Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-27T05:54:04.623Z Has data issue: false hasContentIssue false
  • English
  • Français

Gender and laterality in semicircular canal dehiscence syndrome

Published online by Cambridge University Press:  27 June 2016

K Karimnejad ,
M S Czerny ,
S Lookabaugh ,
D J Lee  and
A A Mikulec
K Karimnejad
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Saint Louis University School of Medicine, Missouri, USA
M S Czerny
Affiliation:
Ear, Nose, and Throat Institute of Southern Illinois, Swansea, USA
S Lookabaugh
Affiliation:
Department of Otolaryngology, University of Rochester Medical Center, New York, USA
D J Lee
Affiliation:
Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Boston, USA
A A Mikulec*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Saint Louis University School of Medicine, Missouri, USA
*
Address for correspondence: Dr Anthony A Mikulec, Department of Otolaryngology – Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, St Louis, MO 63110, USA Fax: +1 314 268 5111 E-mail: mikuleca@slu.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To determine if there is gender or laterality predilection in patients with semicircular canal dehiscence syndrome.

Methods:

A multi-institutional chart review was performed to identify patients diagnosed with semicircular canal dehiscence between 2000 and 2015. A systematic literature search was conducted using PubMed to further identify patients with semicircular canal dehiscence. Age, gender and laterality data were collected. Statistical analysis was performed to evaluate for gender or laterality preponderance.

Results:

A total of 682 patients with semicircular canal dehiscence were identified by literature and chart review. Mean age of diagnosis was 49.75 years (standard deviation = 15.33). Semicircular canal dehiscence was associated with a statistically significant female predominance (chi-square = 7.185, p = 0.007); the female-to-male ratio was 1.2 to 1. Left-sided semicircular canal dehiscence was most common, followed by right-sided then bilateral (chi-square = 23.457, p < 0.001).

Conclusion:

Semicircular canal dehiscence syndrome is most commonly left-sided and exhibits a female predominance. This may be secondary to morphological cerebral hemisphere asymmetries in both sexes and a predilection of women to seek more medical care than men.

Keywords

Semicircular CanalsVertigoHearing Loss, ConductiveTemporal LobeParietal LobeHealth Status
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 8 , August 2016 , pp. 712 - 716
Copyright
Copyright © JLO (1984) Limited 2016 

