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Magnetic resonance imaging findings in Ménière's disease

Published online by Cambridge University Press:  06 June 2017

V A Patel ,
B S Oberman ,
T T Zacharia  and
H Isildak
V A Patel
Affiliation:
Department of Surgery, Division of Otolaryngology – Head and Neck Surgery, Pennsylvania State University, College of Medicine, Hershey, USA
B S Oberman
Affiliation:
Department of Surgery, Division of Otolaryngology – Head and Neck Surgery, Pennsylvania State University, College of Medicine, Hershey, USA
T T Zacharia
Affiliation:
Department of Radiology, Division of Neuroradiology, Pennsylvania State University, College of Medicine, Hershey, USA
H Isildak*
Affiliation:
Department of Surgery, Division of Otolaryngology – Head and Neck Surgery, Pennsylvania State University, College of Medicine, Hershey, USA
*
Address for correspondence: Dr Huseyin Isildak, Department of Surgery, Division of Otolaryngology – Head and Neck Surgery, Pennsylvania State University, College of Medicine, 500 University Drive, MC H091, Hershey, PA 17033-0850, USA Fax: +1 717 531 6160 E-mail: hisildak@hmc.psu.edu
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Abstract

Objectives:

To identify and evaluate cranial magnetic resonance imaging findings associated with Ménière's disease.

Methods:

Seventy-eight patients with a documented diagnosis of Ménière's disease and 35 controls underwent 1.5 T or 3 T magnetic resonance imaging of the brain. Patients also underwent otological, vestibular and audiometric examinations.

Results:

Lack of visualisation of the left and right vestibular aqueducts was identified as statistically significant amongst Ménière's disease patients (left, p = 0.0001, odds ratio = 0.02; right, p = 0.0004, odds ratio = 0.03). Both vestibular aqueducts were of abnormal size in the Ménière's disease group, albeit with left-sided significance (left, p = 0.008, odds ratio = 10.91; right, p = 0.49, odds ratio = 2.47).

Conclusion:

Lack of vestibular aqueduct visualisation on magnetic resonance imaging was statistically significant in Ménière's disease patients compared to the general population. The study findings suggest that magnetic resonance imaging can be useful to rule out retrocochlear pathology and provide radiological data to support the clinical diagnosis of Ménière's disease.

Keywords

DiagnosisDizzinessMénière's DiseaseMagnetic Resonance ImagingHearing LossSensorineuralTinnitusVertigo
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 7 , July 2017 , pp. 602 - 607
Copyright
Copyright © JLO (1984) Limited 2017 

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Footnotes

Presented at the American Neurotology Society Scientific Session as part of the Combined Otolaryngology Spring Meetings, 24 April 2015, Boston, Massachusetts, USA.

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