Vertigo and the enlarged vestibular aqueduct syndrome
An enlarged vestibular aqueduct (EVA) is one of the most commonly identified inner ear bony malformations in children with sensorineural hearing loss of unknown cause. Most previous reports have focused on hearing loss, but individuals with EVA may also experience paroxysmal vertigo lasting minutes...
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Veröffentlicht in: | Journal of neurology 2001-11, Vol.248 (11), p.971-974 |
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description | An enlarged vestibular aqueduct (EVA) is one of the most commonly identified inner ear bony malformations in children with sensorineural hearing loss of unknown cause. Most previous reports have focused on hearing loss, but individuals with EVA may also experience paroxysmal vertigo lasting minutes to hours. We report the clinical vestibular features and vestibular function testing of two children and one adult with EVA who had a history of sensorineural hearing loss and presented to our Neurotology Clinic for the evaluation of episodic vertigo. All the patients had an antecedent history of profound bilateral sensorineural hearing loss that had been present since early childhood. The onset of vertigo was delayed into adulthood in one patient. Episodes of vertigo could be triggered by minor head trauma or vigorous physical activity. Despite recurrent episodes of vertigo, vestibular function was normal or moderately impaired compared with the severe auditory deficit. Careful analysis of temporal bone CT demonstrated EVA. Associated enlargement of the membranous endolymphatic sac was evident on brain MRI. While hearing loss is a prominent symptom in patients with EVA, vestibular symptoms may cause referral to a neurologist. Although hearing loss occurs early in childhood, vestibular symptoms can be delayed into adulthood, a finding not previously reported. |
doi_str_mv | 10.1007/s004150170050 |
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Most previous reports have focused on hearing loss, but individuals with EVA may also experience paroxysmal vertigo lasting minutes to hours. We report the clinical vestibular features and vestibular function testing of two children and one adult with EVA who had a history of sensorineural hearing loss and presented to our Neurotology Clinic for the evaluation of episodic vertigo. All the patients had an antecedent history of profound bilateral sensorineural hearing loss that had been present since early childhood. The onset of vertigo was delayed into adulthood in one patient. Episodes of vertigo could be triggered by minor head trauma or vigorous physical activity. Despite recurrent episodes of vertigo, vestibular function was normal or moderately impaired compared with the severe auditory deficit. Careful analysis of temporal bone CT demonstrated EVA. Associated enlargement of the membranous endolymphatic sac was evident on brain MRI. While hearing loss is a prominent symptom in patients with EVA, vestibular symptoms may cause referral to a neurologist. Although hearing loss occurs early in childhood, vestibular symptoms can be delayed into adulthood, a finding not previously reported.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s004150170050</identifier><identifier>PMID: 11757961</identifier><identifier>CODEN: JNRYA9</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Age of Onset ; Biological and medical sciences ; Child ; Child, Preschool ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Female ; Hearing Loss, Sensorineural ; Humans ; Magnetic Resonance Imaging ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Recurrence ; Syndrome ; Tomography, X-Ray Computed ; Vertigo - etiology ; Vestibular Aqueduct - abnormalities ; Vestibular Aqueduct - pathology</subject><ispartof>Journal of neurology, 2001-11, Vol.248 (11), p.971-974</ispartof><rights>2002 INIST-CNRS</rights><rights>Steinkopff Verlag 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-52aaae187a0e311dd0ceb92929b81697ab4d7602aa989c409af9e481cdd9a87a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14108852$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11757961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OH, Andrew K</creatorcontrib><creatorcontrib>ISHIYAMA, Akira</creatorcontrib><creatorcontrib>BALOH, Robert W</creatorcontrib><title>Vertigo and the enlarged vestibular aqueduct syndrome</title><title>Journal of neurology</title><addtitle>J Neurol</addtitle><description>An enlarged vestibular aqueduct (EVA) is one of the most commonly identified inner ear bony malformations in children with sensorineural hearing loss of unknown cause. Most previous reports have focused on hearing loss, but individuals with EVA may also experience paroxysmal vertigo lasting minutes to hours. We report the clinical vestibular features and vestibular function testing of two children and one adult with EVA who had a history of sensorineural hearing loss and presented to our Neurotology Clinic for the evaluation of episodic vertigo. All the patients had an antecedent history of profound bilateral sensorineural hearing loss that had been present since early childhood. The onset of vertigo was delayed into adulthood in one patient. Episodes of vertigo could be triggered by minor head trauma or vigorous physical activity. Despite recurrent episodes of vertigo, vestibular function was normal or moderately impaired compared with the severe auditory deficit. Careful analysis of temporal bone CT demonstrated EVA. Associated enlargement of the membranous endolymphatic sac was evident on brain MRI. While hearing loss is a prominent symptom in patients with EVA, vestibular symptoms may cause referral to a neurologist. Although hearing loss occurs early in childhood, vestibular symptoms can be delayed into adulthood, a finding not previously reported.