<unk><unk><unk>  (SCD) can affect both hearing and balance to different extents in different people. Symptoms of SCDS include: * Autophony – person's own speech or other self-generated noises (e.g. heartbeat, eye movements, creaking joints, chewing) are heard unusually loudly in the affected ear * Dizziness/ vertigo/ chronic disequilibrium caused by the dysfunction of the<unk>  semicircular<unk>  * Tullio phenomenon – sound-induced vertigo, disequilibrium or dizziness, nystagmus and oscillopsia * Pulse-synchronous oscillopsia * Hyperacusis – the over-sensitivity to sound * Low-frequency conductive hearing loss * A feeling of fullness in the affected ear * Pulsatile tinnitus * Brain fog * Fatigue * Headache/migraine * Tinnitus – high pitched ringing in the ear Symptoms in detail * SCDS-related autophony differs greatly in quality and range from the more common form which results from an open, or patulous Eustachian tube through which sufferers of this disorder hear the sound of their own voice and breathing. In contrast, patients with SCDS-related autophony report hearing their own voice as a disturbingly loud and distorted "kazoo-like" sound deep inside the head as if relayed through "a cracked loudspeaker." Additionally they may hear the creaking and cracking of joints, the sound of their footsteps when walking or running, their heartbeat and the sound of chewing and other digestive noises. Some sufferers of this condition experience such a high level of conductive hyperacusis that a tuning fork placed on the ankle will be heard in the affected ear. The bizarre phenomenon of being able to hear the sound of the eyeballs moving in their sockets (e.g. when reading in a quiet room) "like sandpaper on wood" is one of the more distinctive features of this condition and is almost exclusively associated with SCDS. * Tullio phenomenon, another of the more identifiable symptoms leading to a positive SCD diagnosis is sound-induced loss of balance. Patients showing this symptom may experience a loss of equilibrium, a feeling of motion sickness or even actual nausea, triggered by normal everyday sounds. Although this is often associated with loud noises, volume is not necessarily a factor. Patients describe a wide range of sounds that affect balance: the 'rattle' of a plastic bag; a cashier tossing coins into the register; a telephone ringing; a knock at the door; music; the sound of children playing and even the patient's own voice are typical examples of sounds that can cause a loss of balance when this condition is present, although there are countless others. The presence of Tullio may also mean that involuntary eye movements (nystagmus), sometimes rotational, are set off by sound, giving the sufferer the impression that the world is tipping, clockwise or anticlockwise, depending on the site of the<unk> . Some patients report this tilt as being as much as 15°. For such persons, a visit to the concert hall or to a noisy playground may seem like being at the epicenter of an earthquake. A change of pressure within the middle ear (for example when flying or nose-blowing) may equally set off a bout of disequilibrium or nystagmus. * Low-frequency conductive hearing loss is present in many patients with SCDS and is explained by the<unk>  acting as a "third window." Vibrations entering the ear<unk>  and middle ear are then abnormally diverted through the<unk>  semicircular<unk>  and up into the intracranial space where they become absorbed instead of being registered as sound in the hearing center, the cochlea. Due to the difference in resistance between the normal round window and the pathological<unk>  window this hearing loss is more serious in the lower frequencies and may initially be mistaken for otosclerosis. In some patients there is true enhancement of low frequency hearing via bone conducted sound. A clinical sign of this phenomenon is the ability of the patient to hear (not feel) a tuning fork placed upon the ankle bone. * Pulsatile tinnitus is yet another of the typical symptoms of SCDS and is caused by the gap in the dehiscent bone allowing the normal pulse-related pressure changes within the cranial cavity to enter the inner ear abnormally. These pressure change thus affect the sound of the tinnitus which will be perceived as containing a pulse-synchronized "wave" or "blip" which patients describe as a "swooshing" sound or as being like the chirrup of a cricket or grasshopper. * Brain fog and fatigue are both common SCDS symptoms and are caused by the brain having to spend an unusual amount of its energy on the simple act of keeping the body in a state of equilibrium when it is constantly receiving confusing signals from the dysfunctional semicircular<unk> . * Headache and migraine are also often mentioned by patients showing other symptoms of SCDS due to the body overcompensating for poor hearing in the affected ear by tensing up nearby parts of the face, head, and neck and using them as almost a secondary eardrum.
Superior canal dehiscence syndrome
Eustachian tube dysfunction
Genitopatellar syndrome
Rectovestibular fistula
Jugular foramen syndrome
Pilonidal disease
Tenonitis
Haemolacria