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The superior vestibular nerve is then followed out to the ampullated end of the superior semicircular canal.
The symptoms are caused by a thinning or complete absence of the part of the temporal bone overlying the superior semicircular canal of the vestibular system.
Once diagnosed, the gap in the temporal bone can be repaired by surgical resurfacing of the affected bone or plugging of the superior semicircular canal.
The superior semicircular canal (anterior semicircular canal) is a part of the vestibular system and detects rotation of the head around a rostral-caudal (anterior-posterior) axis.
Because the most difficult exposure to achieve during middle fossa surgery is the lateral posterior end of the internal auditory canal, dissection is performed as close to the superior semicircular canal as possible.
Vibrations entering the ear canal and middle ear are then abnormally diverted through the superior semicircular canal and up into the intracranial space where they become absorbed instead of being registered as sound in the hearing center, the cochlea.
This genetic predisposition may explain why the section of temporal bone separating the superior semicircular canal from the cranial cavity, normally 0.8 mm thick, shows a thickness of only 0.5 mm, making it more fragile and susceptible to damage through physical head trauma or from slow erosion.
One (proötic) appears in the neighborhood of the eminentia arcuata, spreads in front and above the internal acoustic meatus and extends to the apex of the bone; it forms part of the cochlea, vestibule, superior semicircular canal, and medial wall of the tympanic cavity.
Above and between these two openings is an irregular depression that lodges a process of the dura mater and transmits a small vein; in the infant, this depression is represented by a large fossa, the subarcuate fossa, which extends backward as a blind tunnel under the superior semicircular canal.