Endolymphatic Hydrops Secondary to Spontaneous Intracranial Hypotension.
case report
endolymphatic hydrops
inner ear
intracranial hypotension
magnetic resonance imaging
Journal
Headache
ISSN: 1526-4610
Titre abrégé: Headache
Pays: United States
ID NLM: 2985091R
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
09
04
2020
revised:
06
05
2020
accepted:
06
05
2020
pubmed:
17
6
2020
medline:
9
11
2021
entrez:
17
6
2020
Statut:
ppublish
Résumé
Spontaneous intracranial hypotension may be associated with neuro-otological symptoms that might mimic Menière's disease. We report the case of a 53-year-old male presenting bi-frontal headache with recurrent spells of vertigo, left fluctuating hearing loss, and tinnitus. Dedicated brain and inner ear Magnetic Resonance Imaging, including a post-contrast 4 hours delayed FLAIR sequence, revealed typical signs of spontaneous intracranial hypotension associated with endolymphatic hydrops involving the left saccule and cochlea. Audio vestibular manifestations mimicking Menière's disease in spontaneous intracranial hypotension could be explained by endolymphatic hydrops, which can be detected using dedicated magnetic resonance imaging sequences.
Sections du résumé
BACKGROUND
Spontaneous intracranial hypotension may be associated with neuro-otological symptoms that might mimic Menière's disease.
CASE PRESENTATION
We report the case of a 53-year-old male presenting bi-frontal headache with recurrent spells of vertigo, left fluctuating hearing loss, and tinnitus. Dedicated brain and inner ear Magnetic Resonance Imaging, including a post-contrast 4 hours delayed FLAIR sequence, revealed typical signs of spontaneous intracranial hypotension associated with endolymphatic hydrops involving the left saccule and cochlea.
CONCLUSIONS
Audio vestibular manifestations mimicking Menière's disease in spontaneous intracranial hypotension could be explained by endolymphatic hydrops, which can be detected using dedicated magnetic resonance imaging sequences.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1812-1813Informations de copyright
© 2020 American Headache Society.
Références
Choi J-H, Cho K-Y, Cha S-Y, Seo J-D, Kim M-J, Choi YR, et al. Audiovestibular impairments associated with intracranial hypotension. J Neurol Sci. 2015;357:96-100.
Fukushima M, Matsukawa N, Akahani S, Inohara H. Secondary endolymphatic hydrops associated with spontaneous intracranial hypotension. JAMA Otolaryngol Head Neck Surg. 2019;145:191-193.
Isildak H, Albayram S, Isildak H. Spontaneous intracranial hypotension syndrome accompanied by bilateral hearing loss and venous engorgement in the internal acoustic canal and positional change of audiography. J Craniofac Surg. 2010;21:165-167.