A Clear Guide to Enlarged Vestibular Aqueduct

Proactive Care for Enlarged Vestibular Aqueduct

Progressive hearing loss or balance issues in children or adults? An enlarged vestibular aqueduct is a common congenital inner ear anomaly that is long-term manageable and usually not a sign of acute danger. At Harley AVM, our team provides expert monitoring and support. Seek urgent AVM evaluation for sudden severe hearing drop, trauma-related worsening, meningitis signs, or neurological changes. These concerning symptoms need immediate attention.

Inner-Ear Fluid Pathway Enlargement

An Overview of Enlarged Vestibular Aqueduct

An enlarged vestibular aqueduct is a structural inner-ear condition where the bony canal that carries the endolymphatic duct is wider than usual. This altered anatomy affects the regulation of inner-ear fluid, which, in turn, can influence hearing and balance. The condition is often present from early life, though symptoms may appear gradually or after a minor head injury.

People commonly experience fluctuating or progressive hearing loss, sometimes with imbalance or sound sensitivity. Symptoms may worsen after infection, pressure changes, or trauma. Not everyone with an enlarged aqueduct develops difficulties, but recognition matters, as management focuses on hearing monitoring, risk reduction, and long-term balance and hearing preservation strategies.

Pinpointing the Cause

Diagnosing Enlarged Vestibular Aqueduct

When to Get Checked

You should get assessed if hearing or balance symptoms fluctuate, worsen after minor head injury, infection, or pressure changes, or if hearing loss progresses unexpectedly. New imbalance, sound sensitivity, or difficulty stabilising hearing should prompt audiovestibular review.

You should seek urgent assessment if sudden hearing loss occurs, balance symptoms escalate rapidly, or problems appear alongside neurological symptoms, severe headache, or repeated falls. Early evaluation helps clarify risk, exclude alternative causes, and guide safe, long-term management.

Diagnosing Enlarged Vestibular Aqueduct At Harley Audiovestibular Clinic

How We Assess Enlarged Vestibular Aqueduct

At Harley Audiovestibular Clinic, our audiovestibular clinicians' evaluation starts with a detailed history and documentation of progressive hearing loss, balance issues, family history, and symptom triggers to identify patterns of enlarged vestibular aqueducts. We prioritise unhurried time with our consultants to ensure a personalised understanding of your journey.

We proceed with audiometry, genetic screening if indicated, and high-resolution temporal bone CT imaging to confirm aqueduct enlargement precisely. Our senior clinicians collaborate to interpret these results with precision and empathy. This specialised pathway distinguishes us, enabling proactive monitoring and management plans that safeguard hearing and stability effectively. At Harley AVM, we tailor every step to your needs for optimal outcomes.

Vestibular and auditory testing conducted for enlarged vestibular aqueduct in London
Harley Street Audiovestibular Clinic consultation for hearing and balance disorders

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Specialist Care for Enlarged Vestibular Aqueduct

Every Enlarged Vestibular Aqueduct case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.

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