Postpartum vertigo and superior semicircular canal dehiscence syndrome.

Postpartum vertigo and superior semicircular canal dehiscence syndrome.
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DOI:
10.1097/aog.0b013e3181ae8da0
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发表时间:
2009-08
影响因子:
7.2
通讯作者:
Hullar TE
Hullar TE
中科院分区:
医学2区
文献类型:
--
作者:
Ogutha J;Page NC;Hullar TE

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Superior semicircular canal dehiscence is a recently described cause of imbalance, hearing loss, and tinnitus. Symptoms may begin after abrupt changes in intracranial or middle ear pressure. This woman presented with a 6-year history of imbalance, hearing loss, and pulsatile tinnitus beginning when she was pushing during labor. A temporal bone computed tomography showed a dehiscence of the superior semicircular canal. Surgical repair of the dehiscenchrough the middle cranial fossa resulted in immediate resolution of the patient's symptoms, and she returned to full activity within 3 weeks. Superior semicircular canal dehiscence is increasingly recognized as a cause of multiple otologic symptoms. Obstetricians and gynecologists with patients complaining about postpartum vertigo should inquire about symptom onset and focus their questions around events during the second stage of labor. Patients with symptoms of dehiscence should be referred to a neurotologist for management, including possible surgical repair.