Objective. To share our experience of cerebrospinal fluid gusher in cochlear implantation in patients with enlarged cochlear or vestibular aqueduct. Study Design. Case series with comparison and a review of the literature. Methods. A retrospective study was performed. Demographic and radiological results of patients with enlarged cochlear aqueduct or enlarged vestibular aqueduct in 278 consecutive cochlear implant recipients, including children and adults, were evaluated between January 2000 and December 2015. Results. Six patients with enlarged cochlear aqueduct and eight patients with enlarged vestibular aqueduct were identified. Cerebrospinal fluid gusher occurs in five subjects with enlarged cochlear aqueduct and in only one case of enlarged vestibular aqueduct. Conclusion. Based on these findings, enlarged cochlear aqueduct may be the best risk predictor of cerebrospinal fluid gusher at cochleostomy during cochlear implant surgery despite enlarged vestibular aqueduct.
Spontaneous cerebrospinal fluid otorrhea in association with a congenital defect of the cochlear aqueduct and Mondini dysplasia
Cochlear implantation in children with large vestibular aqueduct syndrome and a review of the syndrome
Use of laboratory evaluation and radiologic imaging in the diagnostic evaluation of children with sensorineural hearing loss
TRANSITORY DECREASE OF HEARING AFTER LUMBAR PUNCTURE. A PERSONAL EXPERIENCE WHICH THROWS SOME LIGHT ON THE FUNCTION OF THE AQUEDUCT OF THE COCHLEAE
When is the vestibular aqueduct enlarged? A statistical analysis of the normative distribution of vestibular aqueduct size.
Enlarged cochlear aqueducts: a potential route for CSF gushers in patients with enlarged vestibular aqueducts
CSF gusher in cochlear implantation: The risk of missing CT evidence of a cochlear base defect in the presence of otherwise normal cochlear anatomy
Anatomical variations of the temporal bone on high-resolution computed tomography imaging: how common are they?
Bilateral Sequential Cochlear Implantation in Patients With Enlarged Vestibular Aqueduct (EVA) Syndrome
SLC26A4 genotypes associated with enlarged vestibular aqueduct malformation in south Italian children with sensorineural hearing loss
Sensorineural Hearing Loss in the Nonimplanted Ear Following Cochlear Implantation in a Patient With Bilateral Enlarged Vestibular Aqueducts
Diagnostic Value of 3D Segmentation in Understanding the Anatomy of Human Inner Ear Including Malformation Types.
CSF & Lymphatic System
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