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 Yew, A, Zarinkhou, G, Spasic, M, Trang, A, Gopen, Q, Yang, I. Characteristics and management of superior semicircular canal dehiscence. J Neurol Surg B Skull Base 2012;73:365–70Google Scholar
3 da Cunha, Ferreira S, de Melo, Tavares de Lima, MA. Superior canal dehiscence syndrome. Braz J Otorhinolaryngol 2006;72:414–18Google Scholar
4 Amoodi, HA, Makki, FM, McNeil, M, Bance, M. Transmastoid resurfacing of superior semicircular canal dehiscence. Laryngoscope 2011;121:1117–23CrossRefGoogle ScholarPubMed
5 Brantberg, K, Bergenius, J, Mendel, L, Witt, H, Tribukait, A, Ygge, J. Symptoms, findings and treatment in patients with dehiscence of the superior semicircular canal. Acta Otolaryngol 2001;121:68–75 Google Scholar
6 Mikulec, AA, McKenna, MJ, Ramsey, MJ, Rosowski, JJ, Herrmann, BS, Rauch, SD et al. Superior semicircular canal dehiscence presenting as conductive hearing loss without vertigo. Otol Neurotol 2004;25:121–9Google Scholar
7 Mikulec, AA, Poe, DS, McKenna, MJ. Operative management of superior semicircular canal dehiscence. Laryngoscope 2005;115:501–7CrossRefGoogle ScholarPubMed
8 Martin, JE, Neal, CJ, Monacci, WT, Eisenman, DJ. Superior semicircular canal dehiscence: a new indication for middle fossa craniotomy. Case report. J Neurosurg 2004;100:125–7Google Scholar
9 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
10 Minor, LB. Superior canal dehiscence syndrome. Am J Otol 2000;21:9–19 Google Scholar
11 Manzari, L, Modugno, GC, Brandolini, C, Pirodda, A. Bone vibration-induced nystagmus is useful in diagnosing superior semicircular canal dehiscence. Audiol Neurootol 2008;13:379–87Google Scholar
12 Teixido, MT, Artz, GJ, Kung, BC. Clinical experience with symptomatic superior canal dehiscence in a single neurotologic practice. Otolaryngol Head Neck Surg 2008;139:405–13Google Scholar
13 Friedland, DR, Michel, MA. Cranial thickness in superior canal dehiscence syndrome: implications for canal resurfacing surgery. Otol Neurotol 2006;27:346–54Google Scholar
14 White, JA, Hughes, GB, Ruggieri, PN. Vibration-induced nystagmus as an office procedure for the diagnosis of superior semicircular canal dehiscence. Otol Neurotol 2007;28:911–16Google Scholar
15 Agrawal, SK, Parnes, LS. Transmastoid superior semicircular canal occlusion. Otol Neurotol 2008;29:363–7Google Scholar
16 Arts, HA, Adams, ME, Telian, SA, El-Kashlan, H, Kileny, PR. Reversible electrocochleographic abnormalities in superior canal dehiscence. Otol Neurotol 2009;30:79–86 Google Scholar
17 Pfammatter, A, Darrouzet, V, Gärtner, M, Somers, T, Van Dinther, J, Trabalzini, F et al. A superior semicircular canal dehiscence syndrome multicenter study: is there an association between size and symptoms? Otol Neurotol 2010;31:447–54Google Scholar
18 Chi, FL, Ren, DD, Dai, CF. Variety of audiologic manifestations in patients with superior semicircular canal dehiscence. Otol Neurotol 2010;31:2–10 Google Scholar
19 Fiorino, F, Barbieri, F, Pizzini, FB, Beltramello, A. A dehiscent superior semicircular canal may be plugged and resurfaced via the transmastoid route. Otol Neurotol 2010;31:136–9Google Scholar
20 Crane, BT, Lin, FR, Minor, LB, Carey, JP. Improvement in autophony symptoms after superior canal dehiscence repair. Otol Neurotol 2010;31:140–6Google Scholar
21 Kurt, H, Orhan, K, Aksoy, S, Kursun, S, Akbulut, N, Bilecenoglu, B. Evaluation of the superior semicircular canal morphology using cone beam computed tomography: a possible correlation for temporomandibular joint symptoms. Oral Surg Oral Med Oral Pathol Oral Radiol 2014;117:e280–8Google Scholar
22 Peterson, EC, Lazar, DA, Nemecek, AN, Duckert, L, Rostomily, R. Superior semicircular canal dehiscence syndrome: successful treatment with repair of the middle fossa floor: technical case report. Neurosurgery 2008;63:E1207–8; discussion E1208Google Scholar
23 Brantberg, K, Ishiyama, A, Baloh, RW. Drop attacks secondary to superior canal dehiscence syndrome. Neurology 2005;64:2126–8Google Scholar
24 Deschenes, GR, Hsu, DP, Megerian, CA. Outpatient repair of superior semicircular canal dehiscence via the transmastoid approach. Laryngoscope 2009;119:1765–9Google Scholar
25 Lee, GS, Zhou, G, Poe, D, Kenna, M, Amin, M, Ohlms, L et al. Clinical experience in diagnosis and management of superior semicircular canal dehiscence in children. Laryngoscope 2011;121:2256–61Google Scholar
26 Suryanarayanan, R, Lesser, TH. ‘Honeycomb’ tegmen: multiple tegmen defects associated with superior semicircular canal dehiscence. J Laryngol Otol 2010;124:560–3Google Scholar
