Evidence map›Paper›PMID 33522990›Full record

ArticleJournal of vestibular research : equilibrium & orientation2021

Superior semicircular canal dehiscence syndrome: Diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the Bárány Society.

Bryan K Ward, Raymond van de Berg, Vincent van Rompaey, Alexandre Bisdorff, Timothy E Hullar, Miriam S Welgampola, John P Carey

Registry-linked trialOpen access · bronzeAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vestibular research : equilibrium & orientation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07384091 (The Diagnostic Accuracy of Ankle Audiometry Performed With the B250 for Superior Canal Dehiscence Syndrome in Patients Affected by Pulsatile Tinnitus and/or Autophony Disorders), which is not on this map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07384091 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Diagnostic Accuracy of Ankle Audiometry Performed With the B250 for Superior Canal Dehiscence Syndrome in Patients Affected by Pulsatile Tinnitus and/or Autophony Disorders

TypeinterventionalSponsorRegion StockholmRan2026 to 2026Enrolled30ConditionsSuperior Canal Dehiscence Syndrome, Autophony, Pulsatile TinnitusArmsAnkle audiometry performed with the B250 transducer
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 148 citations in OpenAlex.

  1. Comparison of Outcomes in Superior Canal Dehiscence Surgery Using Either Transmastoid or Middle Fossa Surgical Approaches: A Systematic Review and Meta-Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The role of the window-damping test in preoperative decision-making for semicircular canal dehiscence syndrome.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Round Window Reinforcement for Semicircular Canal Dehiscence Syndrome.The journal of international advanced otology · 2025
    Article
  17. [Semicircular canal dehiscence syndrome].Radiologie (Heidelberg, Germany) · 2025
    Review
  18. Review
  19. Review
  20. Sex differences in dizziness diagnoses across acute and chronic neurological settings.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 5 countries.

Bryan K WardDepartment of Otolaryngology-Head & Neck Surgery, Johns Hopkins University, Baltimore, USA.
Raymond van de BergDepartment of Otorhinolaryngology and Head & Neck Surgery, Maastricht University Medical Center+, Maastricht, The Netherlands.
Vincent van RompaeyDepartment of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.
Alexandre BisdorffClinique du Vertige, Centre Hospitalier Emile Mayrisch, Esch-sur-Alzette, Luxembourg.
Timothy E HullarVA Portland National Center for Rehabilitative Auditory Research and Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, USA.
Miriam S WelgampolaInstitute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Australia.
John P CareyDepartment of Otolaryngology-Head & Neck Surgery, Johns Hopkins University, Baltimore, USA.
Johns Hopkins University · USCentre Hospitalier de Luxembourg · LUMaastricht University · NLOregon Health & Science University · USRoyal Prince Alfred Hospital · AUUniversity of Antwerp · BE

Funding

HIGH FIELD MRI AND THE LABYRINTH: VESTIBULAR STIMULATION AND NEW IMAGING TECHNIQUESK23DC018302 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI WARD, BRYAN KEVIN · 2021 to 2025
$991k
6 · The paper itself

Abstract

This paper describes the diagnostic criteria for superior semicircular canal dehiscence syndrome (SCDS) as put forth by the classification committee of the Bárány Society. In addition to the presence of a dehiscence of the superior semicircular canal on high resolution imaging, patients diagnosed with SCDS must also have symptoms and physiological tests that are both consistent with the pathophysiology of a 'third mobile window' syndrome and not better accounted for by another vestibular disease or disorder. The diagnosis of SCDS therefore requires a combination of A) at least one symptom consistent with SCDS and attributable to 'third mobile window' pathophysiology including 1) hyperacusis to bone conducted sound, 2) sound-induced vertigo and/or oscillopsia time-locked to the stimulus, 3) pressure-induced vertigo and/or oscillopsia time-locked to the stimulus, or 4) pulsatile tinnitus; B) at least 1 physiologic test or sign indicating that a 'third mobile window' is transmitting pressure including 1) eye movements in the plane of the affected superior semicircular canal when sound or pressure is applied to the affected ear, 2) low-frequency negative bone conduction thresholds on pure tone audiometry, or 3) enhanced vestibular-evoked myogenic potential (VEMP) responses (low cervical VEMP thresholds or elevated ocular VEMP amplitudes); and C) high resolution computed tomography (CT) scan with multiplanar reconstruction in the plane of the superior semicircular canal consistent with a dehiscence. Thus, patients who meet at least one criterion in each of the three major diagnostic categories (symptoms, physiologic tests, and imaging) are considered to have SCDS.

Indexed as

Semicircular Canal DehiscenceVestibular DiseasesVestibular Evoked Myogenic PotentialsHumansSemicircular Canalsinner earlabyrinthSuperior canal dehiscencethird mobile window

Identifiers

PMID33522990
PMCPMC9249274
OpenAlexW3127116841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.