Enlarged vestibular aqueduct (EVA), also known as DFNB4, is the most common form of inner ear abnormality resolved by computed tomography. It is characterized by stepwise progressive sensorineural hearing loss associated with temporal bone abnormalities, ranging from isolated enlargement of the vestibular aqueduct (dilated vestibular aqueduct, DVA) to Mondini dysplasia, a complex malformation in which the normal cochlear spiral of 2(1/2) turns is replaced by a hypoplastic coil of 1(1/2) turns. Thyroid defects are not seen in EVA.