Article

Superior Canal Dehiscence Syndrome (SCDS) causes auditory and vestibular
symptoms. Following surgical repair of the dehiscence, patients often experience
dizziness and imbalance.
This case report describes a postoperative vestibular
exercise program, focusing on the principles of central compensation and
habituation, and how it was modified for a patient with delayed progress
secondary to strabismus and visual vertigo. A 63-year-old male with history of
strabismus eye surgery, right hearing loss, aural fullness, and sensitivity to
loud sounds was referred for vestibular rehabilitation (VR). He was seen for one
preoperative and six postoperative PT visits over eight months. Outcome measures
two weeks postoperative were as follows: Dizziness Handicap Inventory (DHI)
38/100; Timed Up & Go (TUG) 9.92 seconds; Dynamic Gait Index (DGI) 16/24; and a
3-line difference in Dynamic Visual Acuity (DVA). Improved outcomes at discharge
included: DHI 18/100; TUG 6.87 seconds; DGI 23/24; and 1-line difference in DVA.
He was able to return to work and previously enjoyed recreational activities.
Postoperative vestibular rehabilitation programs are functionally and
symptomatically beneficial following surgical repair for SCDS. Deviations from
expected recovery should be addressed to achieve optimal outcomes as demonstrated
in this complicated case report.

Langue : ANGLAIS