Recurrent peripheral vestibulopathy: Is MRI useful for the diagnosis of endolymphatic hydrops in clinical practice?
Recurrent peripheral vestibulopathy: Is MRI useful for the diagnosis of endolymphatic hydrops in clinical practice?
复制标题
DOI：
10.1007/s00330-015-3712-5
复制
发表时间：
2015-10-01
影响因子：
5.9
通讯作者：
Krainik, A.
中科院分区：
文献类型：
--
作者：
Attye, Arnaud;Dumas, G.;Krainik, A.
复发性外周前庭病变(RPV)是一个公共卫生问题，其病因尚不清楚。内淋巴积水(EH)MRI的最新进展有助于更好地了解内耳疾病。对132例RPV患者(组)和68例MD患者(MD组)在静脉注射加多曲酸4h后进行MRI检查，以探讨RPV患者EH的患病率。两位放射科医生对RPV和MD组中EH的患病率和定位进行了回顾性研究。根据积水的数目和部位进行分级，1(单侧耳蜗区或前庭EH)至4(耳蜗区及双耳前庭EH)。组31例EH，RPV组和MD组68例中61例EH。两组高血压病人数差异有统计学意义(P<0.05)。
Recurrent peripheral vestibulopathy (RPV) is a public health problem, yet the aetiology remains unclear. Recent developments in MRI of endolymphatic hydrops (EH) allow for a better understanding of inner ear disorders. We intended to study the prevalence of EH in patients with RPV, in comparison to those with Meniere's disease (MD).MRI examinations were performed 4 hours after intravenous injection of gadoteric acid in 132 patients with RPV (n = 64) and MD (n = 68). Two radiologists retrospectively studied the prevalence and localization of EH in RPV and MD groups. Patients were graded based on the number and localization of hydrops, between 1 (EH in either cochlea or vestibule on one side) and 4 (EH in cochlea and vestibule on both ears).We identified EH in 31 out of 64 patients and in 61 out of 68 patients in the RPV and MD groups, respectively. There was a significant difference regarding the number of subjects with EH between the two groups (p