O que se sabe sobre a síndrome da deiscência do canal semicircular superior
Conteúdo do artigo principal
Resumo
Introdução: A origem da síndrome foi levantada através do estudo de tomografias computadorizadas onde os sintomas eram acompanhados de falha na cobertura óssea do canal semicircular superior, na fossa craniana média, próximo à dura-máter. Essa doença ainda não é de conhecimento da maioria dos médicos.
Objetivo: Atualizar o conhecimento sobre ela para despertar a possibilidade de sua existência durante atendimento médico.
Método: Revisão narrativa feita nas plataformas Pubmed e Scielo visando artigos ao tema, incluindo relatos de casos, estudos, revisões e metanálises publicados entre 1998 e 2023. Foram incluídos artigos em inglês, português e espanhol. Os descritores usados foram “superior canal dehiscence syndrome”, “superior canal dehiscence” e “síndrome da deiscência do canal semicircular superior”.
Resultado: Foram analisados 47 artigos.
Conclusão: O entendimento dessa síndrome é complexo e pouco conhecido, e aprimoramento das estratégias de tratamento requerem abordagem multidisciplinar com investigação contínua na intenção de oferecer melhor qualidade de vida ao portador. Tentativas evolutivas na orientação terapêutica até que se tenha confirmação por evidências de qual é melhor forma de tratamento, é o que na atualidade deve ser feito.
Detalhes do artigo

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Referências
Minor LB. Superior canal dehiscence syndrome. Am J Otol. 2000;21(1):9-19.
Chien WW, Carey JP, Minor LB. Canal dehiscence. Curr Opin Neurol. 2011;24(1):25-31. Doi: 10.1097/WCO.0b013e328341ef88
Rosowski JJ, Songer JE, Nakajima HH, Brinsko KM, Merchant SN. Clinical, experimental, and theoretical investigations of the effect of superior semicircular canal dehiscence on hearing mechanisms. Otol Neurotol. 2004;25(3):323-32. Doi: 10.1097/00129492-200405000-00021
Merchant SN, Rosowski JJ. Conductive hearing loss caused by third-window lesions of the inner ear. Otol Neurotol. 2008;29(3):282-9. Doi: 10.1097/mao.0b013e318161ab24
Raufer S, Masud SF, Nakajima HH. Infrasound transmission in the human ear: Implications for acoustic and vestibular responses of the normal and dehiscent inner ear. J Acoust Soc Am. 2018;144(1):332. Doi: 10.1121/1.5046523
Pisano DV, Niesten MEF, Merchant SN, Nakajima HH. The effect of superior semicircular canal dehiscence on intracochlear sound pressures. Audiol Neurootol. 2012;17(5):338-48. Doi: 10.1159/000339653
Watson SR, Halmagyi GM, Colebatch JG. Vestibular hypersensitivity to sound (Tullio phenomenon): structural and functional assessment. Neurology. 2000;54(3):722-8. Doi: 10.1212/wnl.54.3.722
Guan X, Cheng YS, Galaiya DJ, Rosowski J, Lee DJ, Nakajima HH. Bone-conduction hyperacusis induced by superior canal dehiscence in human: the underlying mechanism. Sci Rep. 2020;10:16564. Doi: 10.1038/s41598-020-73565-4
Carey JP, Minor LB, Nager GT. Dehiscence or Thinning of Bone Overlying the Superior Semicircular Canal in a Temporal Bone Survey. Arch Otolaryngol Head Neck Surg. 2000;126(2):137-47. Doi: 10.1001/archotol.126.2.137
Hirvonen TP, Weg N, Zinreich SJ, Minor LB. High-resolution CT findings suggest a developmental abnormality underlying superior canal dehiscence syndrome. Acta Otolaryngol. 2003;123(4):477-81. Doi: 10.1080/0036554021000028099
Stevens SM, Hock K, Samy R, Pensak ML. Are Patients with Spontaneous CSF Otorrhea and Superior Canal Dehiscence Congenitally Predisposed to Their Disorders?. Otolaryngol Head Neck Surg. 2018;159(3):543-52. Doi: 10.1177/0194599818769875
Chen EY, Paladin A, Philips G, Raske M, Veja L, Pterson DO, et al. Semicircular canal dehiscence in the pediatric population. Int J Pediatr Otorhinolaryngol. 2009;73(2):321-7. Doi: 10.1016/j.ijporl.2008.10.027
Hagiwara M, Shaikh JA, Fang Y, Fatteepekar G, Roehm PC. Prevalence of radiographic semicircular canal dehiscence in very young children: an evaluation using high-resolution computed tomography of the temporal bones. Pediatr Radiol. 2012;42(12):1456-64. Doi: 10.1007/s00247-012-2489-9
