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Superior Semicircular Canal Dehiscence Syndrome
(SSCDS). 

For a technical but "made for us" paper to read on this, go here or here.  You can also watch a couple YouTube video's...
Inside Todd's Head; made by someone with this problem.
The Musician who heard too much; an ABC 20/20 special,  This is made by people who don't have a clue about someone who has the problem.  I.E. Sound effects suck but it does give the basic idea of what this syndrome is.

 Below is a list of links with more information related to SSCDS and related to the ear and how it works...  You should come out of it with a good basic understanding of everything after reading all this material.


This is not a bloody, gory, deadly, syndrome but it is devastatingly frustrating to have! This is also very rare, "a Temporal bone Histopathological study suggests 1-2% of the population have a thin bone over the semicircular canal" and fewer yet have a hole (dehiscence) in that bone.   Here is my attempt at helping to cope with it's devastating effects by finding a way to eliminate or hamper one aspect of this syndrome.

  SCDS is an inner ear problem where the bone between the Superior Semicircular Canal and the brain is missing or has a dehiscence (hole) in it.  The Semicircular Canals contains the organs that tell the brain what way is up, what way the head is accelerating/tilting/turning and to mess with this can be devastating.  As of this moment I have no problem with telling what direction my head is accelerating but might in the future.  The devastating part to me are the actions acting on the brain in the form of vibrations centered on one spot, right there at the hole.  There are many other symptoms that go with SCDS but the ones which I have are;

*Autophony, meaning Self Noise.  I hear my own voice very loudly and distorted in the effected ear and the louder I attempt to be the louder and more distorted my voice becomes in that ear.  So I speak softly.

*The skull vibrates with my voice, and again, the louder I attempt to be the more intense the vibration is and another reason why I speak so softly.

*I can "hear" my heart beat.  I can also tell with this effect when my blood pressure is high or low and can come close to an accurate measurement of the pressure by how hard the beating is at any moment of time.  This has been described to me as "hearing" the pulse pressure differences in the brain casing being transmitted through the hole. With this ~new pressure wave~ the oval window is moved and therefore the Stapes, Incus, and Malius move and these push on the ear drum.  All these movements make me "feel" the heart beat as well.

*The eye ball on the effected side jumps uncontrollably with my voice but only when I try to raise my voice. And, It vibrates with loud external noises such as a book slamming against a table.  So, again, why I speak softly but also why I shy away from loud places.

*The eye ball as it moves normally from side to side and up and down is also audible in the effected ear.  This is not an issue except when I'm in a quiet environment.  Even then it's not frustrating.

*The eye ball moves with the beating of my heart.  The higher the blood pressure, the more aggressive the movement.  By moving my head in an attempt to distinguish it's movements I found that rotating my head (left ear down and right ear up) I can counteract the visual movement.  This rotation, after reading the above material, suggests the Superior Canal is the one being activated by the pulse pressure difference pressure wave.   Coupling this with the hearing of the beating and I can tell with great accuracy what my blood pressure is.

*During the winter of 2010-11 I started experiencing a strange sensation where my eye ball movements (while reading or just looking around) made me feel like I'm moving.  It's rare and only lasts maybe a full two seconds but when it happens it's a strange sensation.

*I'll normally find a parking spot relatively far from the front door of the store just so that I can have a brisk walk and therefor exorcise.  The other day (03-01-11) I went from half way out in the parking lot, in through the WallMart doors and on to the pharmacy inside.  While waiting in line my heart was pounding in my ear; B-Boom, B-Boom, B-Boom...  With each beat I felt like I was spinning.  Kind of fun! but I'm glad my heart relaxed before I made it to the counter, It would have been dificult explaining why I'm repeting over and over W-Wee, W-Wee, W-Wee, W-Wee.. :-)

*Eating anything crunchy such as cereal, potato chips, hard candy, even just grinding teeth is murder!

*I can hear my neck joints creaking.  Sounds like a pot of boiling water with some crackles and pops mixed in.

*Bone Conduction of Sound;  If I tap on any bone anywhere I can hear the tapping "exiting" my ear.  The further away from the ear the softer the tapping.  However, even tapping my big toe I can distinctly hear the tapping.  One test from the otoneurologyst is to place a tuning fork on the skull then move to other bones further away.  When he did this it was a very strange sensation having this tone coming out of my ear instead of going in.

*I can hear each drop of water as it hits my head and neck while taking a shower.  This is conduction through both Bone and Soft tissue.  I still have yet to find out how/why the soft tissue transmittance occurs.  I am currently searching for this information....

*That brings me to walking.  Some with this syndrome can hear their foot falls, I don't hear them directly but I do hear fluid moving in my ear with every movement of my head, Turning, twisting, tilting which walking does move the head up, down, and forward.

*My left ear feels full all the time.  It feels exactly like when you drive up or down a hill and have to swallow to clear the ears out.  The only difference is that as much as I might try I can't clear it out.

*Some times, which I'm told could be during moments of low atmospheric pressure (low pressure zones on weather maps), These conditions all become worse, especially the "full" feeling in the ear.

*Besides the Autophony, the second most annoying thing is forgetfulness...  I don't yet fully understand how this works but in essence with all the corrections needed to help keep you balanced with the noises and eye movements the brain gets overwhelmed and the first thing to go is the memory.  I can easily loose the last few seconds of memory with a single loud thump and this plays havoc when I'm trying to complete a task and can't remember if I have even started it yet.  And worse, there is no relaxing and having the memory come back since it never gets saved in the first place.

*Part of the Forgetfulness frustrations is talking to someone I'll inadvertently omit essential information and it's usually too late when I realize I had done so or I get people confused as I try to correct my self and then run out of steam because of all the talking and skull vibration.

