Endolymphatic space imaging in idiopathic sudden sensorineural hearing loss with vertigo.

Chen, Xi; Zhang, Xiao-Dong; Gu, Xi; Fang, Zhe-Ming; Zhang, Rong · Laryngoscope · 2012

prospective_cohort · Level II

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Abstract

To investigate endolymphatic space images in patients with idiopathic sudden sensorineural hearing loss (ISNHL) and vertigo using three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging (3D-FLAIR MRI). This is a prospective study of an analysis using the imaging technology of 3D-FLAIR MRI for patients with ISNHL and vertigo. 3D-FLAIR MRI was performed 24 hours after intratympanic injection of gadolinium-diethylenetriamine penta-acetic acid. In four of seven cases of ISNHL with vertigo, endolymphatic hydrops were confirmed in the cochlea and/or the vestibule of the affected ears. The results of the study imply that there may be some relationship between endolymphatic hydrops and ISNHL with vertigo.

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