Skip to main content Accessibility help
×
Home

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

  • X Gu (a1), Z-M Fang (a2), Y Liu (a2), S-L Lin (a3), B Han (a4), R Zhang (a1) and X Chen (a1)...

Abstract

Objective:

Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging of the inner ear after intratympanic injection of gadolinium, together with magnetic resonance imaging scoring of the perilymphatic space, were used to investigate the positive identification rate of hydrops and determine the technique's diagnostic value for delayed endolymphatic hydrops.

Methods:

Twenty-five patients with delayed endolymphatic hydrops underwent pure tone audiometry, bithermal caloric testing, vestibular-evoked myogenic potential testing and three-dimensional magnetic resonance imaging of the inner ear after bilateral intratympanic injection of gadolinium. The perilymphatic space of the scanned images was analysed to investigate the positive identification rate of endolymphatic hydrops.

Results:

According to the magnetic resonance imaging scoring of the perilymphatic space and the diagnostic standard, 84 per cent of the patients examined had endolymphatic hydrops. In comparison, the positive identification rates for vestibular-evoked myogenic potential and bithermal caloric testing were 52 per cent and 72 per cent respectively.

Conclusion:

Three-dimensional magnetic resonance imaging after intratympanic injection of gadolinium is valuable in the diagnosis of delayed endolymphatic hydrops and its classification. The perilymphatic space scoring system improved the diagnostic accuracy of magnetic resonance imaging.

Copyright

Corresponding author

Address for correspondence: Dr X Chen, Department of Otolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, 20 Cha Zhong Road, Tai Jiang District, Fuzhou 350005, Fujian Province, People's Republic of China E-mail: chenxi3518@sina.com

References

Hide All
1Nadol, JB Jr, Weiss, AD, Parker, SW. Vertigo of delayed onset after sudden deafness. Ann Otol Rhinol Laryngol 1975;84:841–6
2Schuknecht, HF. Delayed endolymphatic hydrops. Ann Otol Rhinol Laryngol 1978;87:743–8
3Nakashima, T, Naganawa, S, Sugiura, M, Teranishi, M, Sone, M, Hayashi, H et al. Visualization of endolymphatic hydrops in patient with Meniere's disease. Laryngoscope 2007;117:415–20
4Fang, Z-M, Chen, X, Gu, X, Liu, Y, Zhang, R, Cao, D-R et al. A new magnetic resonance imaging scoring system for perilymphatic space appearance after intratympanic gadolinium injection, and its clinical application. J Laryngol Otol 2012;126:454–9
5Huang, X-Z, Wang, J-B, Kong, W-J. Practice of Otorhinolaryngology-Head and Neck Surgery, 2nd edn.Beijing: People's Medical Publishing House, 2008;1005–6
6Zhou, N, Wu, ZM, Zhang, SZ, Guo, WW, Yu, LM, Yang, WY et al. Characteristics of the response of vestibular evoked myogenic potentials to different stimulus modes [in Chinese]. Zhonghua Er Bi Yan Hou Ke Za Zhi 2004;39:483–5
7Kamei, T. Delayed endolymphatic hydrops as a clinical entity. Int Tinnitus J 2004;10:137–43
8Fukuoka, H, Tsukada, K, Miyagawa, M, Oguchi, T, Takumi, Y, Sugiura, M et al. Semi-quantitative evaluation of endolymphatic hydrops by bilateral intratympanic gadolinium-based contrast agent (GBCA) administration with MRI for Meniere's disease. Acta Otolaryngol 2010;130:1016
9Fiorino, F, Pizzini, FB, Beltramello, A, Barbieri, F. MRI performed after intratympanic gadolinium administration in patients with Meniere's disease: correlation with symptoms and signs. Eur Arch Otorhinolaryngol 2011;268:181–7
10Campbell, KC, Harker, LA, Abbas, PJ. Interpretation of electrocochleography in Meniere's disease and normal subjects. Ann Otol Rhinol Laryngol 1992;101:496500
11Ferraro, JA, Arenberg, IK, Hassanein, RS. Electrocochleography and symptoms of inner ear dysfunction. Arch Otolaryngol 1985;111:71–4
12Wang, Z, Shao, X, Zhi, B, Yan, W, Lin, Y. Influence of the hearing loss level and auditory sensation curve type on click evoked SP/AP amplitude ratio in Meniere's disease [in Chinese]. Lin Chuang Er Bi Yan Hou Ke Za Zhi 2001;15:446–9
13Dumas, G, Lavieille, JP, Schmerber, S. Vibratory test and head shaking test and caloric test: a series of 87 patients [in French]. Ann Otolaryngol Chir Cervicofac 2004;121:2232
14Young, YH, Huang, TW, Cheng, PW. Vestibular evoked myogenic potentials in delayed endolymphatic hydrops. Laryngoscope 2002;112:1623–6
15Ban, JH, Lee, JK, Jin, SM, Lee, KC. Glycerol pure tone audiometry and glycerol vestibular evoked myogenic potential: representing specific status of endolymphatic hydrops in the inner ear. Eur Arch Otorhinolaryngol 2007;264:1275–81
16Egami, N, Ushio, M, Yamasoba, T, Murofushi, T, Iwasaki, S. Indication of the side of delayed endolymphatic hydrops by vestibular evoked myogenic potential and caloric test. ORL J Otorhinolaryngol Relat Spec 2010;72:242–6

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed