Evidence for bilateral endolymphatic hydrops in ipsilateral delayed endolymphatic hydrops: preliminary results from examination of five cases

被引:21
作者
Nonoyama, Hiroshi [1 ]
Tanigawa, Tohru [1 ]
Tamaki, Tsuneo [2 ]
Tanaka, Hirokazu [1 ]
Yamamuro, Osamu [2 ]
Ueda, Hiromi [1 ]
机构
[1] Aichi Med Univ, Dept Otolaryngol, Nagakute, Aichi 4801195, Japan
[2] East Nagoya Imaging Diagnisis Ctr, Dept Radiol, Nagoya, Aichi, Japan
基金
日本学术振兴会;
关键词
3 T magnetic resonance imaging; three-dimensional fluid attenuated inversion recovery; intravenous administration; standard dose; gadolinium-based contrast agent; gadodiamide; better-hearing ear; MENIERES-DISEASE; GADOLINIUM INJECTION;
D O I
10.3109/00016489.2013.850741
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Conclusion: After the administration of a standard dose of gadodiamide, an intravenous gadolinium-based contrast agent (GBCA), magnetic resonance imaging (MRI) evaluation of endolymphatic hydrops (EH) became possible in patients with ipsilateral delayed endolymphatic hydrops (DEH). We found that patients with ipsilateral DEH may also have bilateral EH. Objective: MRI evaluation contributes to understanding of the pathological conditions in patients with EH. However, double or triple the standard dose of GBCA is often required to obtain images of high quality. We attempted to examine EH bilaterally in patients with ipsilateral DEH after routine administration of an intravenous GBCA. Methods: GBCA (gadodiamide, 0.2 ml/kg) was administered intravenously to five patients with ipsilateral DEH. Three-dimensional fluid attenuated inversion recovery (3D-FLAIR) MRI was performed with a 3-T MRI scanner 4 h after GBCA administration. Results: In all five patients, EH was observed in the affected vestibules. Moreover, EH was observed bilaterally in four (80%) of five patients with ipsilateral DEH. The region of the deaf ear affected by EH was considerably larger compared with the normal ear in three patients. However, observed regions of EH were of approximately the same size in both ears in patients 4 and 5.
引用
收藏
页码:221 / 226
页数:6
相关论文
共 46 条
[41]   Effects of transtympanic intermittent pressure therapy using a new tympanic membrane massage device for intractable Meniere's disease and delayed endolymphatic hydrops: a prospective study [J].
Shojaku, Hideo ;
Aoki, Mitsuhiro ;
Takakura, Hiromasa ;
Fujisaka, Michiro ;
Asai, Masatsugu ;
Tsubota, Masahito ;
Ito, Yatsuji ;
Watanabe, Yukio .
ACTA OTO-LARYNGOLOGICA, 2021, 141 (10) :907-914
[42]   Long-term effect of transtympanic intermittent pressure therapy using a tympanic membrane massage device for intractable meniere's disease and delayed endolymphatic hydrops [J].
Shojaku, Hideo ;
Takakura, Hiromasa ;
Asai, Masatsugu ;
Fujisaka, Michiro ;
Ueda, Naoko ;
Do, Tram Anh ;
Tsubota, Masahito ;
Watanabe, Yukio .
ACTA OTO-LARYNGOLOGICA, 2021, 141 (11) :977-983
[43]   Efficiency of a novel middle ear pressure device for intractable definite Meniere's disease and delayed endolymphatic hydrops after certification by the public health insurance system in Japan [J].
Nakazato, Akira ;
Takakura, Hiromasa ;
Tram Anh Do ;
Ueda, Naoko ;
Takeda, Noriaki ;
Watanabe, Yukio ;
Shojaku, Hideo .
ACTA OTO-LARYNGOLOGICA, 2022, 142 (05) :388-394
[44]   Identification of Endolymphatic Hydrops in Meniere's Disease Utilizing Delayed Postcontrast 3D FLAIR and Fused 3D FLAIR and CISS Color Maps [J].
Hagiwara, Mari ;
Roland, J. Thomas, Jr. ;
Wu, Xin ;
Nusbaum, Annette ;
Babb, James S. ;
Roehm, Pamela C. ;
Hammerschlag, Paul ;
Lalwani, Anil K. ;
Fatterpekar, Girish .
OTOLOGY & NEUROTOLOGY, 2014, 35 (10) :E337-E342
[45]   Diagnostic value of three-dimensional magnetic resonance imaging of inner ear after intratympanic gadolinium injection, and clinical application of magnetic resonance imaging scoring system in patients with delayed endolymphatic hydrops [J].
Gu, X. ;
Fang, Z-M ;
Liu, Y. ;
Lin, S-L ;
Han, B. ;
Zhang, R. ;
Chen, X. .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2014, 128 (01) :53-59
[46]   12-month effect of middle ear pressure therapy with the EFET01 device for intractable definite Meniere's disease and delayed endolymphatic hydrops after certification by the public health insurance system in Japan [J].
Nakazato, Akira ;
Takakura, Hiromasa ;
Tram Anh Do ;
Ueda, Naoko ;
Takeda, Noriaki ;
Watanabe, Yukio ;
Shojaku, Hideo .
ACTA OTO-LARYNGOLOGICA, 2022, 142 (06) :491-498