Gusher phenomenon and Ménière disease. An enigmatic Case report
Bonifacio Francesca MD1, Chiappino Giulia MD1, Pierri Michelangelo MD1, Trivelli Maurizio MD1, Salvinelli Fabrizio Chief 1,2
1Unit of Otolaryngology, Fondazione Policlinico Campus Biomedico, Rome, Italy
2Research Unit of Otolaryngology, Campus Bio-Medico University, Rome, Italy
*Corresponding author
*Bonifacio F. MD, Unit of Otolaringology, Campus Bio-Medico University, via Alvaro del Portillo 21, 00128
Rome, Italy
DOI: 10.55920/JCRMHS.2023.03.001105
Figure 1:Serial of audiometric examinations were perform every ten years. A sensorineural left hearing loss was diagnosed in all the examinations. A worsening of right hearing threshold levels was observed.
Figure 2: Tc scan with particular on the vestibular aqueduct that does not appear enlarged.
- Alicandri-Ciufelli M, Molinari G, Rosa MS, Monzani D, Presutti L. Gusher in stapes surgery: a systematic review. Eur Arch Oto-Rhino-Laryngology. Published online 2019. doi:10.1007/s00405-019-05538-x
- Hashemi SB, Bozorgi H, Kazemi T, Babaei A. Cerebrospinal fluid gusher in cochlear implant and its associated factors. Acta Otolaryngol. Published online 2020. doi:10.1080/00016489.2020.1751276
- Naumann A, Meyer JE, Gottschalk S, Wollenberg B, Gehrking E. Posttraumatisches Gusher-phänomen Nach Felsenbeinquerfraktur. HNO. 2008;56(9):967-970. doi:10.1007/s00106-008-1821-z
- Zhang D, Hu B, Xiao Y, Zheng H. [Prediction and management about perilymph gusher in cochlear implantation]. Lin Chuang Er Bi Yan Hou Ke Za Zhi. Published online 2006.
- Jackler RK, Hwang PH. Enlargement of the cochlear aqueduct: Fact or fiction? Otolaryngol - Head Neck Surg. Published online 1993. doi:10.1177/019459989310900104
- Ding X, Tian H, Wang W, Zhang D. Cochlear implantation in China: Review of 1,237 cases with an emphasis on complications. ORL. Published online 2009. doi:10.1159/000229297
- Daneshi A, Hassanzadeh S, Abasalipour P, Emamdjomeh H, Farhadi M. Cochlear implantation in Mondini dysplasia. ORL. Published online 2003. doi:10.1159/000068656
- Caro-Osorio E, Espino-Ojeda A, Guevara-Maldonado L, Herrea-Castro J. Utility of magnetic resonance cisternography with intrathecal gadolinium in detection of cerebrospinal fluid fistula associated with Mondini dysplasia in a patient with recurrent meningitis: Case report and literature review. Surg Neurol Int. Published online 2018. doi:10.4103/sni.sni_449_17
- Allen GW. Fluid flow in the cochlear aqueduct and cochlea-hydrodynamic considerations in perilymph fistula, stapes gusher, and secondary endolymphatic hydrops. Am J Otol. Published online 1987.
- Lopez-Escamez JA, Carey J, Chung WH, et al. Diagnostic criteria for Menière’s disease. J Vestib Res Equilib Orientat. 2015;25(1):1-7. doi:10.3233/VES-150549
- Salvinelli F, Bonifacio F, Greco F, et al. Endolymphatic duct and sac decompression: A new technique for Ménière’s disease treatment. Surg Neurol Int. 2022;13:418. doi:10.25259/SNI_187_2022
- Salvinelli F, Bonifacio F, Trivelli M, Greco F, Frari V, Amadio D. Bifenestral surgical and chemical labyrinthectomy, a new effective ablative surgical approach to intractable vertigo in Ménière disease elderly patients. Acta Otorrinolaringol Esp. Published online September 2022. doi:10.1016/J.OTOENG.2022.09.001
- Giesemann A, Hofmann E. Some Remarks on Imaging of the Inner Ear: Options and Limitations. Clin Neuroradiol. Published online 2015. doi:10.1007/s00062-015-0422-y
- Harker LA, Vanderheiden S, Gentile N, Veazey D, McCleary E. Multichannel cochlear implantation in children with large vestibular aqueduct syndrome. Ann Otol Rhinol Laryngol. Published online 1999. doi:10.1177/00034894991080s409
- Bianchin G, Polizzi V, Formigoni P, Russo C, Tribi L. Cerebrospinal Fluid Leak in Cochlear Implantation: Enlarged Cochlear versus Enlarged Vestibular Aqueduct (Common Cavity Excluded). Int J Otolaryngol. Published online 2016. doi:10.1155/2016/6591684
- Varadarajan V V., DeJesus RO, Antonelli PJ. Novel computed tomography findings suggestive of perilymph gusher. Otol Neurotol. Published online 2018. doi:10.1097/MAO.0000000000001916
- Krouchi L, Callonnec F, Bouchetemblé P, Tollard E, Dehesdin D, Marie JP. Preoperative computed tomography scan may fail to predict perilymphatic gusher. Ann Otol Rhinol Laryngol. Published online 2013. doi:10.1177/000348941312200605