The large vestibular aqueduct - case report and review of the literature
Patients with a large vestibular aqueduct (LVA) suffer from a loss of hearing in childhood at an early onset. An acute loss of hearing can be precipitated by minor head trauma. Until now there seems to be no sufficient therapy for stopping the progression of a loss of hearing. It has been shown that...
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| Veröffentlicht in: | Acta oto-laryngologica 2006-08, Vol.126 (8), p.788-795 |
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| container_title | Acta oto-laryngologica |
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| creator | Steinbach, Silke Brockmeier, Steffi-Johanna Kiefer, >Jan |
| description | Patients with a large vestibular aqueduct (LVA) suffer from a loss of hearing in childhood at an early onset. An acute loss of hearing can be precipitated by minor head trauma. Until now there seems to be no sufficient therapy for stopping the progression of a loss of hearing. It has been shown that a cochlear implantation is a worthwhile procedure if the patient is almost deaf. We report the case of a patient with a bilateral LVA. A loss of hearing was confirmed at the age of 16 months. Exposure to loud noise triggered an acute progression of the hearing loss. At the age of 18 years, LVA was confirmed radiologically, revealing an enlarged endolymphatic duct and sac in MRI scans and an enlarged vestibular aqueduct in the CT scan. We successfully performed a cochlear implant (MED-EL, Combi 40+ flex). Proceeding from this case report, the paper reviews the literature on LVA. |
| doi_str_mv | 10.1080/00016480500527276 |
| format | Article |
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An acute loss of hearing can be precipitated by minor head trauma. Until now there seems to be no sufficient therapy for stopping the progression of a loss of hearing. It has been shown that a cochlear implantation is a worthwhile procedure if the patient is almost deaf. We report the case of a patient with a bilateral LVA. A loss of hearing was confirmed at the age of 16 months. Exposure to loud noise triggered an acute progression of the hearing loss. At the age of 18 years, LVA was confirmed radiologically, revealing an enlarged endolymphatic duct and sac in MRI scans and an enlarged vestibular aqueduct in the CT scan. We successfully performed a cochlear implant (MED-EL, Combi 40+ flex). Proceeding from this case report, the paper reviews the literature on LVA.</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016480500527276</identifier><identifier>PMID: 16846919</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Audiometry, Pure-Tone ; Biological and medical sciences ; Child ; Child, Preschool ; cochlear implantation ; Cochlear Implants ; Combined Modality Therapy ; Deafness - congenital ; Deafness - diagnosis ; Deafness - rehabilitation ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Endolymphatic Duct - abnormalities ; Endolymphatic Duct - pathology ; Endolymphatic Sac - abnormalities ; Endolymphatic Sac - pathology ; Female ; Follow-Up Studies ; head trauma ; Hearing Aids ; Humans ; Infant ; Injuries of the nervous system and the skull. Diseases due to physical agents ; inner ear malformation ; Large vestibular aqueduct (LVA) ; Magnetic Resonance Imaging ; Medical sciences ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Reference Values ; sensorineural hearing loss ; Speech Discrimination Tests ; Tomography, X-Ray Computed ; Traumas. 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An acute loss of hearing can be precipitated by minor head trauma. Until now there seems to be no sufficient therapy for stopping the progression of a loss of hearing. It has been shown that a cochlear implantation is a worthwhile procedure if the patient is almost deaf. We report the case of a patient with a bilateral LVA. A loss of hearing was confirmed at the age of 16 months. Exposure to loud noise triggered an acute progression of the hearing loss. At the age of 18 years, LVA was confirmed radiologically, revealing an enlarged endolymphatic duct and sac in MRI scans and an enlarged vestibular aqueduct in the CT scan. We successfully performed a cochlear implant (MED-EL, Combi 40+ flex). Proceeding from this case report, the paper reviews the literature on LVA.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Audiometry, Pure-Tone</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>cochlear implantation</subject><subject>Cochlear Implants</subject><subject>Combined Modality Therapy</subject><subject>Deafness - congenital</subject><subject>Deafness - diagnosis</subject><subject>Deafness - rehabilitation</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Endolymphatic Duct - abnormalities</subject><subject>Endolymphatic Duct - pathology</subject><subject>Endolymphatic Sac - abnormalities</subject><subject>Endolymphatic Sac - pathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>head trauma</subject><subject>Hearing Aids</subject><subject>Humans</subject><subject>Infant</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>inner ear malformation</subject><subject>Large vestibular aqueduct (LVA)</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Reference Values</subject><subject>sensorineural hearing loss</subject><subject>Speech Discrimination Tests</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vestibular Aqueduct - abnormalities</subject><subject>Vestibular Aqueduct - pathology</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtr3DAUhUVoaSaPH9BN0abZOZVkXVki2YSQRyHQTbo2Gvkq4-CxppKckH8fmZkSSiBdSRd953DuESFfOTvlTLMfjDGupGbAGIhGNGqPLLgCXgkB_BNZzO9VAcw-OUjpcR6Nhi9knystleFmQW7vV0gHGx-QPmHK_XIqA7V_Juwml2lFnU1II25CzNSOXbk-9fhMg6d5VvYZo81TxCPy2dsh4fHuPCS_r6_uL2-ru183Py8v7ionFeRKe6U6oRvlHPMg_VIaWILoXG28dNC4ktZ4I6QEb7ua60aaugavAJkA1tWH5GTru4mhpEy5XffJ4TDYEcOUWqVV0Rr1X1AwA7yGGeRb0MWQUkTfbmK_tvGl5ayde27f9Vw033bm03KN3ZtiV2wBvu8Am5wdfLSj69Mbp4ujAijc-ZbrRx_i2j6HOHRtti9DiH9F9Uc5zv6Rr9AOeeVsxPYxTHEsP_HBFq_NgKhw</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Steinbach, Silke</creator><creator>Brockmeier, Steffi-Johanna</creator><creator>Kiefer, >Jan</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20060801</creationdate><title>The large vestibular aqueduct - case report and review of the literature</title><author>Steinbach, Silke ; Brockmeier, Steffi-Johanna ; Kiefer, >Jan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-8f66d2876cc0f54fb495b52dc39f4c57c4899f92445fad318749335f65e0250d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Audiometry, Pure-Tone</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>cochlear implantation</topic><topic>Cochlear Implants</topic><topic>Combined Modality Therapy</topic><topic>Deafness - congenital</topic><topic>Deafness - diagnosis</topic><topic>Deafness - rehabilitation</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Endolymphatic Duct - abnormalities</topic><topic>Endolymphatic Duct - pathology</topic><topic>Endolymphatic Sac - abnormalities</topic><topic>Endolymphatic Sac - pathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>head trauma</topic><topic>Hearing Aids</topic><topic>Humans</topic><topic>Infant</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>inner ear malformation</topic><topic>Large vestibular aqueduct (LVA)</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Reference Values</topic><topic>sensorineural hearing loss</topic><topic>Speech Discrimination Tests</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vestibular Aqueduct - abnormalities</topic><topic>Vestibular Aqueduct - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Steinbach, Silke</creatorcontrib><creatorcontrib>Brockmeier, Steffi-Johanna</creatorcontrib><creatorcontrib>Kiefer, >Jan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Acta oto-laryngologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Steinbach, Silke</au><au>Brockmeier, Steffi-Johanna</au><au>Kiefer, >Jan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The large vestibular aqueduct - case report and review of the literature</atitle><jtitle>Acta oto-laryngologica</jtitle><addtitle>Acta Otolaryngol</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>126</volume><issue>8</issue><spage>788</spage><epage>795</epage><pages>788-795</pages><issn>0001-6489</issn><eissn>1651-2251</eissn><coden>AOLAAJ</coden><abstract>Patients with a large vestibular aqueduct (LVA) suffer from a loss of hearing in childhood at an early onset. An acute loss of hearing can be precipitated by minor head trauma. Until now there seems to be no sufficient therapy for stopping the progression of a loss of hearing. It has been shown that a cochlear implantation is a worthwhile procedure if the patient is almost deaf. We report the case of a patient with a bilateral LVA. A loss of hearing was confirmed at the age of 16 months. Exposure to loud noise triggered an acute progression of the hearing loss. At the age of 18 years, LVA was confirmed radiologically, revealing an enlarged endolymphatic duct and sac in MRI scans and an enlarged vestibular aqueduct in the CT scan. We successfully performed a cochlear implant (MED-EL, Combi 40+ flex). Proceeding from this case report, the paper reviews the literature on LVA.</abstract><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>16846919</pmid><doi>10.1080/00016480500527276</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Audiometry, Pure-Tone Biological and medical sciences Child Child, Preschool cochlear implantation Cochlear Implants Combined Modality Therapy Deafness - congenital Deafness - diagnosis Deafness - rehabilitation Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Endolymphatic Duct - abnormalities Endolymphatic Duct - pathology Endolymphatic Sac - abnormalities Endolymphatic Sac - pathology Female Follow-Up Studies head trauma Hearing Aids Humans Infant Injuries of the nervous system and the skull. Diseases due to physical agents inner ear malformation Large vestibular aqueduct (LVA) Magnetic Resonance Imaging Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology Reference Values sensorineural hearing loss Speech Discrimination Tests Tomography, X-Ray Computed Traumas. Diseases due to physical agents Vestibular Aqueduct - abnormalities Vestibular Aqueduct - pathology |
| title | The large vestibular aqueduct - case report and review of the literature |
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