The relationship between cochleovestibular function tests and endolymphatic hydrops grading on MRI in patients with Menière's disease.


Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 07 09 2020
accepted: 05 01 2021
pubmed: 26 1 2021
medline: 3 11 2021
entrez: 25 1 2021
Statut: ppublish

Résumé

In this retrospective study the relationship between cochleovestibular function and a magnetic resonance imaging (MRI-) based classification system of endolymphatic hydrops was investigated. Seventy-eight patients with unilateral definite Menière's disease who underwent MRI were included. The parameters of Pure Tone Audiometry (PTA), caloric irrigation test, cervical vestibular evoked myogenic potentials, and video Head Impulse Test were compared between the grades of endolymphatic hydrops (EH) and perilymphatic enhancement (PE) on MRI. The low-frequency PTA was significantly different between cochlear EH grades I and II (p = 0.036; Grade I: mean (Standard Deviation, SD) = 51 decibel Hearing Level (dB HL) (18 dB HL); Grade II: mean (SD) = 60 dB HL (16 dB HL)), and vestibular EH grades 0 and III (p = 0.018; Grade 0: mean (SD) = 43 dB HL (21 dB HL); Grade III: mean = 60 dB HL (10 dB HL)). The ipsilateral caloric sum of ears with vestibular EH grade I (n = 6) was increased with regards to vestibular EH grades 0 (p = 0.001), II (p < 0.001), and III (p < 0.001) (Grade 0: mean (SD) = 24°/s (15°/s); Grade I: mean (SD) = 47°/s (11°/s); Grade II: mean (SD) = 21°/s (13°/s); Grade III: mean (SD) = 16°/s (8°/s)). According to these results we can conclude that only the highest grades of cochlear and vestibular EH seem to be associated with decreased cochleovestibular functioning.

Identifiants

pubmed: 33492418
doi: 10.1007/s00405-021-06610-1
pii: 10.1007/s00405-021-06610-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4783-4793

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

Références

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Auteurs

Morgana Sluydts (M)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium. morgana.sluydts@gza.be.
Lab for Equilibrium Investigations and Aerospace, University of Antwerp, Antwerp, Belgium. morgana.sluydts@gza.be.

Anja Bernaerts (A)

Department of Radiology, GZA Hospitals Antwerp, Wilrijk, Belgium.

Jan W Casselman (JW)

Department of Radiology, GZA Hospitals Antwerp, Wilrijk, Belgium.
Department of Radiology, AZ St. Jan Brugge-Oostende AV, Ruddershove 10, 8000, Brugge, Belgium.

Bert De Foer (B)

Department of Radiology, GZA Hospitals Antwerp, Wilrijk, Belgium.

Cathérine Blaivie (C)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium.

Andrzej Zarowski (A)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium.

Joost Js van Dinther (JJ)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium.

Erwin Offeciers (E)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium.

Floris L Wuyts (FL)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium.
Lab for Equilibrium Investigations and Aerospace, University of Antwerp, Antwerp, Belgium.

Robby Vanspauwen (R)

European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium.
Lab for Equilibrium Investigations and Aerospace, University of Antwerp, Antwerp, Belgium.

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