Gusher phenomenon and Ménière disease. An enigmatic Case report by Bonifacio F. MD in Journal of Clinical Case Reports MedicaI Images and Health Sciences
Gusher phenomenon and Ménière disease. An enigmatic Case report by Bonifacio F. MD in Journal of Clinical Case Reports MedicaI Images and Health Sciences Abstract During stapedotomies or cochlear implant placement, cerebrospinal fluid gusher was described. The recognized causes result from abnormal communication between perilymphatic space and subarachnoid space. Our clinical case describes a patient with Ménière disease that presented a gusher phenomenon during surgery. A dubious and controversial case report. Key words : Otogenic vertigo, Ménière disease, endolymphatic hydrops , perilymph, Cerebrospinal Fluid INTRODUCTION The gusher phenomenon happens more frequently during stapes surgery and cochlear implant placement. Violent perilymph leakage starts during platinotomy or electrode placement and must be plugged in order not to cause sensorineural deafness. The stapes surgery is not practicable; instead, the positioning of cochlear implants is possible after the cleansi...