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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.

References

1 Thorp, MA, James, AL. Prosper Ménière. Lancet 2005;366:2137–9Google Scholar
2 Huppert, D, Strupp, M, Brandt, T. Long-term course of Menière's disease revisited. Acta Otolaryngol 2010;130:644–51Google Scholar
3 Alexander, TH, Harris, JP. Current epidemiology of Ménière's syndrome. Otolaryngol Clin North Am 2010;43:965–70Google Scholar
4 Zou, J, Zhang, W, Poe, D, Zhang, Y, Ramadan, UA, Pyykkö, I. Differential passage of gadolinium through the mouse inner ear barriers evaluated with 4.7 T MRI. Hear Res 2010;259:36–43 Google Scholar
5 Teranishi, M, Yoshida, T, Katayama, N, Hayashi, H, Otake, H, Nakata, S et al. 3D computerized model of endolymphatic hydrops from specimens of temporal bone. Acta Otolaryngol Suppl 2009;560:43–7Google Scholar
6 Carfrae, MJ, Holtzman, A, Eames, F, Parnes, SM, Lupinetti, A. 3 Tesla delayed contrast magnetic resonance imaging evaluation of Ménière's disease. Laryngoscope 2008;118:501–5Google Scholar
7 American Academy of Otolaryngology-Head and Neck Foundation. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Menière's disease. Otolaryngol Head Neck Surg 1995;113:181–5Google Scholar
8 Takeda, T, Sawada, S, Kakigi, A, Saito, H. Computed radiographic measurement of the dimensions of the vestibular aqueduct in Menière's disease. Acta Otolaryngol Suppl 1997;528:80–4Google Scholar
9 Ohmen, JD, White, CH, Li, X, Wang, J, Fisher, LM, Zhang, H et al. Genetic evidence for an ethnic diversity in the susceptibility to Ménière's disease. Otol Neurotol 2013;34:1336–41Google Scholar
10 Evans, KL, Baldwin, DL, Bainbridge, D, Morrison, AW. Immune status in patients with Menière's disease. Arch Otorhinolaryngol 1988;245:287–92Google Scholar
11 Nakayama, M, Kabaya, K. Obstructive sleep apnea syndrome as a novel cause for Ménière's disease. Curr Opin Otolaryngol Head Neck Surg 2013;21:503–8Google Scholar
12 Kimura, RS. Experimental blockage of the endolymphatic duct and sac and its effect on the inner ear of the guinea pig. A study on endolymphatic hydrops. Ann Otol Rhinol Laryngol 1967;76:664–87Google Scholar
13 Muzzi, E, Rinaldo, A, Ferlito, A. Ménière disease: diagnostic instrumental support. Am J Otolaryngol 2008;29:188–94Google Scholar
14 von Brevern, M, Neuhauser, H. Epidemiological evidence for a link between vertigo and migraine. J Vestib Res 2011;21:299–304 Google Scholar
15 Gopen, Q, Viirre, E, Anderson, J. Epidemiologic study to explore links between Ménière syndrome and migraine headache. Ear Nose Throat J 2009;88:1200–4Google Scholar
16 Swartz, RH, Kern, RZ. Migraine is associated with magnetic resonance imaging white matter abnormalities: a meta-analysis. Arch Neurol 2004;61:1366–8Google Scholar
17 Yamamoto, E, Mizukami, C, Isono, M, Ohmura, M, Hirono, Y. Observation of the external aperture of the vestibular aqueduct using three-dimensional surface reconstruction imaging. Laryngoscope 1991;101:480–3Google Scholar
18 Welling, DB, Clarkson, MW, Miles, BA, Schmalbrock, P, Williams, PM, Chakeres, DW et al. Submillimeter magnetic resonance imaging of the temporal bone in Meniere's disease. Laryngoscope 1996;106:1359–64Google Scholar
19 Milhorat, TH. Cerebrospinal fluid physiology. In: Milhorat, TH. Hydrocephalus and the Cerebrospinal Fluid. Baltimore: Williams & Wilkins, 1972;1–41 Google Scholar
20 Guerra Jiménez, G, Mazón Gutiérrez, Á, Marco de Lucas, E, Valle San Román, N, Martín Laez, R, Morales Angulo, C. Audio-vestibular signs and symptoms in Chiari malformation type I. Case series and literature review. Acta Otorrinolaringol Esp 2015;66:28–35 CrossRefGoogle ScholarPubMed
21 Otterstedde, CR, Tischendorf, M, Reisser, C. Megadolichobasilar artery as the etiology of sensorineural deafness in differential sudden deafness diagnosis [in German]. HNO 1999;47:494–6Google Scholar
22 Bovo, R, Ciorba, A, Martini, A. Vertigo and autoimmunity. Eur Arch Otorhinolaryngol 2010;267:13–19 Google Scholar
23 Ge, Y. Multiple sclerosis: the role of MR imaging. AJNR Am J Neuroradiol 2006;27:1165–76Google Scholar
24 Filipo, R, Ciciarello, F, Attanasio, G, Mancini, P, Covelli, E, Agati, L et al. Chronic cerebrospinal venous insufficiency in patients with Ménière's disease. Eur Arch Otorhinolaryngol 2015;272:77–82 Google Scholar
25 Di Berardino, F, Alpini, DC, Bavera, PM, Cecconi, P, Farabola, M, Mattei, V et al. Chronic cerebrospinal venous insufficiency in Menière disease. Phlebology 2014;30:274–9Google Scholar
26 Carlborg, BI, Farmer, JC. Transmission of cerebrospinal fluid pressure via the cochlear aqueduct and endolymphatic sac. Am J Otolaryngol 1983;4:273–82Google Scholar
27 George, U, Rathore, S, Pandian, JD, Singh, Y. Diffuse pachymeningeal enhancement and subdural and subarachnoid space opacification on delayed postcontrast fluid-attenuated inversion recovery imaging in spontaneous intracranial hypotension: visualizing the Monro-Kellie hypothesis. AJNR Am J Neuroradiol 2011;32:E16 Google Scholar
28 Murphy, TP. Otologic manifestations of pseudotumor cerebri. J Otolaryngol 1991;20:258–61Google Scholar
29 Wakerley, B, Tan, M, Ting, E. Idiopathic intracranial hypertension. Cephalalgia 2015;35:248–61Google Scholar
30 Warninghoff, JC, Bayer, O, Ferrari, U, Straube, A. Co-morbidities of vertiginous diseases. BMC Neurol 2009;9:29 Google Scholar