Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T03:27:12.982Z Has data issue: false hasContentIssue false
  • English
  • Français

Superior petrosal sinus causing superior canal dehiscence syndrome

Published online by Cambridge University Press:  15 May 2017

S M D Schneiders ,
J W Rainsbury ,
E F Hensen  and
R M Irving
S M D Schneiders*
Affiliation:
Department of ENT Surgery, Queen Elizabeth Hospital, Birmingham, UK Department of Otolaryngology – Head and Neck Surgery, VU University Medical Center Amsterdam, the Netherlands
J W Rainsbury
Affiliation:
Department of ENT Surgery, Queen Elizabeth Hospital, Birmingham, UK Department of ENT Surgery, Derriford Hospital, Plymouth, UK
E F Hensen
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, VU University Medical Center Amsterdam, the Netherlands
R M Irving
Affiliation:
Department of ENT Surgery, Queen Elizabeth Hospital, Birmingham, UK
*
Address for correspondence: Dr Sara Schneiders, Department of Otolaryngology – Head and Neck Surgery, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, the Netherlands Fax: +31 204 443 688 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To determine signs and symptoms for superior canal dehiscence syndrome caused by the superior petrosal sinus.

Methods:

A review of the English-language literature on PubMed and Embase databases was conducted, in addition to a multi-centre case series report.

Results:

The most common symptoms of 17 patients with superior petrosal sinus related superior canal dehiscence syndrome were: hearing loss (53 per cent), aural fullness (47 per cent), pulsatile tinnitus (41 per cent) and pressure-induced vertigo (41 per cent). The diagnosis was made by demonstration of the characteristic bony groove of the superior petrosal sinus and the ‘cookie bite’ out of the superior semicircular canal on computed tomography imaging.

Conclusion:

Pulsatile tinnitus, hearing loss, aural fullness and pressure-induced vertigo are the most common symptoms in superior petrosal sinus related superior canal dehiscence syndrome. Compared to superior canal dehiscence syndrome caused by the more common apical location of the dehiscence, pulsatile tinnitus and exercise-induced vertigo are more frequent, while sound-induced vertigo and autophony are less frequent. There is, however, considerable overlap between the two subtypes. The distinction cannot as yet be made on clinical signs and symptoms alone, and requires careful analysis of computed tomography imaging.

Keywords

Semicircular CanalsSuperior Petrosal SinusTinnitusVertigoHearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 7 , July 2017 , pp. 593 - 597
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Minor, LB, Solomon, D, Zinreich, JS, Zee, DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 1998;124:249–58CrossRefGoogle ScholarPubMed
2 Crovetto, M, Whyte, J, Rodriguez, OM, Lecumberri, I, Martinez, C, Eléxpuru, J. Anatomo-radiological study of the superior semicircular canal dehiscence radiological considerations of superior and posterior semicircular canals. Eur J Radiol 2010;76:167–72CrossRefGoogle ScholarPubMed
3 Minor, LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 2005;115:1717–27CrossRefGoogle ScholarPubMed
4 McCall, AA, McKenna, MJ, Merchant, SN, Curtin, HD, Lee, DJ. Superior canal dehiscence syndrome associated with the superior petrosal sinus in pediatric and adult patients. Otol Neurotol 2011;32:1312–19CrossRefGoogle ScholarPubMed
5 Lookabaugh, S, Kelly, HR, Carter, MS, Niesten, ME, McKenna, MJ, Curtin, H et al. Radiologic classification of superior canal dehiscence: implications for surgical repair. Otol Neurotol 2015;36:118–25CrossRefGoogle ScholarPubMed
6 Carey, JP, Minor, LB, Nager, GT. Dehiscence or thinning of bone overlying the superior semicircular canal in a temporal bone survey. Arch Otolaryngol Head Neck Surg 2000;126:137–47CrossRefGoogle ScholarPubMed
7 Takahashi, N, Tsunoda, A, Shirakura, S, Kitamura, K. Anatomical feature of the middle cranial fossa in fetal periods: possible etiology of superior canal dehiscence syndrome. Acta Otolaryngol 2012;132:385–90CrossRefGoogle ScholarPubMed
8 Koo, JW, Hong, SK, Kim, DK, Kim, JS. Superior semicircular canal dehiscence syndrome by the superior petrosal sinus. J Neurol Neurosurg Psychiatry 2010;81:465–7CrossRefGoogle ScholarPubMed
9 Puwanarajah, P, Pretorius, P, Bottrill, I. Superior semicircular canal dehiscence syndrome: a new aetiology. J Laryngol Otol 2008;122:741–4CrossRefGoogle ScholarPubMed
10 Zhou, G, Gopen, Q, Poe, DS. Clinical and diagnostic characterization of canal dehiscence syndrome: a great otologic mimicker. Otol Neurotol 2007;28:920–6CrossRefGoogle ScholarPubMed
11 Liu, Z, Bi, W, Li, J, Li, Q, Dong, C, Zhao, P et al. Superior semicircular canal dehiscence in relation to the superior petrosal sinus: a potential cause of pulsatile tinnitus. Clin Radiol 2015;70:943–7CrossRefGoogle Scholar
12 Beyea, JA, Agrawal, SK, Parnes, LS. Transmastoid semicircular canal occlusion: a safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence. Laryngoscope 2012;122:1862–6CrossRefGoogle ScholarPubMed