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This 12 year old young man had cognitive dysfunction, migraine headaches and sound-induced dizziness due to left third window syndrome. He was found to have a left cochlea-facial nerve dehiscence producing his left third window syndrome. He was treated with round window reinforcement surgery on the left when he was 12 years old. This video provides a background of how the peripheral vestibular system works, what patients experience with third window syndrome, what he experienced clinically and how his symptoms resolved over time. A series of 6 videos of him capture his experience before surgery and after surgery.