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Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings in a patient with relapsing polychondritis

Published online by Cambridge University Press:  04 February 2014

M Kato ,
N Katayama ,
S Naganawa  and
T Nakashima
M Kato*
Affiliation:
Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Japan
N Katayama
Affiliation:
Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Japan
S Naganawa
Affiliation:
Department of Radiology, Nagoya University Graduate School of Medicine, Japan
T Nakashima
Affiliation:
Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Japan
*
Address for correspondence: Dr Masahiro Kato, Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan Fax: +81 52 744 2325 E-mail: masahirok@med.nagoya-u.ac.jp
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Abstract

Objective:

We report three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings in a patient with relapsing polychondritis.

Method:

Case report.

Result:

A 76-year-old woman initially presented with bilateral auricular swelling together with dyspnoea. Three months later, she experienced left hearing loss and recurrent vertigo. A biopsy of the auricle was performed and relapsing polychondritis was diagnosed. The patient underwent three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging 4 hours after intravenous injection of a standard dose of gadolinium. Gadolinium enhancement was visible throughout the vestibule and the endolymphatic space could not be visualised, suggesting breakdown of the blood–labyrinth barrier.

Conclusion:

This is the first radiological report to demonstrate breakdown of the blood–labyrinth barrier in a case of relapsing polychondritis with inner ear impairment.

Keywords

Relapsing PolychondritisInner Ear DisorderMagnetic Resonance Imaging
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 2 , February 2014 , pp. 192 - 194
Copyright
Copyright © JLO (1984) Limited 2014 

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