</description><subject>Age of Onset</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Female</subject><subject>Hearing Loss, Sensorineural</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Recurrence</subject><subject>Syndrome</subject><subject>Tomography, X-Ray Computed</subject><subject>Vertigo - etiology</subject><subject>Vestibular Aqueduct - abnormalities</subject><subject>Vestibular Aqueduct - pathology</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp90M9LwzAUB_AgipvTo1cpgnqqvjTJkhxl-AsGXtRreU3S2dG1M2mF_fdmrDD0IDmEkM97vPcl5JzCLQWQdwGAUwFUAgg4IGPKWZZSLvQhGQPjkAom-IichLAEABU_jsmIUimkntIxER_Od9WiTbCxSffpEtfU6BfOJt8udFXRx1eCX72zvemSsGmsb1fulByVWAd3NtwT8v748DZ7TuevTy-z-3lqmFRdKjJEdFRJBMcotRaMK3QWT6HoVEssuJVTiEorbThoLLXjihprNcYqNiE3u75r38YZQpevqmBcXWPj2j7kUnAluWLTKK__lxnLFFM6wss_cNn2volb5EIqxnkGW5TukPFtCN6V-dpXK_SbnEK-jT3_FXv0F0PTvlg5u9dDzhFcDQCDwbr02Jgq7B2noJTI2A9T0Yge</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>OH, Andrew K</creator><creator>ISHIYAMA, Akira</creator><creator>BALOH, Robert W</creator><general>Springer</general><general>Springer Nature B.V</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>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Vertigo and the enlarged vestibular aqueduct syndrome</title><author>OH, Andrew K ; ISHIYAMA, Akira ; BALOH, Robert W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-52aaae187a0e311dd0ceb92929b81697ab4d7602aa989c409af9e481cdd9a87a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Age of Onset</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Female</topic><topic>Hearing Loss, Sensorineural</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Recurrence</topic><topic>Syndrome</topic><topic>Tomography, X-Ray Computed</topic><topic>Vertigo - etiology</topic><topic>Vestibular Aqueduct - abnormalities</topic><topic>Vestibular Aqueduct - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OH, Andrew K</creatorcontrib><creatorcontrib>ISHIYAMA, Akira</creatorcontrib><creatorcontrib>BALOH, Robert W</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>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OH, Andrew K</au><au>ISHIYAMA, Akira</au><au>BALOH, Robert W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vertigo and the enlarged vestibular aqueduct syndrome</atitle><jtitle>Journal of neurology</jtitle><addtitle>J Neurol</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>248</volume><issue>11</issue><spage>971</spage><epage>974</epage><pages>971-974</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><coden>JNRYA9</coden><abstract>An enlarged vestibular aqueduct (EVA) is one of the most commonly identified inner ear bony malformations in children with sensorineural hearing loss of unknown cause. Most previous reports have focused on hearing loss, but individuals with EVA may also experience paroxysmal vertigo lasting minutes to hours. We report the clinical vestibular features and vestibular function testing of two children and one adult with EVA who had a history of sensorineural hearing loss and presented to our Neurotology Clinic for the evaluation of episodic vertigo. All the patients had an antecedent history of profound bilateral sensorineural hearing loss that had been present since early childhood. The onset of vertigo was delayed into adulthood in one patient. Episodes of vertigo could be triggered by minor head trauma or vigorous physical activity. Despite recurrent episodes of vertigo, vestibular function was normal or moderately impaired compared with the severe auditory deficit. Careful analysis of temporal bone CT demonstrated EVA. Associated enlargement of the membranous endolymphatic sac was evident on brain MRI. While hearing loss is a prominent symptom in patients with EVA, vestibular symptoms may cause referral to a neurologist. Although hearing loss occurs early in childhood, vestibular symptoms can be delayed into adulthood, a finding not previously reported.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11757961</pmid><doi>10.1007/s004150170050</doi><tpages>4</tpages></addata></record> |
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subjects | Age of Onset Biological and medical sciences Child Child, Preschool Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Female Hearing Loss, Sensorineural Humans Magnetic Resonance Imaging Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Recurrence Syndrome Tomography, X-Ray Computed Vertigo - etiology Vestibular Aqueduct - abnormalities Vestibular Aqueduct - pathology |
title | Vertigo and the enlarged vestibular aqueduct syndrome |
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