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Increased Intracranial Pressure

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Third Mobile Window Syndrome of the Inner Ear

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Abstract

Superior semicircular canal dehiscence (SSCD) is an example of a “third mobile window” (TMW) condition resulting from dehiscence of middle fossa bone over the superior semicircular canal [1]. While not as well characterized as SSCD, other foci of otic capsule dehiscence have also been described, including the posterior semicircular canal, vestibular aqueduct, internal auditory canal, carotid canal, and fallopian canal [2–7]. TMWs allow aberrant sound and energy transfer through the inner ear, leading to classic findings of mixed hearing loss, autophony and vestibular dysfunction. Less specific symptoms, including pulsatile tinnitus, headache, hyperacusis and visual disturbance, may also be present, resulting in difficulty distinguishing TMW conditions from other entities, including migraine variants and idiopathic intracranial hypertension (IIH) [8].

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Authors and Affiliations

  1. Department of Otolaryngology & Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA

    Karl W. Doerfer

  2. Michigan Ear Institute, Farmington Hills, MI, USA

    Christopher A. Schutt & Sarah Dwyer

  3. Department of Radiology, College of Human Medicine, Ascension Providence Hospital, Michigan State University, Southfield, MI, USA

    Karl Kado

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  1. Karl W. Doerfer
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  2. Christopher A. Schutt
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  3. Sarah Dwyer
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  4. Karl Kado
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Editors and Affiliations

  1. Ear and Balance Institute, Covington, LA, USA

    Gerard J. Gianoli

  2. North Berwick, East Lothian, UK

    Philippa Thomson

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Doerfer, K.W., Schutt, C.A., Dwyer, S., Kado, K. (2022). Increased Intracranial Pressure. In: Gianoli, G.J., Thomson, P. (eds) Third Mobile Window Syndrome of the Inner Ear. Springer, Cham. https://doi.org/10.1007/978-3-031-16586-3_19

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