*Recollection of names!  I don't fully understand this either, however it was explained to me this way... The hole in the ear is right against the part of the brain that stores names of people.  Even though i know your name and am quite familiar with you, when I need to recall your name I will see it in my mind but will struggle to bring it out verbally.

*Reading gets me very tired and forgetful.  I can only assume, and it sounds feasible, that as the eye is moved left to right, the signals are being sent in reverse to the semicircular canal and into my brain and then the brain tries to keep me balanced and ends up overworking and....ect.

* I've been listening to a group of people who have the same problem, These are 99% women and when they talk about Diet changing things I have to discount that as airheadedness as there is no way diet can change things.  Turns out they are right, eating anything salty plugs up my ear and if I eat a lot of this salty food I have to sit down for a couple hours or more.  Surprising how sensitive the ears are to what you eat!


  The one thing that I may be able to help with is the loud voice.  If I can help with my own loud voice problem then I am helping others....

  Out of curiosity I used a pen type microphone, one of those that comes with every new computer, and stuck it into my right ear and then my left ear.  I was amazed at the results!!  Here I am just humming a few bars.  The right ear results sounds normal but the left ear where the problem is sounds much louder and distorted almost exactly like it sounds to me.  This is very unscientific but it gives me a place to start knowing that sounds that effect the ear are audible going outside the ear.  My next step is to record these sounds coming out of both ears simultaneously which means two microphones tied to a stereo recorder.


UPDATE! December 1, 2010
  Mid 2010 I had a single episode where when I turned my head, once I stopped I had the sensation my head was still turning.  Since then this has happened more often to where it is several times a day now.  Stopping, starting, turning, bending, each would give a sensation my head was still going but since I knew the feeling wasn't right I have not (yet) fallen over.  Jan. 19, 2011; dizziness ocures with eye movements. This doesn't happen often (yet?) but when I move my eye from one object to another I get the feeling my head is moving.

UPDATE! January 19, 2011
  A couple days ago it was relatively warm outside so I took a walk around town for the exorcise.  Mid way through I noticed something strange, I don't know how long this has been happening but this is the first time I noticed it...  I closed my right eye and focused my left on a stationary object as I walked.  My vision bounced/jiggled with each step.  I switched eyes and my right eye stayed stationary and focused on that object.  With both eyes open and focused, that same object is ~kind of blurry and yet sharp.  It's hard to describe the situation.

UPDATE! February 4, 2011
  New job! Sitting on  stool about waist height.  I stood to adjust something on the table in front of me.  I start to sit and I feel like I'm falling.  Once my botom reaches the stool and two or more seconds later I still feel like Im falling.

 (continued..)  started the day at work in another room which happened to be noisier than my regular room.  It wasn't bad for a "normal" person, I.E. no ear plugs needed but still enough noise for me.  The work involves looking at a thin set of lines next to each other to find anomalies.  I can no longer see the details and need to leave.  The rest of the day I'm in a room just as noisy but need to move my eyes often.  I leave for the day extremely tired! even though the work isn't hard.  The best way to describe the day is to remember all the mistakes you have made during the day when you are "overly" tired, I did the same mistakes.

Links of Interest...

Encyclopedia Britannica
on the Human Ear
Lots of information on the hearing system and lots of links to both internal and external information

Wikipedia on Superior Semicircular Canal Dehiscence

A paper wrote by the founder of this syndrome
Objectives/Hypotheses: To determine the symptoms,
signs, and findings on diagnostic tests in patients
with clinical manifestations of superior canal
dehiscence
.

Vestibular Disorders Association
Some good information on many balance problems.
More links on SSCDS to come....

Hopkins Medical News
medical update  the clues in old bones
 
I believe this is a news letter article from Johns Hopkins University(?) on the founding of SCDS.

Johns Hopkins Gazette Online
 Another News letter article about the founding of this disorder.

Emedicine - on SCDS

Dizziness and Balance.com
Lots of good information on SCDS as well as other forms of Dehicence's.


Ear Science Institute, Australia
Some useful information although the surgical technique they use is not as successful as they suggest.

Otosurgery.org
  A very good site with lots of information

This is a CT scan image of part of my skull showing the dehiscence.  The original is of high quality but to save on download times I trimmed and shrunk the image.  To orient your self, you are looking at me strait on but the way the image was trimmed, the Right edge of the image is the center line of the face and the Left edge is the left ear.  The white is bone and the gray is soft tissue.  The spiral form of the Cochlea, with each succeeding image, is easily identifiable, and if I understand anatomy well enough, the gray vertical and horizontal lines above the cochlea are two of the semicircular canals.  The "Dehiscence" (hole) is at the top of the Superior Semicircular Canal (vertical gray line) which is hard to see with the resolution of this particular image but on the full unedited image is easily seen.  The curved black area to the left of the cochlea is the ear canal, and the upper end where the question marks are (image may be too black(?)), the next few images show no bone covering it at all.  I do not know if this is natural or not but I do have to question it.  Why is it that way?

Above is image #27 of 80 in one dimension, of which #27, 28, and 29 show the dehiscence in 0.625mm slices.  Measuring the hole it is 1.0mm wide and through the number of images makes it 1.875mm long, next to nothing but with what's involved it's like a grand canyon.

Further investigating I have found the hole in the other dimension.  This will give a better idea of the missing bone (hole).

Compare this image to the Ear schematic from Wikipedia.  Doing so you can pick out in the above image, the Ear Drum, The three smallest bones in the body (Maleus, Incus, Stapes), The oval and round windows.  Using the wikipedia image as a guide, I can only assume the grayish area to the right of the stapes is the superior semicircular canal