McCrary HC, Babajanian E, Patel N, Yang S, Kircher M, Carlson ML, et al. Superior Semicircular Canal Dehiscence Syndrome Following Head Trauma: A Multi-institutional Review. Laryngoscope. 2021;131(11):E2810-E2818. Doi: 10.1002/lary.2975
Ward BK, Carey JP, Minor LB. Superior Canal Dehiscence Syndrome: Lessons from the First 20 Years. Front Neurol. 2017;8:177. Doi: 10.3389/fneur.2017.00177
Heidenreich KD, Kileny PR, Ahmed S, El-Kashlan HK, Melendez TL, Basura GJ, et al. Superior Canal Dehiscence Syndrome Affecting 3 Families. JAMA Otolaryngol Head Neck Surg. 2017;143(7):656-62. Doi: 10.1001/jamaoto.2016.4743
Niesten MEF, Lookabaugh S, Curtin H, Merchant SN, McKenna MJ, Grolman W, et al. Familial superior canal dehiscence syndrome. JAMA Otolaryngol Head Neck Surg. 2014;140(4):363-8. Doi: 10.1001/jamaoto.2013.6718
Noonan KY, Russo J, Shen J, Rehm H, Halbach S, Hopp E, et al. CDH23 Related Hearing Loss: A New Genetic Risk Factor for Semicircular Canal Dehiscence?. Otol Neurotol. 2016;37(10):1583-8. Doi: 10.1097/MAO.0000000000001210
Roman-Naranjo P, Gallego-Martinez A, Escamez JAL. Genetics of vestibular syndromes. Curr Opin Neurol. 2018;31(1):105-10. Doi: 10.1097/WCO.0000000000000519
Ward BK, de Berg RV, Rompaey VV, Bisdorff A, Hullar TE, Welgampola MS, et al. Superior semicircular canal dehiscence syndrome: Diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the Bárány Society. J Vestib Res. 2021;31(3):131-41. Doi: 10.3233/VES-200004
Rosowski JJ, Songer JE, Nakajima HH, Bronsko KM, Merchant SN. Clinical, experimental, and theoretical investigations of the effect of superior semicircular canal dehiscence on hearing mechanisms. Otol Neurotol. 2004;25(3):323-32. Doi: 10.1097/00129492-200405000-00021
Kamakura T, Nadol JB Jr. Evidence of Osteoclastic Activity in the Human Temporal Bone. Audiol Neurootol. 2017;22(4-5):218-25. Doi: 10.1159/000481279
Crane BT, Carey JP, McMenomey S, Minor LB. Meningioma causing superior canal dehiscence syndrome. Otol Neurotol. 2010;31(6):1009-10. Doi: 10.1097/MAO.0b013e3181a32d85
Goddard JC, Go JL, Friedman RA. Imaging case of the month: Fibrous dysplasia causing superior canal dehiscence. Otol Neurotol. 2013;34(1):e1-2. Doi: 10.1097/MAO.0b013e3182355642
Brantberg K, Greitz D, Pansell T. Subarcuate venous malformation causing audio-vestibular symptoms similar to those in superior canal dehiscence syndrome. Otol Neurotol. 2004;25(6):993-7. Doi: 10.1097/00129492-200411000-00022
Peng KA, Ahmed S, Yang I, Gopen Q. Temporal bone fracture causing superior semicircular canal dehiscence. Case Rep Otolaryngol. 2014;2014:817291. Doi: 10.1155/2014/817291
Ho ML, Moonis G, Halpin CF, Curtin HD. Spectrum of Third Window Abnormalities: Semicircular Canal Dehiscence and Beyond. AJNR Am J Neuroradiol. 2017;38(1):2-9. Doi: 10.3174/ajnr.A4922
Kasle DA, Tower JI, Savoca E, Hildrew DM. Superior Semicircular Canal Dehiscence: A Case Report and Literature Review of an Otologic Condition Associated With Severe Psychiatric Disturbance and Suicide Attempt. J Psychiatr Pract. 2022;28(6):505-8. Doi: 10.1097/PRA.0000000000000663
Suzuki M, Ota Y, Takanami T, Yoshino R, Masuda H. Superior canal dehiscence syndrome: A review. Auris Nasus Larynx. 2023. Doi: 10.1016/j.anl.2023.08.004
Nguyen T, Sheppard JP, Doung G, Ding K, Dejam D, Alkhalid Y, et al. Age and gender considerations on the symptomology in patients with superior semicircular canal dehiscence: A systematic review and case illustration. J Clin Neurosci. 2019;65:112-20. Doi: 10.1016/j.jocn.2019.04.006
Naert L, et al. Aggregating the symptoms of superior semicircular canal dehiscence syndrome. Laryngoscope. 2018;128(8):1932-8. doi: 10.1002/lary.27062
Minor LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope. 2005;115(10):1717-27. Doi: 10.1097/01.mlg.0000178324.55729.b7
