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Superior Semicircular Canal Dehiscence - Stanford Hospital & Clinics

Superior Semicircular Canal Dehiscence - Stanford Hospital & Clinics

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54 y.o. man with sound-evoked vertigo and<br />

oscillopsia<br />

• History:<br />

- Sensation of motion (vertigo) when he heard loud noises in his right<br />

ear<br />

- “Fluttering vision” (oscillopsia) when he made whistling, trilling, or<br />

humming noises<br />

- No past history of otologic disease<br />

• Exam:<br />

- Negative for: spontaneous, gaze-evoked, or positional nystagmus;<br />

head-shaking induced nystagmus; head thrust sign<br />

- Normal otoscopic exam<br />

- Weber (512 Hz) lateralized to right<br />

- Normal air and bone conduction thresholds<br />

- Eye movements evoked by sound in right ear

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