Hydropic ear disease—Translation of imaging into clinical practice

Clinical and Translational Neuroscience

Article

Roger Kalla¹  Maximilian Patzig²  Rebecca Maxwell²  Robert Gürkov³ 

[1] Department of Neurology, Inselspital, Bern, Switzerland;Department of Otorhinolaryngology and German Vertigo Gentre, University of Munich, Munich, Germany;Department of Otorhinolaryngology, University of Munich, Munich, Germany;

关键词: Hydropic ear disease;    Menière’s disease;    inner ear;    MRI;    vertigo;    endolymphatic hydrops;    intratympanic injection;    dizziness;   

DOI  :  10.1177/2514183X18758588

来源: Sage Journals

【 摘 要 】

A 45-year-old man presented to the neurotology clinic, suffering from recurrent attacks of vertigo associated with falls, of unknown origin. Pure tone audiometry revealed a profound right-sided and mild left-sided pantonal sensorineural hearing loss. Caloric videonystagmography showed marked canal paresis on the right side. Video-head impulse test, however, showed bilaterally normal gain. Cranial magnetic resonance imaging (MRI) was normal. No neurovascular compression was noted. We performed locally enhanced inner ear MRI (LEIM). LEIM revealed a marked dilation of the endolymphatic space of the right inner ear, that is, endolymphatic hydrops. In light of the history, clinical, functional and imaging results, therefore, the diagnosis of hydropic ear disease (Menière’s disease) with vestibular drop attacks could be established. This clinical image case illustrates the usefulness of inner ear imaging for the differential diagnosis of vertigo disorders, such as hydropic ear disease (Menière’s disease).

【 授权许可】

CC BY-NC   
© The Author(s) 2018

【 图 表 】

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