Sakagami M, Kitahara T, Okayasu T, Yamashita A, Hasukawa A, Ota I, et al. Negative prognostic factors for psychological conditions in patients with audiovestibular diseases. Auris Nasus Larynx. 2016;43(6):632-6. Doi: 10.1016/j.anl.2016.02.006
Wackym PA, Balaban CD, Mackay HT, Woof SJ, Lundell CJ, Carter DM, et al. Longitudinal Cognitive and Neurobehavioral Functional Outcomes Before and After Repairing Otic Capsule Dehiscence. Otol Neurotol. 2016;37(1):70-82. Doi: 10.1097/MAO.0000000000000928
Mikulec AA, McKenna MJ, Ramsey MJ, Rosowski JJ, Herrmann BS, Rauch SD, et al. Superior semicircular canal dehiscence presenting as conductive hearing loss without vertigo. Otol Neurotol. 2004;25(2):121-9. Doi: 10.1097/00129492-200403000-00007
Chilvers G, McKay-Davies I. Recent advances in superior semicircular canal dehiscence syndrome. J Laryngol Otol. 2015;129(3):217-25. Doi: 10.1017/S0022215115000183
Ward BK, Carey JP, Minor LB. Superior Canal Dehiscence Syndrome: Lessons from the First 20 Years. Front Neurol. 2017;8:177. Doi: 10.3389/fneur.2017.00177
Cheng YS, Raufer S, Guan X, Halpin CF, Lee D, Nakajima HH. Superior Canal Dehiscence Similarly Affects Cochlear Pressures in Temporal Bones and Audiograms in Patients. Ear Hear. 2020;41(4):804-10. Doi: 10.1097/AUD.0000000000000799
Eberhard KE, Chari DA, Nakajima HH, Klokker M, Cayé-Thomasen P, Lee DJ. Current Trends, Controversies, and Future Directions in the Evaluation and Management of Superior Canal Dehiscence Syndrome. Front Neurol. 2021;12:638574. Doi: 10.3389/fneur.2021.638574
Hope A, Fagan P. Latent superior canal dehiscence syndrome unmasked by stapedotomy for otosclerosis. J Laryngol Otol. 2010;124(4):428-30. Doi: 10.1017/S0022215109991654
Pritchett CV, Spector ME, Kileny PR, Heidenreich KD, El-Kashlan HK. Surgical treatment of hearing loss when otosclerosis coexists with superior semicircular canal dehiscence syndrome. Otol Neurotol. 2014;35(7):1163-7. Doi: 10.1097/MAO.0000000000000470
Noij KS, Duarte MJ, Wong K, Cheng YS, Masud S, Herrlann BS, et al. Toward Optimizing Cervical Vestibular Evoked Myogenic Potentials (cVEMP): Combining Air-Bone Gap and cVEMP Thresholds to Improve Diagnosis of Superior Canal Dehiscence. Otol Neurotol. 2018;39(2):212-20. Doi: 10.1097/MAO.0000000000001655
Lin K, Lahey R, Beckley R, 2nd DB, Wikerson B, Johson E, et al. Validating the Utility of High Frequency Ocular Vestibular Evoked Myogenic Potential Testing in the Diagnosis of Superior Semicircular Canal Dehiscence. Otol Neurotol. 2019;40(10):1353-8. Doi: 10.1097/MAO.0000000000002388
Manzari L, Burgess AM, McGarvie LA, Curthoys IS. An indicator of probable semicircular canal dehiscence: ocular vestibular evoked myogenic potentials to high frequencies. Otolaryngol Head Neck Surg. 2013;149(1):142-5. Doi: 10.1177/0194599813489494
Shaia WT, Diaz RC. Evolution in surgical management of superior canal dehiscence syndrome. Curr Opin Otolaryngol Head Neck Surg. 2013;21(5):497-502. Doi: 10.1097/MOO.0b013e328364b3ff
Mau C, Kamal N, Badeti S, Reddy R, Ying TLM, Jyiung RW, et al. Superior semicircular canal dehiscence: Diagnosis and management. J Clin Neurosci. 2018;48:58-65. Doi: 10.1016/j.jocn.2017.11.019
Walsh EM. Current management of superior semicircular canal dehiscence syndrome. Curr Opin Otolaryngol Head Neck Surg. 2020;28(5):340-5. Doi: 10.1097/MOO.0000000000000657
Ossen ME, Stokroos R, Kingma H, Tongeren JS, Rompaey VV, Temel Y, et al. Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome - A Systematic Literature Review. Front Neurol. 2017;8:347. Doi: 10.3389/fneur.2017.00347
Niesten ME, McKenna MJ, Grolman W, Lee DJ. Clinical factors associated with prolonged recovery after superior canal dehiscence surgery. Otol Neurotol. 2012;33(5):824-31. Doi: 10.1097/MAO.0b013e3182544c9e
Buffon VA, Roeder BL, de Barros LL, Sobral ACL, Simm EB, Bark GD, et al. Prevalência da síndrome de burnout em profissionais de saúde durante a pandemia de COVID-19. BioSCIENCE. 2023;81(1):10-6. Doi: 10.55684/81.2.3.