Dr. Konstantina Stankovic
๐ค SpeakerAppearances Over Time
Podcast Appearances
Come on.
Exactly.
But what Lloyd heard and paid attention to is that the patient said, when I hear a loud sound, I feel that my eyes are moving and my vision becomes blurry.
And so Lloyd thought, really?
So let me put loud sound in your ear, which he did.
And he noticed that the patient's eyes started moving in the vertical direction.
So there is this vestibular ocular reflex.
And he figured, well, then...
The superior semicircular canal must be involved.
And that led to imaging that had to be really developed so that it's fine cuts through the appropriate plane.
And then you could really see the missing bone.
And then he developed surgery to fix the problem.
And now we can help people like that who actually do hear their bodily sounds that are too disturbing to them.
However, we don't do that surgery lightly because clearly it has some risks like any surgery.
There are two ways of doing this.
One is through the middle cranial fossa, which entails lifting of the brain to identify the dehiscence and then plugging it or resurfacing it and then letting the brain fall down again.
Or we can approach it through the ear, so drilling from behind the ear.
But normally, that surgery is really reserved for those with intractable vestibular symptoms.
They just can't
function in the normal world because if someone yells next to them or an ambulance drives by, they just start spinning.