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Fluctuate hearing loss with vertigo in childhood and the large vestibular aqueduct syndrome

Liu Bo; Liu Chan; an Baosen; Liu Yicheng; Chen Xiuwu [ Beijing Institute of Otolaryngology,Beijing 100005]  
Abstract Vertigo as a sympotom in children is frequently not well explained,and special examinations such as audiogram and caloric tests are difficult to be carriedout.So the diagnosis not easy in children with vertigo,tinnitis and hearing loss.7 cases with fluctuating hearing loss and vertigo received temporal bone CT scan. The results demonstrated that the vestibular aqueducts(VA)in all 7 children were enlarged.This finding suggests that congen ital inner ear malformation──large vestibular aqueduct may lead to vertigo and hearing loss similar to Meniere,s disease. From our experience,he diagnosis of children with vertigo and hearing loss is difficult,and the large vestibular aqueduct should be considered.Temporal bone CT scan is important in making the correct diagnosis,and intensive treatment should be give as early as possible.
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