If vertigo patients make you vomit, this post is nothing for you.
It is always exciting to watch medicine develop new concepts. While Neurology is certainly full of examples with new diseases, acro- and eponyms popping up everywhere, HEENT people seem to be more conservative, perhaps because they are busy operating and healing people. Superior canal dehiscence syndrome is a very young disease that probably owes it’s discovery more to highres CT than to puzzled (neuro-)otologists. But now that we have learned how to deal with it, even the posterior canal can erode and be operated on, so perhaps a thorough neurootologic exam and neurophysiological investigations are in order when your patient tells weird stories (as SCDS-patients seem to do).
We discuss an example we pulled out of our ER recently which then went on to surgery and successfully had his superior canal plugged (not before a repeated workup in a specialized vertigo clinic) and who now is symptom free.
- The Tullio phenomenon. Neurology 2014
- A wonderful article in a Minnesotan online publication (yes, that sounds absurd, but the article is well worth a read)
- A case report about posterior canal dehiscence