A 41-year-old presents with brief vertigo provoked by loud sounds and by straining, plus the disconcerting sense that their own voice and footsteps are abnormally loud in one ear. Pure-tone audiometry shows a low-frequency air–bone gap with intact stapedial reflexes.

Affected earContralateral ear

Affected-ear cVEMP shows a markedly augmented response elicited at a strikingly low threshold; the contralateral ear is normal.

Which single finding combination most strongly points to a third-window lesion rather than otosclerosis?

Select an option to continue.

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Affected earContralateral ear

Affected-ear cVEMP shows a markedly augmented response elicited at a strikingly low threshold; the contralateral ear is normal.

Which single finding combination most strongly points to a third-window lesion rather than otosclerosis?

Select an option to continue.

← All clinical cases

Sound-induced vertigo and an unsettling sensitivity to one's own voice

Which single finding combination most strongly points to a third-window lesion rather than otosclerosis?

Sound-induced vertigo and an unsettling sensitivity to one's own voice

Which single finding combination most strongly points to a third-window lesion rather than otosclerosis?