A Case of Perilymphatic Fistula Misdiagnosed as Benign Paroxysmal Positional Vertigo.
10.3342/kjorl-hns.2016.59.4.327
- Author:
Tae Hwan KIM
1
;
Sun O CHANG
;
Min Beom KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. minbeom.kim@gmail.com
- Publication Type:Case Report
- Keywords:
Benign paroxysmal positional vertigo;
Direction changing nystagmus;
Perilymphatic fistula
- MeSH:
Barotrauma;
Diagnosis, Differential;
Dizziness;
Ear;
Ear, Inner;
Ear, Middle;
Fistula*;
Hearing;
Hearing Loss;
Humans;
Nose;
Perilymph;
Tinnitus;
Vertigo*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2016;59(4):327-331
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Perilymphatic fistula (PLF) is an uncommon disease characterized by abnormal leakage of the perilymph from the inner ear into the middle ear. The symptoms of PLF include sudden-onset hearing loss, tinnitus, ear fullness, and vertigo resulting from inner-ear trauma, stapedial surgery or barotrauma such as valsalva, and nose blowing. As nystagmus can be induced by the affected-ear in down position, benign positional paroxysmal vertigo (BPPV) should be considered for differential diagnosis. About 40-50% of PLF patients have experienced spontaneous healing, but surgical repair should be considered when the hearing symptom and dizziness are not alleviated or are aggravated within a few days. Reported herein, with a review of the relevant literature, is a case of PLF initially misdiagnosed as BPPV but where successful fistula repair was finally achieved.
