International Journal of Clinical & Medical Images

Department of Radiology, Hospital of Specialties, UHC Ibn Sina Rabat, Mohammed V University, Rabat, Morocco

*Corresponding Author:

Soukaina Bahha
Department of Radiology
Hospital of Specialties, UHC Ibn Sina Rabat, Mohammed V University
Rabat, Morocco
Tel: +212 616166284
E-mail: soukaina.bahha@gmail.com

Received: 09 June 2023, Manuscript No. ijcmi-23-107714; Editor assigned: 12 June 2023, Pre QC No. P-107714; Reviewed: 18 July 2023, QC No. Q-107714; Revised: 24 July 2023, Manuscript No. R-107714; Published: 31 July 2023, DOI:10.4172/2376-0249.1000903

Citation: Bahha S, Aouadi SEI, Guennouni A, Abourak C and Lahfidi A, et al. (2023) Rotatory Vertigo Revealing Post-Traumatic Combined PneumolabyrfintTh: A Case Report. Int J Clfin Med Imagfing 10: 903.

Copyright: © 2023 Bahha S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Clinical-Medical Image

We report the case of a 45 year old patient with no medical or surgical history, presented to the consultation with hypoacusis associated with rotatory vertigo and tinnitus, consecutive to a trauma by a cotton-tipped swab. The otological examination revealed a tympanic perforation. a CT scan of temporal bone in which joined 0.6 mm thick sections in the axial and coronal planes were performed, showed pneumatization of the vestibule, semicircular canals and the cochlea in the left ear (Figures 1 and 2), with intravestibular luxation of the plate and slight stapedial depression (Figure 3), suggesting a labyrinthic fistula. No bone fracture was found. The diagnosis of a pneumolabyrinth secondary to a stapedo-vestibular luxation was therefore retained. Pneumolabyrinth (PNL) is defined as the presence of air within the inner ear causing cochleovestibular signs and symptoms [1]. It can occur at any age and it is most commonly found in male patients. It can be the consequence of various etiologies., but the vast majority are post-traumatic [2]. It is diagnosed by the presence of air within the inner ear on radiological imaging. The patient may present with cochleovestibular signs including sensorineural hearing loss, tinnitus, aural fullness, dizziness and vertigo [1]. A PNL is classified as combined when it affects the vestibular organs and the cochlea, as in our case, otherwise it can be classified as vestibular PNL, or as a cochlear PNL [2]. Traumatic luxation of the stapes into the vestibule still a rare complication in penetrating middle ear injury [3]. Due to the limited number of cases, there is no established consensus for the management of pneumolabyrinth. Conservative treatment (bed rest, antibiotics, corticosteroids) can be an attempted, but exploratory tympanotomy is advisable in case of rapidly progressive hearing loss and/ or persistent vertigo or persistent disabling vestibular impairment [2].

Keywords

Pneumolabyrinth; Vertigo; Post-traumatic

Conflict of Interest

None of the authors has any conflicts of interests to disclose.

References

[1] Ziade G, Barake R, El Natout T and El Natout MA. (2016). Late pneumolabyrinth after stapedectomy. Eur Ann Otorhinolaryngol 133: 361-363.

Google Scholar, Crossref, Indexed at

[2] Botti C, Castellucci A, Crocetta FM, Fornaciari M and Giordano D, et al. (2021). Pneumolabyrinth: A systematic review. Eur Arch Oto-Rhino-L 278: 4619-4632.

Google Scholar, Crossref, Indexed at

[3] Yamasoba T, Amagai N and Karino S. (2003). Traumatic luxation of the stapes into the vestibule. Otolaryngol Head Neck Surg 129: 287-290.

Google Scholar, Crossref, Indexed at