Perilymphatic Fistula

Fluid leak from inner to middle ear
  • Due to barotrauma (bomb blast / airplane flights / blowing nose
  • Hard to Dx
  • May mimic many other disorders
  • Prevalence is debated
  • Diagnosis & Treatment debated
Varying Presentations include:
  • Fulminant vertigo, hearing loss, & tinnitus
  • Vague manifestations of same symptoms which come & go
Diagnostic Pearl:
  • If vertigo temporally related to some form of barotraumas, ask ENT to consider the possibility

See posting Vertigo – 2.

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