Management Options in SCDS
- Dizziness with symptoms referable to the ear that has the SCD seen on high resolution CT scans of the temporal bone, reformatted to the planes parallel and perpendicular to the superior canals.
- Compelling clinical history (ear fullness, autophony, oscillopsia and sound and pressure sensitivity)
- Signs of symptomatic SCD are present on exam (nystagmus to pressure or sound, tuning forks lateralize to ear that has "normal" hearing, etc.)
- VEMP testing shows low thresholds in the involved ear
- High resolution CT scans reformatted to examine the superior canals in the Poschel and Stenver planes