Meniere and Friends: Imaging and Classification of Hydropic Ear Disease
Meniere and Friends: Imaging and Classification of Hydropic Ear Disease
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DOI：
10.1097/mao.0000000000001479
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发表时间：
2017-12-01
影响因子：
2.1
通讯作者：
Guerkov, Robert
中科院分区：
文献类型：
--
作者：
Guerkov, Robert
背景：75 多年前，内淋巴积水被发现与梅尼埃病的病理相关。然而，这一病理结果只能在死后组织学研究中才能确定。由于这种诊断困境和各种听觉前庭症状的不同表现，迄今为止已使用基于临床表现的诊断分类系统。方法：回顾积水性耳病的磁共振（MR）成像文献。结果：内耳高分辨率 MR 成像的最新发展现在使我们能够可视化疑似梅尼埃病患者的体内内淋巴积液。来自颞骨组织学研究的现有知识以及对疑似梅尼埃病患者进行影像学评估的新证据表明，内淋巴积水不仅是听觉和前庭功能障碍同时发作的全面临床三联征的原因，而且还与其他临床表现有关，例如“前庭”和“耳蜗梅尼埃病”。结论：因此，我们提出“积水性耳病”作为一个新术语，它是根据这些临床实体的症状和影像学特征来澄清和简化其诊断分类。
Background: Over 75 years ago, endolymphatic hydrops was discovered as the pathologic correlate of Meniere's disease. However, this pathologic finding could be ascertained only in postmortem histologic studies. Due to this diagnostic dilemma and the variable manifestation of the various audiovestibular symptoms, diagnostic classification systems based on clinical findings have been used hitherto.Methods: A review of the literature of magnetic resonance (MR) imaging of hydropic ear disease.Results: Recent developments of high resolution MR imaging of the inner ear have now enabled us to visualize in vivo endolymphatic hydrops in patients with suspected Meniere's disease. The existing knowledge from temporal bone histologic studies and from the emerging evidence on imaging based evaluation of patients with suspected Meniere's disease indicate that endolymphatic hydrops not only is responsible for the full-blown clinical triad of simultaneous attacks of auditory and vestibular dysfunction, but also for other clinical presentations such as "vestibular" and "cochlear Meniere's disease."Conclusion: As a consequence, we propose the term "Hydropic Ear Disease" as a new terminology which is based on symptomatic and imaging characteristics of these clinical entities to clarify and simplify their diagnostic classification.