Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation
Introduction: Cochlear implantation in patients with Ménière’s disease (MD) is the treatment of choice in cases of functional deafness. Additional vertigo control is of central importance in this group of patients. Endolymphatic hydrops (ELH) is the pathophysiological correlate of MD and can be eval...
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MDPI AG
2023-05-01
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| Series: | Brain Sciences |
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| author | Christoph J. Pfeiffer Hans-Björn Gehl Lars-Uwe Scholtz Peter Goon Holger Sudhoff Ingo Todt |
| author_facet | Christoph J. Pfeiffer Hans-Björn Gehl Lars-Uwe Scholtz Peter Goon Holger Sudhoff Ingo Todt |
| author_sort | Christoph J. Pfeiffer |
| collection | DOAJ |
| description | Introduction: Cochlear implantation in patients with Ménière’s disease (MD) is the treatment of choice in cases of functional deafness. Additional vertigo control is of central importance in this group of patients. Endolymphatic hydrops (ELH) is the pathophysiological correlate of MD and can be evaluated by magnet resonance imaging (MRI). Bilateral MD occurs in 10–33% and can be the reason for a postoperative persisting or newly occurring vertigo in this group. Recent developments in the field of implant magnets and experience in MRI sequences allow the diagnostic performance of MRI in cochlear implantees to be evaluated. The aim of the present study was to evaluate the possibility of MRI as a visual diagnostic tool for endolymphatic hydrops in cochlear implantees. Material and Methods: This was a retrospective study including three cochlear implantees (age: 61–76 years, one female, two male) suffering from MD who, postoperatively, had a recurrence of vertigo with Ménière’s-like symptoms. An MRI was performed for the evaluation of ELH (ELH-MRI). MRI observation was performed by a 4 h iv. delayed Gad 3 D Flair sequence. Results: In all cases, the ipsilateral implant magnet artifact covered the vestibulum, the semicircular canals and the cochlea. The contralateral vestibulum, the semicircular canal and the cochlea were fully observable, and a classification of the ELH-MRI could be performed. Conclusion: ELH-MRI scanning allows for the detection of contralateral labyrinthine endolymphatic hydrops and is a tool for the postoperative evaluation of vertigo in cochlear implantees. |
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| spelling | doaj.art-0d1aafb16c094f73b12feb3bb3d6208a2023-11-18T09:35:28ZengMDPI AGBrain Sciences2076-34252023-05-0113685310.3390/brainsci13060853Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea ImplantationChristoph J. Pfeiffer0Hans-Björn Gehl1Lars-Uwe Scholtz2Peter Goon3Holger Sudhoff4Ingo Todt5Department of Otolaryngology, Head and Neck Surgery, Medical School OWL, Bielefeld University, Klinikum Bielefeld Mitte, Teutoburger Str. 50, 33604 Bielefeld, GermanyDepartment of Radiology, Medical School OWL, Bielefeld University, Klinikum Bielefeld Mitte, Teutoburger Str. 50, 33604 Bielefeld, GermanyDepartment of Otolaryngology, Head and Neck Surgery, Medical School OWL, Bielefeld University, Klinikum Bielefeld Mitte, Teutoburger Str. 50, 33604 Bielefeld, GermanyDepartment of Medicine and Otolaryngology, National University of Singapore and National University Health System, Singapore 117549, SingaporeDepartment of Otolaryngology, Head and Neck Surgery, Medical School OWL, Bielefeld University, Klinikum Bielefeld Mitte, Teutoburger Str. 50, 33604 Bielefeld, GermanyDepartment of Otolaryngology, Head and Neck Surgery, Medical School OWL, Bielefeld University, Klinikum Bielefeld Mitte, Teutoburger Str. 50, 33604 Bielefeld, GermanyIntroduction: Cochlear implantation in patients with Ménière’s disease (MD) is the treatment of choice in cases of functional deafness. Additional vertigo control is of central importance in this group of patients. Endolymphatic hydrops (ELH) is the pathophysiological correlate of MD and can be evaluated by magnet resonance imaging (MRI). Bilateral MD occurs in 10–33% and can be the reason for a postoperative persisting or newly occurring vertigo in this group. Recent developments in the field of implant magnets and experience in MRI sequences allow the diagnostic performance of MRI in cochlear implantees to be evaluated. The aim of the present study was to evaluate the possibility of MRI as a visual diagnostic tool for endolymphatic hydrops in cochlear implantees. Material and Methods: This was a retrospective study including three cochlear implantees (age: 61–76 years, one female, two male) suffering from MD who, postoperatively, had a recurrence of vertigo with Ménière’s-like symptoms. An MRI was performed for the evaluation of ELH (ELH-MRI). MRI observation was performed by a 4 h iv. delayed Gad 3 D Flair sequence. Results: In all cases, the ipsilateral implant magnet artifact covered the vestibulum, the semicircular canals and the cochlea. The contralateral vestibulum, the semicircular canal and the cochlea were fully observable, and a classification of the ELH-MRI could be performed. Conclusion: ELH-MRI scanning allows for the detection of contralateral labyrinthine endolymphatic hydrops and is a tool for the postoperative evaluation of vertigo in cochlear implantees.https://www.mdpi.com/2076-3425/13/6/853cochlea implantendolymphatic hydropsmagnet resonance imagingmorbus Ménière |
| spellingShingle | Christoph J. Pfeiffer Hans-Björn Gehl Lars-Uwe Scholtz Peter Goon Holger Sudhoff Ingo Todt Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation Brain Sciences cochlea implant endolymphatic hydrops magnet resonance imaging morbus Ménière |
| title | Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation |
| title_full | Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation |
| title_fullStr | Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation |
| title_full_unstemmed | Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation |
| title_short | Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation |
| title_sort | endolymphatic hydrops magnet resonance imaging in meniere s disease patients after cochlea implantation |
| topic | cochlea implant endolymphatic hydrops magnet resonance imaging morbus Ménière |
| url | https://www.mdpi.com/2076-3425/13/6/853 |
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