A case report of middle ear cholesteatoma complicated with labyrinthine fistulaand delayed endolymphatic hydrops.
10.13201/j.issn.2096-7993.2023.08.015
- Author:
Feng LIN
1
;
Qianru WU
1
;
Yibo ZHANG
1
;
Chunfu DAI
1
Author Information
1. Department of Otorhinolaryngology，Fudan University Eye and ENT Hospital，Key Laboratory of Auditory Medicine of the National Health Commission，Shanghai，200031，China.
- Publication Type:Journal Article
- Keywords:
delayed endolymphatic hydrops;
endolymphatic hydrops;
inner ear magnetic resonance gadolinium imaging;
labyrinthine fistula;
middle ear cholesteatoma
- MeSH:
Humans;
Endolymphatic Hydrops/diagnosis*;
Cholesteatoma, Middle Ear/complications*;
Vertigo/complications*;
Labyrinth Diseases/complications*;
Magnetic Resonance Imaging/adverse effects*;
Semicircular Canals
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2023;37(8):670-672
- CountryChina
- Language:Chinese
-
Abstract:
Delayed endolymphatic hydrops （DEH） is a rare disease that causes vertigo and is often misdiagnosed as other vertigo diseases. This article reports on a patient with vertigo who was easily misdiagnosed. The patient was a middle ear cholesteatoma complicated by labyrinthine fistula （LF）; however, his vertigo was episodic vertigo, which could not be explained solely by LF causing labyrinthitis. The possibility of endolymphatic hydrops was suspected, which was confirmed by inner ear magnetic resonance gadolinium imaging. This is the first reported case of middle ear cholesteatoma complicated by LF and DEH. The patient underwent surgical resection of the cholesteatoma and three semicircular canal obstructions at the same time. During two years postoperative follow-up, the patient did not experience a recurrence of vertigo. When diagnosing vertigo diseases, a careful history of vertigo is of utmost importance.
