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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Review ArticleHead and Neck Imaging
Open Access

Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond

M.-L. Ho, G. Moonis, C.F. Halpin and H.D. Curtin
American Journal of Neuroradiology January 2017, 38 (1) 2-9; DOI: https://doi.org/10.3174/ajnr.A4922
M.-L. Ho
aFrom the Department of Radiology (M.-L.H.), Mayo Clinic, Rochester, Minnesota
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G. Moonis
bDepartment of Radiology (G.M.), Columbia University, New York, New York
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C.F. Halpin
cDepartments of Otolaryngology (C.F.H.)
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H.D. Curtin
dRadiology (H.D.C.), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
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Abstract

SUMMARY: Third window abnormalities are defects in the integrity of the bony structure of the inner ear, classically producing sound-/pressure-induced vertigo (Tullio and Hennebert signs) and/or a low-frequency air-bone gap by audiometry. Specific anatomic defects include semicircular canal dehiscence, perilabyrinthine fistula, enlarged vestibular aqueduct, dehiscence of the scala vestibuli side of the cochlea, X-linked stapes gusher, and bone dyscrasias. We discuss these various entities and provide key examples from our institutional teaching file with a discussion of symptomatology, temporal bone CT, audiometry, and vestibular-evoked myogenic potentials.

ABBREVIATIONS:

EVAS
enlarged vestibular aqueduct syndrome
SSCCD
superior semicircular canal dehiscence
  • © 2017 by American Journal of Neuroradiology

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American Journal of Neuroradiology: 38 (1)
American Journal of Neuroradiology
Vol. 38, Issue 1
1 Jan 2017
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Cite this article
M.-L. Ho, G. Moonis, C.F. Halpin, H.D. Curtin
Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond
American Journal of Neuroradiology Jan 2017, 38 (1) 2-9; DOI: 10.3174/ajnr.A4922

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Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond
M.-L. Ho, G. Moonis, C.F. Halpin, H.D. Curtin
American Journal of Neuroradiology Jan 2017, 38 (1) 2-9; DOI: 10.3174/ajnr.A4922
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  • Cavitary Plaques in Otospongiosis: CT Findings and Clinical Implications
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  • Audiometric and cVEMP Thresholds Show Little Correlation With Symptoms in Superior Semicircular Canal Dehiscence Syndrome
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  • Proposal for a Unitary Anatomo-Clinical and Radiological Classification of Third Mobile Window Abnormalities
    Pierre Reynard, Samar Idriss, Aicha Ltaief-Boudrigua, Pierre Bertholon, Andreea Pirvan, Eric Truy, Hung Thai-Van, Eugen C. Ionescu
    Frontiers in Neurology 2022 12
  • The Forgotten Second Window: A Pictorial Review of Round Window Pathologies
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  • Toward Optimizing cVEMP: 2,000-Hz Tone Bursts Improve the Detection of Superior Canal Dehiscence
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  • Posterior Semicircular Canal Dehiscence: Case Series and Systematic Review
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