of acute peripheral vestibulopathy, other otologic symptoms and signs must not be overlooked.
Abstract
Acute peripheral vestibulopathy, of which the chief complaint is positional vertigo, comprises benign paroxysmal positional vertigo (BPPV), labyrinthitis, labyrinthine fistula, and cerebellopontine angle tumors. Since the typical presentation of labyrinthine fistulas may be sensorineural hearing loss, positional vertigo, or disequilibrium, it is often difficult to distinguish from BPPV or Meniere’s disease. Herein we report a 61-year-old female patient with typical symptoms and signs attributable to geotropic type variant of the lateral semicircular canal BPPV on the left side, who eventually was confirmed as having a labyrinthine fistula from chronic otitis media with cholesteatoma on the left side. This is another case where, even in the presence of isolated vertigo showing typical findings of acute peripheral vestibulopathy, other otologic symptoms and signs must not be overlooked.
참고문헌 (13)
- Turner B., "Systematic approach needed to establish cause of vertigo", Practitioner, 254, pp.19-23~2-3 (2010)
- Palva T., "Opening of the labyrinth during chronic ear surgery", Arch Otolaryngol, 93, pp.75~78 (1971)
- 김종선, "만성 진주종성 중이염에서 미로누공의 진단과 치료", 대한이비인후과학회지 두경부외과학, 45(11), pp.1039~1045 (2002), 대한이비인후과학회
- Maitland CG., "Perilymphatic fistula", Curr Neurol Neurosci Rep, 1, pp.486~491 (2001)
- Jung HW., "Diagnostic efficacy of high resolution computerized tomography(HRCT. on labyrinthine fistula", Korean J Otolaryngol-Head Neck Surg, 44, pp.37~40 (2001)
- Pfaltz CR., "Complications of otitis media", ORL J Otorhinolaryngol Relat Spec, 44, pp.301~309 (1982)
- Gacek RR., "The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma", Ann Otol Rhinol Laryngol, 83(Suppl 10), pp.1~19 (1974)
- Dornhoffer JL., "Management of the open labyrinth", Otolaryngol Head Neck Surg, 112, pp.410~414 (1995)
- Lee SH., "Nystagmus during neck flexion in the pitch plane in benign paroxysmal positional vertigo involving the horizontal canal", J Neurol Sci, 256, pp.75~80 (2007)
- Brandt T., "Vertigo: its multisensory syndrome. 2nd ed", pp.269~279 (1999), Verlag-Springer
- Srivastava A., "Principles of physics in surgery : the laws of flow dynamics physics for surgeons-Part 1", Indian J Surg, 71, pp.182~187 (2009)
- Busaba NY., "Clinical presentation and management of labyrinthine fistula caused by chronic otitis media", Ann Otol Rhinol Laryngol, 108, pp.435~439 (1999)
- Soda-Merhy A., "Surgical treatment of labyrinthine fistula caused by cholesteatoma", Otolaryngol Head Neck Surg, 122, pp.739~742 (2000)