Relationship between video head impulse test, ocular and cervical vestibular evoked myogenic potentials, and compartmental magnetic resonance imaging classification in menière's disease

2019 ◽  
Vol 130 (7) ◽  
Author(s):  
Laureline Kahn ◽  
Charlotte Hautefort ◽  
Jean‐Pierre Guichard ◽  
Michel Toupet ◽  
Clément Jourdaine ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Meniere’S Disease ◽  
Vestibular Evoked Myogenic Potentials ◽  
Head Impulse Test ◽  
Ménière’S Disease ◽  
Video Head Impulse Test ◽  
Resonance Imaging ◽  
Head Impulse ◽  
Imaging Classification

The Relationship Between Tests of Hearing and Vestibular Function and the Duration of Symptoms in Patients With Unilateral Ménière's Disease

2019 ◽  
Vol 4 (6) ◽  
pp. 1364-1374
Author(s):  
Dennell E. Benson ◽  
James H. McPherson ◽  
Neil T. Shepard ◽  
Devin L. McCaslin
Keyword(s):  
Vestibular Function ◽  
Meniere’S Disease ◽  
Vestibular Evoked Myogenic Potentials ◽  
Head Impulse Test ◽  
Ménière’S Disease ◽  
Video Head Impulse Test ◽  
Menière's Disease ◽  
Duration Of Symptoms ◽  
Head Impulse ◽  
Ménière's Disease

Purpose Ménière's disease (MD) is a constellation of otologic symptoms that includes aural fullness, tinnitus, hearing loss, and episodic vertigo. Even though the criteria for diagnosing the disorder was set forth in 1972, the causes are still not well understood. The purpose of this study was to describe the relationships between tests of hearing and vestibular function and length of time patients diagnosed with unilateral MD have experienced symptoms. Method The charts of 254 patients with definite unilateral MD from the Mayo Clinic database were retrospectively reviewed. In order to be included, patients must have reported active MD diagnosis within the previous 5 years. Main outcome measures were results for audiometry, cervical vestibular evoked myogenic potentials, ocular vestibular evoked myogenic potentials, caloric test findings, video head impulse test, and sinusoidal harmonic acceleration. Results Results indicate there is a significant effect of the duration of MD symptoms reported by the patient and findings on some tests of hearing and vestibular function. Specifically, pure-tone average, caloric paresis, and rotational chair phase were all positively correlated with duration of symptoms. Rotational chair gain was found to have an inverse relationship with time. We did not find that video head impulse test gain or certain vestibular evoked myogenic potential measures were significantly correlated with the reported duration of patient symptoms. Conclusions Our results suggest that, although the duration of symptoms reported by the patient does correlate with a number of vestibular and hearing tests, the relationships are relatively weak. The number of attacks and severity of symptoms should be investigated to determine if they are better predictors of laboratory testing results in the patient with MD.

Magnetic Resonance Imaging of Ménière’s Disease After Intravenous Administration of Gadolinium

2018 ◽  
Vol 127 (11) ◽  
pp. 777-782 ◽  
Author(s):  
Suming Shi ◽  
Ping Guo ◽  
Wuqing Wang
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Endolymphatic Hydrops ◽  
Meniere’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Resonance Imaging ◽  
Menière's Disease ◽  
Affected Side ◽  
Ménière's Disease

Objectives: A three-dimensional (3D) inversion-recovery (IR) sequence with real reconstruction (3D-real IR) sequence 4 hours after intravenous (IV) gadolinium injection has been used to visualize the endolymphatic hydrops (ELH) in Ménière’s disease (MD). This study was designed to investigate the ELH characteristics in clinically diagnosed definite MD and to explore the pathology of MD with magnetic resonance imaging (MRI). Methods: One hundred fifty-four patients with definite MD were included in this study. All patients underwent the IV method. The grades of ELH were analyzed on each image, regions of interest of the cochlear perilymph and the cerebellum white matter were determined, and the signal intensity ratio of the former to the latter (CC ratio) on both sides in patients with unilateral MD was subsequently evaluated. Results: Endolymphatic hydrops was observed in 148 patients (96.1%) on the clinically affected side; the remaining 6 patients (3.9%) had no apparent ELH. One hundred fifteen patients (74.7%) had unilateral ELH, and 33 patients (21.4%) had bilateral ELH. Eighteen patients (11.7%) had ELH on the clinically silent side. Patients with moderate and significant grades of ELH in the vestibule and cochlea accounted for 88.3% and 90.3%, respectively. The CC ratio of the affected side (1.39 ± 0.37) was higher than that of the unaffected side (1.18 ± 0.29) ( P < .01) in 115 patients with unilateral MD. Conclusions: Moderate and significant grades of ELH are common in MD; however, the proposed diagnostic criteria are not fully consistent with ELH. The elevated contrast effect in the affected side in patients with unilateral MD may better reflect the pathologic condition of MD.

scholarly journals Contrast-enhanced magnetic resonance imaging in the diagnosis of Meniere’s disease: vague future or tangible reality?

2020 ◽  
Vol 49 ◽  
Author(s):  
E. A. Stepanova
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Resonance Imaging ◽  
Menière's Disease ◽  
Contrast Enhanced ◽  
Ménière's Disease

Meniere's disease is characterized by vertigo, inconsistent hearing loss and progressive deterioration of audiological and vestibular functions. The attacks of Meniere's disease occur without obvious triggers and disrupt social adaptation of patients. Radiation diagnostic methods have not been included into the list of diagnostic criteria by the European Consensus on Diagnosis and Management of Meniere's disease (2018). However, a  number of studies have been published recently that indicate the feasibility of in vivo anatomical identification of endolymphatic hydrops, as the main disease substrate seen using contrast-enhanced magnetic resonance imaging. Due to the progress in radiological visualization of the inner ear, some patterns have been identified and new data obtained for Meniere's disease. The choice of the best route for contrast administration (intratympanic or intravenous) is a matter of active debate. There is no consensus on the criteria for the assessment of hydrops' grade. Future developments of the technique are associated with improvements of diagnostic procedures and protocols, use of new contrast agents and diagnostic algorithms developed with consideration of the otological problem of patients.

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