Communication between cochlear perilymph and cerebrospinal fluid through the cochlear modiolus visualized after intratympanic administration of Gd-DTPA

被引:25
作者
Naganawa, Shinji [1 ]
Satake, Hiroko [1 ]
Iwano, Shingo [1 ]
Sone, Michihiko [2 ]
Nakashima, Tsutomu [2 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Radiol, Shouwa Ku, Nagoya, Aichi 4668550, Japan
[2] Nagoya Univ, Grad Sch Med, Dept Otorhinolaryngol, Nagoya, Aichi 4668550, Japan
来源
RADIATION MEDICINE | 2008年 / 26卷 / 10期
关键词
Magnetic resonance imaging; 3D imaging; Anatomy; Modiolus;
D O I
10.1007/s11604-008-0286-z
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Intratympanic injection of gadolinium diethylenetriaminepentaacetic acid (Gd-DTPA) has been reported as a procedure to visualize endolymphatic hydrops of Meniere's disease. We frequently noted that cerebrospinal fluid (CSF) in the internal auditory canal (IAC) was also enhanced after this procedure. The purpose of this study was to evaluate how frequently this occurs and to investigate the specific features of patients who lack this communication. A total of 25 patients with clinically suspected endolymphatic hydrops underwent the procedure. After 24 h, three-dimensional fluid-attenuated inversion recovery (3D-FLAIR) and 3D constructive interference in steady state (3D-CISS) were performed. The presence of contrast enhancement in the CSF space of the fundus of the IAC was evaluated. The contrast ratio between CSF of the IAC fundus and cerebellar white matter on the injected side was 1.49 +/- 0.65, and that of the noninjected side was 0.32 +/- 0.16 (P < 0.01). Enhancement of the CSF space in the IAC fundus was seen in all but two subjects: one had enlarged endolymphatic duct and sac syndrome (EEDS), and the other had cochlear nerve agenesis. In these two patients, the cochlear modiolus seemed to be normal. Intratympanic Gd-DTPA administration can reveal permeability of the modiolus and might facilitate evaluation of functional abnormalities of the modiolus not detected by conventional imaging tests.
引用
收藏
页码:597 / 602
页数:6
相关论文
共 20 条
[1]   TEMPORAL BONE FINDINGS IN CENTRAL-NERVOUS-SYSTEM LEUKEMIA [J].
AIKAWA, T ;
OHTANI, I .
AMERICAN JOURNAL OF OTOLARYNGOLOGY, 1991, 12 (06) :320-325
[2]  
Bachor E, 1999, AM J OTOL, V20, P612
[3]  
DUCKERT LG, 1978, OTOLARYNGOLOGY 1, V86
[4]   Anatomy of the normal human cochlear aqueduct with functional implications [J].
Gopen, Q ;
Rosowski, JJ ;
Merchant, SN .
HEARING RESEARCH, 1997, 107 (1-2) :9-22
[5]   Generalized Autocalibrating Partially Parallel Acquisitions (GRAPPA) [J].
Griswold, MA ;
Jakob, PM ;
Heidemann, RM ;
Nittka, M ;
Jellus, V ;
Wang, JM ;
Kiefer, B ;
Haase, A .
MAGNETIC RESONANCE IN MEDICINE, 2002, 47 (06) :1202-1210
[6]  
HARA A, 1989, HEARING RES, V42, P265
[7]   Cochlear implantation in cases with incomplete partition type III (X-linked anomaly) [J].
Incesulu, Armagan ;
Adapinar, Baki ;
Kecik, Cem .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2008, 265 (11) :1425-1430
[8]   Cochlear modiolus and lateral semicircular canal in sudden deafness [J].
Ishida, Ieda Maria ;
Sugiura, Makoto ;
Naganawa, Shinji ;
Teranishi, Masaaki ;
Nakashima, Tsutomu .
ACTA OTO-LARYNGOLOGICA, 2007, 127 (11) :1157-1161
[9]   Magnetic resonance imaging of cochlear modiolus: determination of mid-modiolar area and modiolar volume [J].
Kendi, TK ;
Arikan, OK .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2004, 118 (07) :496-499
[10]   Normal modiolus: CT appearance in patients with a large vestibular aqueduct [J].
Lemmerling, MM ;
Mancuso, AA ;
Antonelli, PJ ;
Kubilis, PS .
RADIOLOGY, 1997, 204 (01) :213-219