Abstract |
Meniere's disease (MD) characteristically presents with endolymphatic hydrops (EH), which can be visualized with gadolinium-enhanced inner ear magnetic resonance imaging (MRI). Inner ear membrane rupture has been suspected to cause MD attacks, but this remains controversial. We report a case of MD coincidentally evaluated the EH using 3-Tesla MRI during a vertigo attack. A 78-year-old man with bilateral definite MD visited the hospital outpatient department due to a vertigo attack. To evaluate of endolymphatic hydrops on the attack, inner ear MRI was obtained 4 hours after intravenous injection of gadolinium agent. Vestibular EH in each ear occupied almost all vestibular endolymphatic space in contact with the oval window and herniated into the horizontal semi-circular canal. The endolymphatic space was enlarged, without collapse or mixture of contrast agent. No difference was found between ears. EH on a vertigo attack was associated with significant swelling, without obvious evidence of membranous ruptures on magnetic resonance images.
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Authors | Takafumi Nakada, Masaaki Teranishi, Saiko Sugiura, Yasue Uchida, Shinji Naganawa, Michihiko Sone |
Journal | Nagoya journal of medical science
(Nagoya J Med Sci)
Vol. 83
Issue 1
Pg. 209-216
(Feb 2021)
ISSN: 2186-3326 [Electronic] Japan |
PMID | 33727752
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Aged
- Audiometry, Pure-Tone
- Cochlea
(diagnostic imaging)
- Gadolinium
- Humans
- Magnetic Resonance Imaging
- Male
- Meniere Disease
(complications, diagnostic imaging, physiopathology)
- Vertigo
(etiology)
- Vestibule, Labyrinth
(diagnostic imaging)
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