A Clear Guide to Superior Canal Dehiscence
Targeted Assessment for Superior Canal Dehiscence
Hearing your heartbeat or footsteps loudly? This thinning of the inner ear structure is uncommon but treatable, and it typically does not signal grave illness. At Harley AVM, our team offers expert diagnosis and relief. Urgently seek AVM care for sudden cerebrospinal fluid leak signs like severe headache, neck stiffness, or neurological changes; these warning signs require immediate attention.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Sound and Pressure Pathway Defect
An Overview of Superior Canal Dehiscence
Superior canal dehiscence is a structural inner-ear condition where a small opening develops in the bone covering the superior semicircular canal. This extra opening creates an abnormal pathway for sound and pressure, altering how balance and hearing signals reach the brain and producing unusual sensory responses during everyday movements and noise exposure.
People may notice dizziness triggered by loud sounds, pressure changes, or their own voice, alongside imbalance or hearing distortion. Symptoms vary widely and can mimic other vestibular disorders. Although uncommon, the condition is identifiable. Careful assessment matters because treatment decisions depend on confirming the anatomical defect and its functional impact on daily life.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Superior Canal Dehiscence
When to Get Checked
You should get assessed if vertigo attacks recur unpredictably, last longer than typical positional dizziness, or are accompanied by fluctuating hearing, ear fullness, or tinnitus affecting one ear. Increasing frequency or intensity of episodes should prompt audiovestibular review.
You should seek urgent assessment if vertigo occurs with sudden hearing loss, persistent vomiting, severe headache, new visual disturbance, neurological symptoms, or difficulty standing or walking. Early evaluation helps exclude other causes and ensures timely, appropriate management.

How We Assess Superior Canal Dehiscence
At Harley Audiovestibular Clinic, our process begins with a detailed history from a senior audiovestibular physician, followed by capturing symptoms such as autophony, sound-sensitive dizziness, or pulsatile tinnitus to identify superior canal dehiscence patterns. We prioritise unhurried consultations with our consultants to build a personalised picture of your experience.
We proceed with specialised tests, including VEMP testing, high-resolution CT imaging, and audiometry, for definitive diagnosis. Our senior clinicians interpret these collaboratively for accuracy. This expert pathway distinguishes us, leading to tailored management options that enhance hearing protection and balance stability effectively. At Harley AVM, we guide you through every step with empathy. Our proven strategies restore confidence in sound-filled environments.

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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Superior Canal Dehiscence
Every Superior Canal Dehiscence 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.