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

作     者：Christian G.Fritz Garrett G.Casale Lulia A.Kana Robert S.Hong Christian G.Fritz;Garrett G.Casale;Lulia A.Kana;Robert S.Hong

作者机构：Michigan Ear InstituteFarmington HillsMichiganUSA Department of OtorhinolaryngologyeHead&Neck SurgeryUniversity of PennsylvaniaPhiladelphiaPAUSA Department of OtolaryngologyeHead and Neck SurgeryWayne State UniversityDetroitMIUSA 

出 版 物：《中华耳科学杂志:英文版》 (Journal Of Otology)

年 卷 期：2023年第18卷第4期

页      面：230-234页

核心收录：

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Clinical predictors Diagnostic tool SSCD Superior semicircular canal dehiscence Third window 

摘      要：Purpose:To construct a symptoms-based prediction tool to assess the likelihood of superior canal dehiscence(SSCD)on high-resolution *** and methods:Mathematical modeling was employed to predict radiologic evidence of SSCD at a tertiary neurotology referral ***:A total of 168 patients were included,of which 118 had imaging-confirmed *** 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?***:The likelihood of SSCD on CT scan can be determined with a high degree of certainty based on symptoms recorded at *** the evidenced-based diagnostic tool validated herein,a score6 with any symptom combination justifies ordering a CT scan.