Vertigo pp 99-115 | Cite as

Perilymph fistulas (PLF)

  • Thomas Brandt


The perilymph space surrounds the endolymphfilled membranous labyrinth, and both are encapsuled by the bony labyrinth. Perilymph fistulas (PLF) — abnormal communications between the perilymph space and the middle ear (Fig. 6.1) – are caused by traumatic pressure changes in either the cerebrospinal fluid (explosive force) and/or the middle ear (implosive force) (Fig. 23.1; p. 353). PLF may lead to episodic vertigo and sensorineural hearing loss, owing to pathological elasticity of the otic capsule or leakage of perilymph, usually at the oval and round windows. The fistula and a partial collapse of the membranous labyrinth (“floating” labyrinth) permit abnormal transfer of ambient pressure changes to maculae and cupulae receptors.


Semicircular Canal Round Window Benign Paroxysmal Positional Vertigo Endolymphatic Hydrops Membranous Labyrinth 
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© Springer-Verlag London 2003

Authors and Affiliations

  • Thomas Brandt
    • 1
  1. 1.Neurologische Klinik, Klinikum GroßhadernLudwig-Maximillians-UniversitätMunichGermany

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