听力学结果与耳蜗内神经鞘瘤位置的相关性:常规和Hydrops MRI评估。

IF 1.2 4区 医学 Q3 OTORHINOLARYNGOLOGY
Yen-Ting Guo, Yu-Fen Wang, Yi-Ho Young
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引用次数: 0

摘要

背景:耳蜗内神经鞘瘤(ICS)是否伴有内淋巴水肿(EH)尚不清楚。目的:本研究有两个目的:第一,将ICS的位置与常规MRI的听力学结果联系起来;其次,使用Hydrops MRI确定ICS是否与EH相关。方法:对4例经常规MRI证实的ICS患者行内耳电池试验,并行3t Hydrops MRI检查。结果:听力学检查显示全聋2例,扁平型听力损失1例,2 kHz dip型听力损失1例。常规MRI示3例耳蜗基底转径为ICS, 2例耳蜗中转径为ICS(1例耳蜗基底转径和中转径均为ICS)。与ICS位置相关的听力学结果提示听力退化可能与受影响的耳蜗转动有关。在两名伴有眩晕的ICS患者中,Hydrops MRI发现了II级耳蜗EH,但在另外两名无眩晕的ICS患者中没有发现。结论:对于伴有眩晕发作的ICS患者,常规MRI和Hydrops MRI可能有助于同时识别ICS和EH。意义:对ICS患者的随访建议采用“等待和扫描”方法,包括常规MRI和Hydrops MRI。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlating audiological results with location of intracochlear schwannoma assessed by routine and Hydrops MRI.

Background: Whether an intracochlear schwannoma (ICS) concomitant with endolymphatic hydrops (EH) remains unclear.

Objective: This study had two objectives: first, to correlate the location of ICS with audiological results using routine MRI; and second, to determine whether an ICS is associated with EH using Hydrops MRI.

Methods: Four cases with ICS demonstrated by routine MRI underwent an inner ear test battery, followed by 3 T Hydrops MRI.

Results: Audiometry revealed total deafness in 2 patients, flat-type hearing loss in one and 2 kHz dip type hearing loss in 1. Routine MRI demonstrated an ICS at cochlear basal turn in 3, and cochlear middle turn in 2 (one case showed ICS at the basal and middle turns). Correlating audiological results with the location of ICS suggests that hearing deterioration may be associated with affected cochlear turn. Hydrops MRI identified Grade II cochlear EH in two ICS patients with vertigo, but not in another two ICS patients without vertigo.

Conclusion: For an ICS patient with vertiginous episode, routine MRI along with Hydrops MRI may help identify both the ICS and EH, simultaneously.

Significance: A 'wait and scan' approach, which includes routine MRI along with Hydrops MRI, is recommended for the follow-up of ICS patients.

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来源期刊
Acta Oto-Laryngologica
Acta Oto-Laryngologica 医学-耳鼻喉科学
CiteScore
2.50
自引率
0.00%
发文量
99
审稿时长
3-6 weeks
期刊介绍: Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.
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