Relationship between video head impulse test, ocular and cervical vestibular evoked myogenic potentials, and compartmental magnetic resonance imaging classification in menière's disease.
Adult
Audiometry, Evoked Response
Case-Control Studies
Cochlea
/ diagnostic imaging
Endolymphatic Hydrops
/ classification
Eye
Female
Head Impulse Test
Hearing Loss
/ diagnostic imaging
Humans
Magnetic Resonance Imaging
/ methods
Male
Meniere Disease
/ complications
Middle Aged
Retrospective Studies
Saccule and Utricle
/ diagnostic imaging
Severity of Illness Index
Vestibular Evoked Myogenic Potentials
/ physiology
Vestibule, Labyrinth
/ physiopathology
Magnetic resonance imaging
Menière's disease
cervical vestibular evoked myogenic potential
endolymphatic hydrops
inner ear
ocular vestibular evoked myogenic potential
video head impulse test
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
21
05
2019
revised:
18
09
2019
accepted:
23
09
2019
pubmed:
20
11
2019
medline:
22
10
2020
entrez:
20
11
2019
Statut:
ppublish
Résumé
Currently, it is possible to assess in vivo the morphology of each compartment of the endolymphatic spaces 4 hours after an intravenous administration of gadolinium on magnetic resonance imaging (MRI). The aim of this study was to assess the correlation between otolithic and ampullar functions (cervical vestibular evoked myogenic potential [cVEMP], ocular vestibular evoked myogenic potential [oVEMP], video head impulse test [VHIT]) and delayed inner ear MRI based on a compartmental, anatomically based classification that included the cochlea, the saccule, the utricle, and the ampullas. Retrospective case-control study. In this retrospective study, we performed three-dimensional fluid-attenuated inversion recovery sequences with delayed acquisition in 26 healthy subjects and 31 definite Menière's disease (MD) patients. Each subject was then graded on MRI on the basis on cochlear, saccular, utricular, and ampullar hydrops in MD patients. All patients underwent pure-tone audiometry, VHIT, cVEMP, and oVEMP testing. Cochlear, saccular, utricular, and ampullar hydrops were found on MRI in 88%, 91%, 50%, and 8.5% respectively. We found no significant correlation between the presence of saccular hydrops versus cVEMP, utricular hydrops versus oVEMP, and ampullar hydrops versus VHIT. However, the severity of endolymphatic hydrops on MRI was correlated to the degree of hearing loss. We proposed a compartmental, anatomically based classification for endolymphatic hydrops on MRI, which included the whole vestibular compartment. Using this classification, we observed increasing morphological changes as the disease evolved, affecting first the saccule, then the utricle, and finally the ampullas. The severity of vestibular endolymphatic hydrops is only correlated to hearing loss severity. 3 Laryngoscope, 130:E444-E452, 2020.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E444-E452Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
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