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Labyrinthitis Ossificans, Superior SCC

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This patient was being evaluated for potential

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dehiscence of the superior semicircular

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canal because of vertigo.

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When we were looking at the superior

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semicircular canal, here we see the proximal portion of

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it with the vestibule here.

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And as we followed it up to look for

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whether or not it was dehiscent,

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we lost the appearance of the superior portion

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of the superior semicircular canal,

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and it came back down here.

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But at its uppermost portion,

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there was obliteration of the normal lumen

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of that superior semicircular canal.

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There was no evidence of dehiscence,

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but we just sort of lost it. On the axial scan,

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I think it's a little bit more clear.

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If we continue up superiorly,

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we have the two limbs of the superior semicircular

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canal and follow the anterior limb.

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We keep going higher and higher, and then, whoops,

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we've lost

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the anterior limb,

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secondary to focal labyrinthitis ossificans

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affecting the anterior limb of the

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superior semicircular canal.

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And that was demonstrated nicely on both axial as

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well as on the coronal reconstructed plane.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Temporal bone

Non-infectious Inflammatory

Neuroradiology

Idiopathic

Head and Neck

CT

Brain

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