Magnetic resonance imaging of endolymphatic hydrops in patients with unilateral Meniere's disease: volume ratio and distribution rate of the endolymphatic space.


Journal

Acta oto-laryngologica
ISSN: 1651-2251
Titre abrégé: Acta Otolaryngol
Pays: England
ID NLM: 0370354

Informations de publication

Date de publication:
Dec 2021
Historique:
pubmed: 23 11 2021
medline: 17 2 2022
entrez: 22 11 2021
Statut: ppublish

Résumé

Endolymphatic hydrops (ELH), which is a pathological feature of Meniere's disease (MD), is characterized by an extended endolymphatic space (ELS). We aimed to perform a quantitative volumetric analysis of inner-ear ELH in patients with unilateral MD (uMD). This study included 97 patients with definite uMD and 49 control subjects (CS). The ELS/total fluid space (TFS) volume ratio (%) and the distribution rate of the inner-ear components in the ELS (%) were measured using 3D magnetic resonance imaging and compared between patients with uMD and CS. Compared to CS, patients with uMD had significantly higher mean ELS/TFS volume ratios for inner-ear components. The mean distribution rate of the inner-ear components in the ELS was not significantly different between the two groups. In patients with uMD, ELH was noted to be spread throughout the entire inner ear and the endolymph was evenly distributed in the total ELS. These findings should be useful as a standard reference for further research.

Sections du résumé

BACKGROUND BACKGROUND
Endolymphatic hydrops (ELH), which is a pathological feature of Meniere's disease (MD), is characterized by an extended endolymphatic space (ELS).
AIMS/OBJECTIVES OBJECTIVE
We aimed to perform a quantitative volumetric analysis of inner-ear ELH in patients with unilateral MD (uMD).
MATERIAL AND METHODS METHODS
This study included 97 patients with definite uMD and 49 control subjects (CS). The ELS/total fluid space (TFS) volume ratio (%) and the distribution rate of the inner-ear components in the ELS (%) were measured using 3D magnetic resonance imaging and compared between patients with uMD and CS.
RESULTS RESULTS
Compared to CS, patients with uMD had significantly higher mean ELS/TFS volume ratios for inner-ear components. The mean distribution rate of the inner-ear components in the ELS was not significantly different between the two groups.
CONCLUSIONS AND SIGNIFICANCE CONCLUSIONS
In patients with uMD, ELH was noted to be spread throughout the entire inner ear and the endolymph was evenly distributed in the total ELS. These findings should be useful as a standard reference for further research.

Identifiants

pubmed: 34807797
doi: 10.1080/00016489.2021.1968488
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1033-1037

Auteurs

Hiroshi Inui (H)

Department of Otorhinolaryngology, Inui ENT Clinic, Nara, Japan.

Tsuyoshi Sakamoto (T)

PixSpace. Ltd, Fukuoka, Japan.

Taeko Ito (T)

Department of Otorhinolaryngology-Head and Neck Surgery, Nara Medical University, Nara, Japan.

Tadashi Kitahara (T)

Department of Otorhinolaryngology-Head and Neck Surgery, Nara Medical University, Nara, Japan.

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