Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-24T02:17:31.140Z Has data issue: false hasContentIssue false
  • English
  • Français

Magnetic resonance imaging for Ménière's disease: correlation with tone burst electrocochleography

Published online by Cambridge University Press:  09 December 2011

J Hornibrook ,
M Coates ,
A Goh ,
J Gourley  and
P Bird
J Hornibrook*
Affiliation:
Department of Otolaryngology and Audiology, Christchurch Hospital, New Zealand
M Coates
Affiliation:
Department of Radiology, Christchurch Hospital, New Zealand
A Goh
Affiliation:
Department of Radiology, Christchurch Hospital, New Zealand
J Gourley
Affiliation:
Department of Otolaryngology and Audiology, Christchurch Hospital, New Zealand
P Bird
Affiliation:
Department of Otolaryngology and Audiology, Christchurch Hospital, New Zealand
*
Address for correspondence: Mr J Hornibrook, Department of Otolaryngology and Audiology, Christchurch Hospital, 2 Riccarton Avenue, Christchurch 8011, New Zealand Fax: 643 3640273 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The newly developed use of magnetic resonance imaging of the human inner ear, on a 3 Tesla scanner with intratympanically administered gadolinium, can now reliably distinguish perilymph from endolymph and visually confirm the presence or absence of endolymphatic hydrops. Transtympanic tone burst electrocochleography is an established, and under-utilised evoked response electrophysiological test for hydrops, but it relies on a symptom score to indicate the likelihood of hydrops being present. The current diagnostic criteria for Ménière's disease make no allowance for any in vivo test, making diagnostic errors likely. In this small pilot study of three patients undergoing tone burst electrocochleography, subsequent magnetic resonance imaging confirmed or excluded the hydrops that the electrocochleography predicted. Magnetic resonance imaging of the inner ear is a safe technique that can be performed in conjunction with imaging of the VIIIth cranial nerves. As this report comprised only three patients in a pilot study, rigorous clinical studies are required to define the possible role of magnetic resonance imaging in the diagnosis of Ménière's disease.

Keywords

Meniere's DiseaseMagnetic Resonance ImagingEar, InnerPathologySensorineural Hearing LossAudiometry, Evoked Response
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 136 - 141
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the 5th International Symposium on Meniere's Disease and Other Inner Ear Disorders, 15 November 2010, Kyoto, Japan

References

1Hallpike, CS, Cairns, H. Observations on the pathology of Ménière's syndrome. J Laryngol Otol 1938;53:625–55CrossRefGoogle Scholar
2Yamakawa, Y. On the pathological change in a Ménière's patient. J Otorhinolaryngol Soc Jpn 1938;4:2310–12Google Scholar
3Anonymous. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Menière's disease. Otolaryngol Head Neck Surg 1995;113:181–5CrossRefGoogle Scholar
4Gibson, WP, Moffat, DA, Ramsden, RT. Clinical electrocochleography in the diagnosis and management of Menière's disorder. Audiology 1977;16:389–401CrossRefGoogle Scholar
5Gibson, W. A comparison of two methods of using transtympanic electrocochleography for the diagnosis of Meniere's disease: click summating potential/action potential ratio measurements and tone burst summating potential measurements. Acta Otolaryngol 2009;129:38–42CrossRefGoogle Scholar
6Gibson, WPR. A comparison of clicks versus tone bursts in the diagnosis of endolymphatic hydrops. In: Höhmann, D, ed. ECoG, OAE and Intraoperative Monitoring. Amsterdam: Kugler, 1993;55–9Google Scholar
7Gibson, WPR. The 10-point score for the clinical diagnosis of Meniere's disease. In: Arenberg, KI, ed. Inner Ear Surgery. Amsterdam: Kugler, 1991;109Google Scholar
8Koizuka, I, Seo, Y, Murakami, M, Seo, R, Kato, I. Micro-magnetic resonance imaging of the inner ear in the guinea pig. NMR Biomed 1997;10:31–43.0.CO;2-U>CrossRefGoogle ScholarPubMed
9Niyazov, DM, Andrews, JC, Strelioff, D, Sinha, S, Luftkin, R. Diagnosis of endolymphatic hydrops in vivo with magnetic resonance imaging. Otol Neurotol 2001;22:813–17CrossRefGoogle ScholarPubMed
10Koizuka, I, Seo, R, Kubo, T, Matsunaga, T, Murakami, M, Seo, Y et al. High-resolution MRI of the human cochlea. Acta Otolaryngol Suppl 1995;520(Pf2):256–7CrossRefGoogle ScholarPubMed
11Nakashima, T, Naganawa, S, Sugiura, M, Teranishi, M, Sone, M, Hayashi, H et al. Visualization of endolymphatic hydrops in patients with Meniere's disease. Laryngoscope 2007;117:415–20CrossRefGoogle ScholarPubMed
12Carfrae, MJ, Holtzman, A, Eames, F, Parnes, SM, Lupinetti, A. 3 Tesla delayed contrast magnetic resonance imaging evaluation of Ménière's disease. Laryngoscope 2008;118:501–5CrossRefGoogle ScholarPubMed
13Naganawa, S, Satake, H, Iwano, S, Fukatsu, H, Sone, M, Nakashima, T. Imaging endolymphatic hydrops at 3 Tesla using 3D-FLAIR with intratympanic Gd-DTPA administration. Magn Reson Med Sci 2008;7:85–91CrossRefGoogle ScholarPubMed
14Nakashima, T, Naganawa, S, Katayama, N, Teranishi, M, Nakata, S, Sugiura, M et al. Clinical significance of endolymphatic imaging after intratympanic gadolinium. Acta Otolaryngol 2009;129:9–14CrossRefGoogle Scholar
15Hornibrook, J, Coates, M, Goh, T, Bird, . MRI imaging of the inner ear for Meniere's disease. NZ Med J 2010;123:29–30Google ScholarPubMed
16Nakashima, T, Naganawa, S, Pyykko, I, Gibson, WPR, Sone, M, Nakata, S et al. Grading endolymphatic hydrops using magnetic resonance imaging. Acta Otolaryngol 2009;129:5–8CrossRefGoogle Scholar
17Thorp, MA, Shehab, ZP, Bance, ML, Tutka, JA. The AAO-HNS Committee on Hearing and Equilibrium Guidelines for the diagnosis and evaluation of therapy in Menière's disease: have they been applied in the published literature in the last decade? Clin Otolaryngol Allied Sci 2003;28:173–6CrossRefGoogle ScholarPubMed
18Zou, J, Pyykko, I, Bjelke, B, Dastidar, P, Toppila, E. Communication between the perilymphatic scalae and spiral ligament visualized by in vivo MRI. Audiol Neurotol 2005;10:145–52CrossRefGoogle ScholarPubMed
19Kakigi, A, Nishimura, A, Takeda, T, Okada, T, Murata, Y, Ogawa, Y. Effects of gadolinium injected into the middle ear on the stria vascularis. Acta Otolaryngol 2008;128:841–5CrossRefGoogle ScholarPubMed