A Case of Labyrinthine Fistula by Cholesteatoma Mimicking Lateral Canal Benign Paroxysmal Positional Vertigo.
10.7874/kja.2014.18.3.153
- Author:
Dae Bo SHIM
1
;
Kyung Min KO
;
Mee Hyun SONG
;
Chang Eun SONG
Author Information
1. Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea. entsong@gmail.com
- Publication Type:Case Report
- Keywords:
Labyrinthine fistula;
Cholesteatoma;
Benign paroxysmal positional vertigo
- MeSH:
Cholesteatoma*;
Ear, Inner;
Female;
Fistula*;
Hearing Loss, Sensorineural;
Humans;
Labyrinthitis;
Meniere Disease;
Middle Aged;
Neuroma, Acoustic;
Otitis Media;
Semicircular Canals;
Vertigo*;
Vestibular Neuronitis
- From:Korean Journal of Audiology
2014;18(3):153-157
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute peripheral vestibulopathy, of which the chief complaint is positional vertigo, comprises benign paroxysmal positional vertigo (BPPV), labyrinthitis, labyrinthine fistula, and cerebellopontine angle tumors. Since the typical presentation of labyrinthine fistulas may be sensorineural hearing loss, positional vertigo, or disequilibrium, it is often difficult to distinguish from BPPV or Meniere's disease. Herein we report a 61-year-old female patient with typical symptoms and signs attributable to geotropic type variant of the lateral semicircular canal BPPV on the left side, who eventually was confirmed as having a labyrinthine fistula from chronic otitis media with cholesteatoma on the left side. This is another case where, even in the presence of isolated vertigo showing typical findings of acute peripheral vestibulopathy, other otologic symptoms and signs must not be overlooked.
