A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo
Spontaneous intracranial hypotension (SIH) is characterized by decreased cerebrospinal fluid (CSF) volume due to leakage through the dural membrane. We present the case of a patient with SIH manifested by fluctuating low-frequency hearing loss, tinnitus, and vertigo. In this patient, endolymphatic h...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1394534/full |
| _version_ | 1797221854745722880 |
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| author | Jong Kwan Kim Ho Yun Lee Ha Youn Kim Min Young Kwak |
| author_facet | Jong Kwan Kim Ho Yun Lee Ha Youn Kim Min Young Kwak |
| author_sort | Jong Kwan Kim |
| collection | DOAJ |
| description | Spontaneous intracranial hypotension (SIH) is characterized by decreased cerebrospinal fluid (CSF) volume due to leakage through the dural membrane. We present the case of a patient with SIH manifested by fluctuating low-frequency hearing loss, tinnitus, and vertigo. In this patient, endolymphatic hydrops in the cochlea and saccule were visualized by means of a special sequence of inner ear magnetic resonance imaging scans, with a gadolinium-based contrast agent administered intravenously. Endolymphatic hydrops is a potential underlying pathophysiology of SIH-associated hearing impairment. We hypothesize that SIH may be a rare cause of endolymphatic hydrops. |
| first_indexed | 2024-04-24T13:12:03Z |
| format | Article |
| id | doaj.art-b61d95f19dd0488f96824bc95798da7a |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-24T13:12:03Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-b61d95f19dd0488f96824bc95798da7a2024-04-05T04:40:03ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-04-011510.3389/fneur.2024.13945341394534A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigoJong Kwan Kim0Ho Yun Lee1Ha Youn Kim2Min Young Kwak3Department of Otorhinolaryngology-Head and Neck Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Republic of KoreaDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Ewha Womans University, Seoul, Republic of KoreaDepartment of Radiology, Daejeon Eulji Medical Center, Eulji University, Daejeon, Republic of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of KoreaSpontaneous intracranial hypotension (SIH) is characterized by decreased cerebrospinal fluid (CSF) volume due to leakage through the dural membrane. We present the case of a patient with SIH manifested by fluctuating low-frequency hearing loss, tinnitus, and vertigo. In this patient, endolymphatic hydrops in the cochlea and saccule were visualized by means of a special sequence of inner ear magnetic resonance imaging scans, with a gadolinium-based contrast agent administered intravenously. Endolymphatic hydrops is a potential underlying pathophysiology of SIH-associated hearing impairment. We hypothesize that SIH may be a rare cause of endolymphatic hydrops.https://www.frontiersin.org/articles/10.3389/fneur.2024.1394534/fullintracranial hypotensionendolymphatic hydropsMRIhearing lossvertigo |
| spellingShingle | Jong Kwan Kim Ho Yun Lee Ha Youn Kim Min Young Kwak A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo Frontiers in Neurology intracranial hypotension endolymphatic hydrops MRI hearing loss vertigo |
| title | A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo |
| title_full | A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo |
| title_fullStr | A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo |
| title_full_unstemmed | A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo |
| title_short | A hidden pathophysiology of endolymphatic hydrops: case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo |
| title_sort | hidden pathophysiology of endolymphatic hydrops case report of a patient with spontaneous intracranial hypotension presenting with sudden sensorineural hearing loss with vertigo |
| topic | intracranial hypotension endolymphatic hydrops MRI hearing loss vertigo |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1394534/full |
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