An evidenced-based diagnostic tool for superior semicircular canal dehiscence syndrome

查看全文 作　　者：Christian [1,2]G.Fritz;Garrett [1]G.Casale;Lulia [1,3]A.Kana;Robert [1,3]S.Hong 机构地区：[1]Michigan Ear Institute,Farmington Hills,Michigan,USA;[2]Department of OtorhinolaryngologyeHead&Neck Surgery,University of Pennsylvania,Philadelphia,PA,USA;[3]Department of OtolaryngologyeHead and Neck Surgery,Wayne State University,Detroit,MI,USA 出　　处：《Journal of Otology》索引2023年第18卷第4期,共5页 摘　　要：Purpose:To construct a symptoms-based prediction tool to assess the likelihood of superior canal dehiscence(SSCD)on high-resolution CT.Materials and methods:Mathematical modeling was employed to predict radiologic evidence of SSCD at a tertiary neurotology referral center.Results:A total of 168 patients were included,of which 118 had imaging-confirmed SSCD.On univariate analysis significant predictors of SSCD presence were:sound/pressure-induced vertigo(p?0.006),disequilibrium(p?0.008),hyperacusis(p?0.008),and autophony(p?0.034).Multivariate analysis enabled a 14-point symptom-weighted tool to be developed,wherein a score of6 raised the suspicion of SSCD(70%likelihood of being present),R2?0.853.Conclusions:The likelihood of SSCD on CT scan can be determined with a high degree of certainty based on symptoms recorded at presentation.Using the evidenced-based diagnostic tool validated herein,a score6 with any symptom combination justifies ordering a CT scan. 关 键 词：Clinical predictors Diagnostic tool SSCD Superior semicircular canal dehiscence Third window