Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.

In this review of cochlear otosclerosis 14 cases were studied by CT scan aiming to establish a densitometric pattern of the capsular foci and relating it to the hearing and vestibule dysfunctions. Severe demineralization with characteristics of probable activity (increased lucency of 30-40%) was dem...

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Main Authors: J C Maurício, L Biscoito, G Branco
Format: Article
Language:English
Published: Ordem dos Médicos 1994-09-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2964
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author J C Maurício
L Biscoito
G Branco
author_facet J C Maurício
L Biscoito
G Branco
author_sort J C Maurício
collection DOAJ
description In this review of cochlear otosclerosis 14 cases were studied by CT scan aiming to establish a densitometric pattern of the capsular foci and relating it to the hearing and vestibule dysfunctions. Severe demineralization with characteristics of probable activity (increased lucency of 30-40%) was demonstrated in the capsular foci. These were mainly cochlear with endosteal involvement (93%): large (64%) or discrete (29%). Cochlear otosclerosis was widespread in 64% of the patients, with coexisting foci in the semicircular canals (38%), vestibule aqueduct (43%) and internal auditory canal (43%). The antefenestral component with stapes involvement was 85%, mostly of the anterior polar and crural varieties (64%) and signs of activity. In 2 patients there was a conductive hearing loss in the tonal audiometry, pure or combined; in 2 others there was only a pure perceptive hypoacusis of type IV. A direct relationship was noted (64% of cases) between the most serious hypoacusis (type III and IV) and the endosteal extension of the cochlear foci. Vertigo occurred in 36% of the patients and was attributed to the posterior labyrinth foci.
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spelling doaj.art-8caccd1dc60b4b2b9f3f1b1e3fa4f1562022-12-22T03:30:35ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581994-09-017910.20344/amp.2964Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.J C Maurício0L BiscoitoG BrancoServiço de Neurorradiologia, Hospital de Egas Moniz, Lisboa.In this review of cochlear otosclerosis 14 cases were studied by CT scan aiming to establish a densitometric pattern of the capsular foci and relating it to the hearing and vestibule dysfunctions. Severe demineralization with characteristics of probable activity (increased lucency of 30-40%) was demonstrated in the capsular foci. These were mainly cochlear with endosteal involvement (93%): large (64%) or discrete (29%). Cochlear otosclerosis was widespread in 64% of the patients, with coexisting foci in the semicircular canals (38%), vestibule aqueduct (43%) and internal auditory canal (43%). The antefenestral component with stapes involvement was 85%, mostly of the anterior polar and crural varieties (64%) and signs of activity. In 2 patients there was a conductive hearing loss in the tonal audiometry, pure or combined; in 2 others there was only a pure perceptive hypoacusis of type IV. A direct relationship was noted (64% of cases) between the most serious hypoacusis (type III and IV) and the endosteal extension of the cochlear foci. Vertigo occurred in 36% of the patients and was attributed to the posterior labyrinth foci.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2964
spellingShingle J C Maurício
L Biscoito
G Branco
Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.
Acta Médica Portuguesa
title Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.
title_full Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.
title_fullStr Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.
title_full_unstemmed Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.
title_short Padrão radiológico da otosclerose coclear. Estudo por TC de 14 doentes.
title_sort padrao radiologico da otosclerose coclear estudo por tc de 14 doentes
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2964
work_keys_str_mv AT jcmauricio padraoradiologicodaotosclerosecoclearestudoportcde14doentes
AT lbiscoito padraoradiologicodaotosclerosecoclearestudoportcde14doentes
AT gbranco padraoradiologicodaotosclerosecoclearestudoportcde14doentes