Jorge Tomio Takahashi, Isabela S Alves, Eloisa M S Gebrim, Vinícius Trindade Gonçalves
{"title":"Imaging of Vertigo and Dizziness: A Site-based Approach Part 2 (Membranous Labyrinth and Cerebellopontine Angle).","authors":"Jorge Tomio Takahashi, Isabela S Alves, Eloisa M S Gebrim, Vinícius Trindade Gonçalves","doi":"10.1053/j.sult.2024.09.004","DOIUrl":"10.1053/j.sult.2024.09.004","url":null,"abstract":"<p><p>Dizziness and vertigo, a prevalent and often debilitating symptom, can be attributed to various lesions involving the inner ear and cerebellopontine angle. Diagnostic imaging, especially magnetic resonance imaging, is crucial in diagnosing and differentiating these conditions. This article provides a comprehensive overview of imaging characteristics related to common causes of dizziness and vertigo, including labyrinthitis, vestibular neuritis, and tumors. It highlights distinguishing between these conditions to ensure accurate diagnosis and appropriate management.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thiago B F Feitosa, Thiago J P Lopes, Isabela S Alves, Ula L Passos, Eloisa M S Gebrim
{"title":"Practical imaging for Ménière's disease.","authors":"Thiago B F Feitosa, Thiago J P Lopes, Isabela S Alves, Ula L Passos, Eloisa M S Gebrim","doi":"10.1053/j.sult.2024.09.006","DOIUrl":"10.1053/j.sult.2024.09.006","url":null,"abstract":"<p><p>Ménière's disease (MD) is a chronic disorder of the inner ear characterized by vertigo, hearing loss, tinnitus, and aural fullness. The pathophysiology of MD involves endolymphatic hydrops, an abnormal accumulation of endolymph fluid, although the exact cause remains unclear, potentially involving genetic, environmental, and autoimmune factors. Recent advancements in magnetic resonance imaging have significantly enhanced diagnostic capabilities. This technique uses gadolinium-based contrast agents to differentiate between endolymph and perilymph. Imaging techniques such as 3-dimensional fluid-attenuated inversion recovery and 3-dimensional-real-inversion recovery sequences are used to classify endolymphatic hydrops into grades based on the severity of dilation in the cochlea and vestibule. The degree of perilymphatic enhancement, indicative of blood-labyrinthine barrier breakdown, further aids in diagnosing MD. Accurate diagnosis relies on distinguishing between perilymphatic and endolymphatic enhancement patterns and recognizing mimicking conditions.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paulo Diego Santos Silva, Isabela S Alves, Italo Roberto Torres de Medeiros
{"title":"Clinical Aspects of Vertigo and Dizziness: What Should the Radiologist Know?","authors":"Paulo Diego Santos Silva, Isabela S Alves, Italo Roberto Torres de Medeiros","doi":"10.1053/j.sult.2024.09.001","DOIUrl":"10.1053/j.sult.2024.09.001","url":null,"abstract":"<p><p>Dizziness and vertigo are common complaints in both emergency and outpatient settings, requiring careful evaluation to determine appropriate diagnosis and treatment. Differentiating between peripheral and central causes of dizziness is crucial for effective management. Peripheral causes, such as vestibular neuritis, benign paroxysmal positional vertigo, and Ménière's disease, are contrasted with central causes such as stroke, demyelinating diseases, and posterior fossa tumors. Diagnostic approaches include assessing nystagmus patterns, the vestibulo-ocular reflex, and the HINTS Plus test. Vestibular disorders are classified as acute, episodic, or chronic based on duration and symptom presentation. Imaging plays a significant role in identifying central causes when clinical findings are inconclusive. This paper provides a comprehensive overview of the clinical evaluation and diagnostic methods for dizziness and vertigo, with emphasis on distinguishing peripheral from central etiologies.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Imaging of Vertigo and Dizziness: A Site-based Approach, Part 1 (Middle Ear, Bony Labyrinth, and Temporomandibular Joint).","authors":"Isabela S Alves, Eloisa M S Gebrim, Ula L Passos","doi":"10.1053/j.sult.2024.09.003","DOIUrl":"10.1053/j.sult.2024.09.003","url":null,"abstract":"<p><p>The broad differential diagnosis of vertigo and dizziness passes through peripheral and central causes. Peripheral vestibular disorders, such as Ménière's disease and benign paroxysmal positional vertigo, are commonly diagnosed clinically, with imaging serving to exclude other conditions. Temporal bone trauma, cholesteatoma, third window syndrome, otospongiosis, jugular bulb variants, and temporomandibular disorders are identified as significant causes of dizziness and vertigo, each with specific diagnostic and management considerations. Advanced imaging techniques, including high-resolution computed tomography and magnetic resonance imaging, play crucial roles in diagnosing and differentiating these conditions. The management strategies vary depending on the underlying cause and often involve surgical or medical interventions tailored to the specific pathology.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luiz Ricardo Araújo Uchôa, Julia Martins Brunelli, Isabela S Alves, Claudia da Costa Leite, Maria da Graça Morais Martin, Jorge Tomio Takahashi
