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The British Journal of Radiology, Vol 73, Issue 873 1021-1023, Copyright © 2000 by British Institute of Radiology

ARTICLES

Vertigo after stapes surgery: the role of high resolution CT

D Pickuth, S Brandt, A Berghaus, RP Spielmann and SH Heywang-Kobrunner
Department of Diagnostic Radiology, Martin-Luther-University, Faculty of Medicine, Halle/Saale, Germany.

CT findings in patients with vertigo after stapes surgery include a prosthesis shaft entering the vestibule and compressing the saccule, a complete dislocation of the stapes prosthesis, air bubbles and fluid collections within the vestibule and outside the oval window indicating a perilymphatic fistula, and bony fragments leading to compression of the basal saccule. Although immediate post-operative vertigo is often transient, patients with persistent or recurrent vertigo should be imaged as high resolution CT will determine the underlying cause in the majority of cases.




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