27 Phillips, DJ, Souter, MA, Vitkovic, J, Briggs, RJ. Diagnosis and outcomes of middle cranial fossa repair for patients with superior semicircular canal dehiscence syndrome. J Clin Neurosci 2010;17:339–41Google Scholar
28 Zhang, AS, Govender, S, Colebatch, JG. Tuning of the ocular vestibular evoked myogenic potential (oVEMP) to air- and bone-conducted sound stimulation in superior canal dehiscence. Exp Brain Res 2012;223:51–64 Google Scholar
29 Martin, C, Chahine, P, Veyret, C, Richard, C, Prades, JM, Pouget, JF. Prospective radiological study concerning a series of patients suffering from conductive or mixed hearing loss due to superior semicircular canal dehiscence. Eur Arch Otorhinolaryngol 2009;266:1175–81Google Scholar
30 Manzari, L, Burgess, AM, McGarvie, LA, Curthoys, IS. Ocular and cervical vestibular evoked myogenic potentials to 500 Hz fz bone-conducted vibration in superior semicircular canal dehiscence. Ear Hear 2012;33:508–20Google Scholar
31 Dournes, G, Barreau, X, Franco-Vidal, V, Darrouzet, V, Dousset, V. Pre- and postoperative CT appearance of superior semicircular canal dehiscence syndrome. Diagn Interv Imaging 2012;93:612–16Google Scholar
32 Lip, G, Nichols, DM. Measurement of defect angle in superior semicircular canal dehiscence. Clin Radiol 2009;64:1210–13Google Scholar
33 Dumas, G, Lion, A, Karkas, A, Perrin, P, Perottino, F, Schmerber, S. Skull vibration-induced nystagmus test in unilateral superior canal dehiscence and otosclerosis: a vestibular Weber test. Acta Otolaryngol 2014;134:588–600 Google Scholar
34 Masaki, Y. The prevalence of superior canal dehiscence syndrome as assessed by temporal bone computed tomography imaging. Acta Otolaryngol 2011;131:258–62Google Scholar
35 Castellucci, A, Brandolini, C, Piras, G, Modugno, GC. Tympanometric findings in superior semicircular canal dehiscence syndrome. Acta Otorhinolaryngol Ital 2013;33:112–20Google ScholarPubMed
36 Crovetto, MA, Whyte, J, Sarasola, E, Rodriguez, JA, García-Barcina, MJ. Absence of COCH gene mutations in patients with superior semicircular canal dehiscence. Am J Med Genet A 2012;158A:251–3Google Scholar
37 Silverstein, H, Kartush, JM, Parnes, LS, Poe, DS, Babu, SC, Levenson, MJ et al. Round window reinforcement for superior semicircular canal dehiscence: a retrospective multi-center case series. Am J Otolaryngol 2014;35:286–93Google Scholar
38 Li, PM, Bergeron, C, Monfared, A, Agrawal, S, Blevins, NH. Superior semicircular canal dehiscence diagnosed after failed stapedotomy for conductive hearing loss. Am J Otolaryngol 2011;32:441–4Google Scholar
39 Yuen, HW, Boeddinghaus, R, Eikelboom, RH, Atlas, MD. 15th Yahya Cohen Memorial Lecture - the relationship between the air-bone gap and the size of superior semicircular canal dehiscence. Ann Acad Med Singapore 2011;40:59–64 Google Scholar
40 Re, M, Gioacchini, FM, Salvolini, U, Totaro, AM, Santarelli, A, Mallardi, V et al. Multislice computed tomography overestimates superior semicircular canal dehiscence syndrome. Ann Otol Rhinol Laryngol 2013;122:625–31Google Scholar
41 Lim, ZM, Friedland, PL, Boeddinghaus, R, Thompson, A, Rodrigues, SJ, Atlas, M. Otitic meningitis, superior semicircular canal dehiscence, and encephalocele: a case series. Otol Neurotol 2012;33:610–12Google Scholar
42 Fox, EJ, Balkany, TJ, Arenberg, IK. The Tullio phenomenon and perilymph fistula. Otolaryngol Head Neck Surg 1988;98:88–9CrossRefGoogle ScholarPubMed
43 Ishizaki, H, Pyykkö, I, Aalto, H, Starck, J. The Tullio phenomenon in patients with Meniere's disease as revealed with posturography. Acta Otolaryngol Suppl 1991;481:593–5Google Scholar
44 Kwee, HL. The occurrence of the Tullio phenomenon in congenitally deaf children. J Laryngol Otol 1976;90:501–7Google Scholar
45 Banerjee, AA, Whyte, A, Atlas, MD. Superior canal dehiscence: review of a new condition. Clin Otolaryngol 2005;30:9–15 CrossRefGoogle ScholarPubMed
46 Goldberg, E, Roediger, D, Kucukboyaci, NE, Carlson, C, Devinsky, O, Kuzniecky, R et al. Hemispheric asymmetries of cortical volume in the human brain. Cortex 2013;49:200–10Google Scholar
47 Pujol, J, López-Sala, A, Deus, J, Cardoner, N, Sebastián-Gallés, N, Conesa, G et al. The lateral asymmetry of the human brain studied by volumetric magnetic resonance imaging. Neuroimage 2002;17:670–9Google Scholar
48 Health Care Cost Institute. 2013 Health Care Cost and Utilization Report. Washington, DC: Health Care Cost Institute, 2014 Google Scholar
49 Bertakis, KD, Azari, R, Helms, LJ, Callahan, EJ, Robbins, JA. Gender differences in the utilization of health care services. J Fam Pract 2000;49:147–52Google Scholar