{"title":"Imaging of Vertigo and Dizziness: A Site-based Approach Part 3 (Brainstem, Cerebellum, and Miscellaneous).","authors":"Luiz Ricardo Araújo Uchôa, Julia Martins Brunelli, Isabela S Alves, Claudia da Costa Leite, Maria da Graça Morais Martin, Jorge Tomio Takahashi","doi":"10.1053/j.sult.2024.09.005","DOIUrl":"10.1053/j.sult.2024.09.005","url":null,"abstract":"<p><p>Dizziness and vertigo, frequently associated with cerebrovascular origins, pose a substantial challenge in emergency medical settings due to their potential to be associated with severe underlying conditions. Sudden-onset dizziness, in particular, may be an early indicator of critical events such as stroke or transient ischemic attack. This comprehensive review encompasses the differential diagnosis of central causes of dizziness and vertigo, emphasizing the crucial role of imaging modalities in the accurate detection and assessment, including cerebrovascular diseases, inflammatory disorders, infections, and other conditions such as vestibular migraine and cervical spondylosis. It highlights the significance of advanced imaging techniques, particularly magnetic resonance imaging and computed tomography in identifying and distinguishing these conditions.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":16.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter From the Guest Editor.","authors":"Ula Lindoso Passos, Eloisa Santiago Gebrim","doi":"10.1053/j.sult.2024.09.007","DOIUrl":"10.1053/j.sult.2024.09.007","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":16.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anatomy and Embryology of the Middle Ear, Labyrinth, and Intracranial Vestibular Pathways.","authors":"Isabela S Alves, Maria da Graça Morais Martin","doi":"10.1053/j.sult.2024.09.002","DOIUrl":"10.1053/j.sult.2024.09.002","url":null,"abstract":"<p><p>The intricate anatomy and embryology of the middle ear, labyrinth, and vertigo-related intracranial pathways involve complex developmental processes and contributions from multiple germ layers. The middle ear, comprised of the tympanic cavity, ossicles, and Eustachian tube, develops from the first and second branchial arches and clefts. In contrast, the inner ear originates from the otic vesicle, forming the bony and membranous labyrinths. The embryological timeline spans from the 40th day of gestation to the 24th week. The vestibulocochlear nerve (VIII cranial nerve) emerges with the inner ear structures and is essential for auditory and vestibular functions. The brainstem integrates sensory inputs from the labyrinth through various nuclei and pathways, contributing to balance and spatial awareness. This review highlights the critical developmental stages and anatomical details relevant to understanding auditory and vestibular system disorders.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Chest Computed Tomography Findings Following COVID-19 Pneumonia","authors":"","doi":"10.1053/j.sult.2024.02.008","DOIUrl":"10.1053/j.sult.2024.02.008","url":null,"abstract":"<div><p><span>Respiratory symptoms are a frequent manifestation of patients with post-acute sequela of SARS-CoV-2 (PASC), also known as long-COVID. Many cohorts of predominantly hospitalized patients have shown that a significant subset may have persistent chest </span>computed tomography findings for more than 12 months after the acute infection. Proper understanding of the evolving long-term imaging findings and terminology is crucial for accurate imaging interpretation and patient care. The goal of this article is to review the chronic chest computed tomography findings of patients with PASC and common pitfalls.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 4","pages":"Pages 298-308"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pediatric Presentations of COVID-19 and Pertinent Radiologic Findings","authors":"Augustin Msellati , Caitlyn Loo , Lara Toerien , Tara Catanzano","doi":"10.1053/j.sult.2024.07.004","DOIUrl":"10.1053/j.sult.2024.07.004","url":null,"abstract":"<div><p>Since the 2019 worldwide pandemic, Severe Acute Respiratory Syndrome coronavirus 2 responsible for COVID-19 disease, not only had global economic repercussions but millions of individuals health were also put at risk. Like any other respiratory illness, COVID-19 has a variety of presentations and radiological features. While COVID-19 infections in the pediatric population generally present with better prognosis and lower mortality rates when compared to those of adults, in the vulnerable populations however, severe presentations are often more frequent and can have catastrophic consequences. This paper will specifically address pediatric presentations of COVID-19 including those suffering from multisystem inflammation, along with their radiologic manifestations and image findings.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 4","pages":"Pages 339-343"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0887217124000441/pdfft?md5=48bb608daf5a6e89d0ea764b03eb33cc&pid=1-s2.0-S0887217124000441-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergency Presentations of Coronavirus Disease (COVID-19): A Review of the Literature and Radiologic Perspective","authors":"","doi":"10.1053/j.sult.2024.07.003","DOIUrl":"10.1053/j.sult.2024.07.003","url":null,"abstract":"<div><p>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the debilitating global pandemic known as Coronavirus disease (COVID-19). In this paper, we highlight the widespread manifestations and complications across disease systems. In addition, we present their relevant imaging findings to inform appropriate investigations and management in patients presenting to the Emergency Department with COVID-19 and its respective sequalae. Of note, we outline considerations for diagnosis of long COVID, an important medium to long term sequalae in patients with previous COVID-19 infections.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 4","pages":"Pages 332-338"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S088721712400043X/pdfft?md5=9d3dff1595925f4239245e15e7d616d8&pid=1-s2.0-S088721712400043X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}